Clavicle karar

Abin da ya faru na karaya na clavicle shine 30-60 a cikin mutane 100,000, tare da namiji zuwa matsayin mata kusan 2: 1, lissafin kashi 5% zuwa 10% na duk raunin hadin gwiwa. A coulcle shine farkon kashi zuwa gaanan ɗan adam, kuma an fara ƙashin tubular na biyar na rayuwa mai tsayi da tashin hankali. Cibiyar Kayan Jakadantarwa na farko tana cikin tsakiyar covicle kuma tana da alhakin ci gaban clavicle har zuwa 5 shekara. Akwai farantin tarihi a kowane ɗayan ciki da na ciki na clavicle na clavicle, amma galibi ana iya hango cibiyar tsakiya ta hanyar X-ray. Farantin da aka gabatar da na Meiphhyseal yana da alhakin 80% na tsawon ci gaban buga, da kuma tsakiyar shekaru bai fara bayyana ba har zuwa shekara ta shekaru 22 zuwa 25. Sabili da haka, lokacin da aka gano gano hanyar ganowa cikin yara masu haƙuri, yana da mahimmanci don bambance shi daga raunin da ya faru na Clavikyseal.

Ilmin jikin mutum

A Clavicle shine kimanin madaidaiciya lokacin da aka duba gabanta, amma yana s-dimbin yawa lokacin da aka duba su fi gaba, curving dorsally zuwa ga gefen ventral. Canjinsa na giciye-canje tare da dogon tsinkaye, tare da waje 1/3 flattened don saukar da ja da jijiya ja; Tsakanin 1/3 ya zama tubular, tare da rage diamita da kuma kashin ƙasa mai kauri sama da sauran, tashin hankali da tashin hankali da tashin hankali da kuma kare jijiyoyin vascullis da kuma kare jijiyoyin vascular a karkashin ta; A ciki 1/3 shine rhombic kuma yana da alaƙa da sternum da haƙarƙarin farko ta hanyar jijiya mai ƙarfi (Hoto 1). Karatun Anatomical sun nuna cewa clavicle ya fi rauni a nan saboda bambancin ilimin halittar jiki a tsakiya da waje 1/3. Bugu da kari, yana daga baya a cikin tsoka mai tsoka ta Subclavian tsoka da kuma rasa shi da wani shafin mai rauni don karaya, kamar yadda aka tabbatar da lura da Clinication.

Inji na rauni

Don clavicle karaya a cikin manya, mafi yawan abin da ya fi dacewa da rauni game da faduwar clavicle a baya ya zama sakamakon fall tare da hudani a cikin matsayi, amma Stany et al. Dangane da wannan tsarin raunin da aka lissafa kawai na kawai 6.3% na tsakiyar clavicle ya zama mai ƙarfi a kafada wanda ba tare da yin hijira ba ko kuma tare da jujjuyawar matsakaici ko tare da ƙaura kawai.

Game da batun faduwa tare da dabino a cikin yanayin hypexteoeded matsayi, yawanci galibi ana haifar da tasirin da wani yanki na waje sakandare zuwa fall. Wani nau'in karaya saboda tashin hankali kai tsaye shine lokacin da wani karfi na waje shine lokacin da ake amfani da karfi na waje a kafada, yana haifar da kirkirar karkara a tsakiya 1/3 na clavicle. Bugu da kari, tare da yawan abin da ya faru na hatsarin zirga-zirga a cikin 'yan shekarun nan, saboda ƙarfin hatsarin mota, wanda sau da yawa yana haifar da cikakkiyar karaya ko obliquque yana haifar da bel na clavicle. Wataƙila saboda tashin hankali na rauni yawanci mafi girma, wannan nau'in karaya ne mafi yawa ga rashin jituwa fiye da yadda aka saba chovicle karaya.

Lura

Karfin tsakiyar matsin zuma:

Slippit gyaran: daskararren daskararren clavicle karagu har yanzu shine 'daidaitaccen daidaito '. Platea plese sun hada da 3.5mm lc-dcp, 3.5mm Retaingtion, faranti na lcp, kuma wasu faranti na zamani, kuma wasu nau'ikan faranti. Amfanin da Sptints sun hada da: matsawa na ciyewa; gravel na oblique ko malam buɗe ido tare da sukurori da aka haɗa tare da dakatar da tsinkaye; ingantaccen iko na juyawa; amintaccen ficewa na karaya don ayyukan yau da kullun; Kuma gaskiyar cewa karyen yawanci ba sa bukatar a cire (idan dole ne a cire su har zuwa 12 zuwa 18 watanni ba da labari).

Distal clavicle chracture:

Haken Kokultint shine hanyar gyara madaidaici, fa'idodin wanda ya haɗa da sauƙin daidaita kyalli ba tare da zamewa ba na ciki ba tare da zamewa ba.

Karatun clavical clavicle karaya:

Ba da rahoton cewa an fi son magani na ba da labari ba saboda irin wannan karaya, tare da slwararren mahaifa-wuyan fata. Inctionsional gyaran ciki idan akwai rauni na jijiya, ko kuma rauni ne ya nuna haƙuri da ke haifar da matsala da ke haifar da abin da ya dace kuma yana nuna rashin inganci. Idan gyarawa ba zai yiwu ba, ana iya cire hoton kwatankwacin coximal idan ya cancanta.

Rikicewa

• Babu waraka: littattafan da suka gabata sun ba da rahoton rashin warkarwa daga 0.9% zuwa 4% don binciken clavicle ya gano cewa ainihin adadin rashin warkarwa ya fi na gaske fiye da wanda ba zai yiwu ba.

• Rashin wariya: Ra'ayin gargajiya shine nakasar gargajiya na clavicle ne kawai matsalar tiyata kuma idan babu wanda ba waraka bane bayan barin nakasar wanzuwa. Koyaya, abubuwan lura na kwanan nan sun nuna cewa gajarta ta clavicle na sama da 15 cm sau da yawa yana haifar da ciwo da kuma iyakancewa na motsi a ƙarshen matakin. Bugu da kari, wasu malamai sun gabatar da sauki ''Clavicle sauƙaƙe ' a cikin lura da nakasar warkarwa, amma wannan hanyar ba mai kyau. Cire kawai mai juyawa scab na iya sa clavicle a cikin hadarin rauni, kuma tunda m a cikin jirgin saman da aka bayyana a kwance shi kaɗai ba zai gyara nakasar ba. Sabili da haka, ƙarin abin dogara hanya yana kama da lura da n'union: cirewar kashin kashi da yawa gwargwadon iko. Tabbas, dole ne a sanar da mai haƙuri game da haɗarin rashin aiki kafin tiyata.

• Raunin jijiya na vascular: mai yiwuwa na rauni na Vascular ya ragu a farkon matakan, yayin da a cikin karuwar matattarar jijiyoyin jini na iya haifar da alamun rashin daidaituwa. Da zarar wannan ya faru, sau da yawa ana buƙatar lalata.

• Traums huhun jini: Traumatic Arthritis yana faruwa a cikin hadin gwiwar waje bayan rauni a lokacin rauni a lokacin rauni da ya shafi farfado da ya shafi farfadowa. Idan rufewa ba shi da tasiri, distal 1 cm na covicle ya kamata a yi kama, kuma ya kamata a kula da haɗe don kare jijiyoyin-clavicle zuciya-clavicle.

  
  

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