Clavicle fracture

Qhov tshwm sim ntawm clavicle pob yog 30-60 rau 100,000 tus neeg, nrog txiv neej rau poj niam piv kwv yees li 2: 1, suav nyiaj rau 104% ntawm lub xub pwg sib koom ua ke raug mob. Lub clavicle yog cov pob txha ua ntej tshaj plaws rau kev ua haujlwm hauv tib neeg lub cev, thiab nws yog cov nqaj hlau tub rog, thiab nws yog cov tub rog tub rog thib tsib, thiab nws yog tus txhad ntev ntawm kev txhawb nqa osteogenesis. Qhov chaw nruab hnub qub yog nyob rau hauv nruab nrab ntawm clavicle thiab yog lub luag haujlwm rau kev loj hlob ntawm clavicle kom txog 5 xyoos. Muaj ib lub phaj loj hlob ntawm txhua ntawm sab hauv thiab sab nraud ntawm cov clavicle, tab sis feem ntau tsuas yog lub nruab nrab Ovossification Center tuaj yeem pom tau los ntawm X-Ray. Lub Medical Epiphyseal Phaj yog lub luag haujlwm rau 80% ntawm qhov kev loj hlob ntev ntawm lub clavicle, thiab nws muaj hnub nyoog li cas txog 13 txog 19 txog 25 xyoo. Yog li ntawd, thaum kuaj cov neeg mob sternoclavular hauv cov neeg mob hluas, nws yog ib qho tseem ceeb kom sib txawv nws los ntawm Medial Clavicular raug mob.

Ua hauj lwm anatomy

Lub clavicle yog kwv yees kom ncaj thaum pom anteriorly, tab sis yog s-puab thaum saib qhov zoo tshaj, pov tseg rau sab nraud. Nws tus ntoo khaub lig hloov raws li cov kab ntev, nrog sab nraud 1/3 flattened kom haum rau cov leeg thiab ligament rub; Qhov nruab nrab ntawm 1/3 ua tubular, nrog cov kab mob hla thiab cov pob txha denser dua li tus so, kom haum Axial siab thiab nruj thiab tiv thaiv cov vascular qaby hauv qab nws; Sab hauv 1/3 yog rhombic thiab cuam tshuam nrog lub sternum thiab thawj tus tav los ntawm cov ntaub so ntswg muaj zog (daim duab 1). Kev tshawb fawb anatomical tau qhia tias cov clavle yog qhov tsis muaj zog ntawm no vim yog kev sib txawv morphological hauv nruab nrab thiab sab nraud 1/3. Tsis tas li ntawd, nws yog nyob rau ib ntus rau cov leeg subclavian nres thiab tsis muaj kev tiv thaiv cov leeg nqaij ntshiv, ua rau nws muaj kev cuam tshuam zoo tshaj plaws, ua kom pom tseeb los ntawm kev soj ntsuam hauv kev soj ntsuam.

Mechanism ntawm kev raug mob

Rau clavicle pob txha hauv cov neeg laus, feem ntau txheej txheem ntawm kev raug mob ntawm clavleures tau dhau los ntawm lub zog ntawm tes, tab sis Stanley Et al. Pom tias cov txheej txheem ntawm kev raug mob tau suav rau tsuas yog 6.3% ntawm cov rog uas muaj kev sib koom tes ntawm lub xub pwg sib koom ua ke, feem ntau yog tsis muaj kev cuam tshuam nrog me me.

Nyob rau hauv rooj plaub ntawm ntog nrog lub xibtes nyob rau hauv hypeextended txoj hauj lwm, qhov kev tawg yog feem ntau tshwm sim los ntawm kev cuam tshuam ntawm kev sib zog sab nraud rau lub caij nplooj zeeg. Lwm hom kev ua phem vim yog kev ua phem rau sab nraud ntawm xub pwg, ua rau muaj kev cuam tshuam nrog tus muab kev sib tw hauv nruab nrab 1/3 ntawm clavicle. Ib qho ntxiv, muaj cov kev tshwm sim nquag ntawm cov tsheb sib nraus hauv lub tsheb sib tsoo, uas feem ntau ua rau lub tsheb sib tsoo, uas feem ntau ua rau hauv nruab nrab, uas tib neeg hu lub rooj zaum pob txha lov. Tej zaum vim tias kev ua phem ntawm kev raug mob yog qhov ntau dua, hom pob txha no ntau dua rau cov tsis ua haujlwm ntau dua li ib txwm clavicle.

Kev kho

Kev sim ntswg ntawm nruab nrab clavicle:

Splint Fixation: Splint Fixation ntawm clavicle pob yog tseem yog 'tus qauv kub '. Daim phiaj suav nrog 3.5MM LC-DCP, 3.5mm LC, 3.5MM daim ntawv kho vaj tse, LCP xauv cov paib, thiab qee cov phiaj tshwj xeeb ntawm cov phiaj. Qhov zoo ntawm splints xws li: compression ntawm transverse pob txha lov; Kev txhim kho ntawm oblique lossis npauj npaim pob txha nrog nro ntsag ua ke nrog nruab nrab cais; Kev tswj kom zoo ntawm kev sib hloov; ruaj khov kho ntawm qhov tawg rau tus neeg mob cov haujlwm txhua hnub; Thiab qhov tseeb uas splints feem ntau tsis tas yuav raug tshem tawm (yog tias lawv yuav tsum tau muab tshem tawm kom txog thaum 12 txog 18 lub hlis posterpos).

Distal Clavicle Unracture:

Lub Clavlei Hib Splint yog ib txoj kev txhim kho kev ua haujlwm, thiab muaj feem cuam tshuam nrog lub acromioclavicular, ntau qhov tseeb ntawm kev kho kom yooj yim yam tsis muaj kev sib koom ua ke nrog cov tsoos kyphotic pin.

Hais txog Clavicle Unacture:

Cov ntaub ntawv kev saib ntaub ntawv uas tsis yog nyiam rau hom pob txha no, nrog cov ncauj tsev menyuam xaws cov braking. Incisional sab hauv kho yuav tau txiav txim siab, lossis yog tias muaj cov kab mob sib tsoo tau ua rau tus neeg mob uas tsis muaj teeb meem yog qhov tsis muaj kev ua pa rau tus neeg uas tsis muaj teeb meem Yog tias kev txhim kho tsis tuaj yeem ua tiav, cov neeg sib kis tau raug tshem tawm yog tias tsim nyog.

Yam muaj teeb meem

• Tsis muaj kev kho kom zoo: Tshaj tawm cov ntaub ntawv dhau los hais tias tsis muaj kev kho kom zoo ntawm 0.9% rau kev kho kom zoo dua yog qhov kev kho kom zoo dua li ib qho yuav tau txais.

• Deformity kho tau: cov tsoos pom yog qhov teeb meem kev kho ntawm cov teeb meem zoo nkauj thiab hais tias yog tias muaj kev kho mob tom qab kev phais mob kom muaj nyob. Txawm li cas los xij, cov kev soj ntsuam tsis ntev los no tau qhia tias qhov tsis ntev los no ntawm cov clavicle ntawm ntau tshaj 15 cm feem ntau ua rau mob thiab txwv ntawm kev txav hauv theem lig. Ib qho ntxiv, qee cov kws tshawb fawb tau npaj siab 'clavicle shating ' nyob rau hauv kev kho mob ntawm deformity kho, tab sis cov qauv no tsis yog xav tau. Tshem tawm tsuas yog kev tawm tsam scab tuaj yeem ua rau lub clavicle thiner thiab zoo heev nce kev pheej hmoo ntawm cov pob txha caj dab, yog muaj kev phom sij ntawm 'clavicle ntawm lub dav hlau Yog li ntawd, ib txoj kev txhim khu kev qha ntau dua li kev kho mob ntawm Nonunion: tshem tawm cov pob txha sib luag kom ntau li ntau tau ntau li ntau tau tom qab kev kho sab hauv thiab ib-theem pob txha grafting. Tau kawg, tus neeg mob yuav tsum tau qhia txog kev pheej hmoo ntawm kev tsis koom kev ua haujlwm ua ntej kev phais.

• Vascular leeg raug mob: qhov kev pheej hmoo ntawm txoj kev ua kom raug mob tom qab kev sib tw, thaum ntxov ntawm cov pob txha pob txha kub, thaum ntxov, kev loj hlob ntawm cov pob txha scabs tuaj yeem ua rau cov tsos mob entrapment. Thaum qhov no tshwm sim, kev phais mob feem ntau yuav tsum muaj.

• Kev sib koom tes ua mob caj dab: Kev mob hnyav tom qab muaj kev sib koom tes ntawm lub npog sab nraud Yog tias kaw yog qhov tsis muaj txiaj ntsig, lub distal 1 cm ntawm cov collicle yuav tsum tau txais, thiab intraoperative care yuav tsum tau coj los tiv thaiv cov rostral-clavicular lilament.

  
  

Yuav ua li cas yuav orthopedic kev cog lus thiab orthopedic seev?

Rau Czmeditech , peb muaj cov khoom lag luam tawm ntawm kev phais mob orthopedic kev cog lus thiab cov twj paj nruag sib txuas, cov khoom suav nrog Spine immants, intramed ntsis ntsia hlau, Kev Nyab Xeeb Phaj, Xauv phaj, Cranial-maxillofacial, yug, Cov Cuab Yeej Hluav Taws Xob, Sab nraud Txhim Kho, arthroscopy, Kev saib tsiaj kho tsiaj thiab lawv cov twj paj nruag txhawb nqa.

Ib qho ntxiv, peb tau cog lus tsis tu ncua tsim cov khoom lag luam tshiab thiab nthuav tawm cov khoom lag luam thiab cov neeg sib tw, thiab tseem muaj kev sib tw ntau dua nyob rau hauv tag nrho cov kev sib tw lossis cov khoom siv cov khoom siv.

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Yog xav paub cov ntaub ntawv ntxiv, nyem Czmedatech kom pom cov ntsiab lus ntxiv.