Umubare w'imvune za clavicle ni 30-60 ku bantu 100.000, aho abagabo n'abagore bagera kuri 2: 1, bangana na 5% kugeza 10% by'imvune zose na 44% by'imvune zo ku rutugu. Clavicle ni igufwa rya mbere ryakorewe osisifike mu mubiri w'umuntu, kandi ossifike yayo itangira mu cyumweru cya gatanu cyubuzima bwa emboro, kandi ni igufwa ryonyine rirerire ryigitereko rinyuze mu mitsi ya osteogenezi. Centre ossification yibanze iherereye hagati ya clavicle kandi ishinzwe gukura kwa clavicle kugeza kumyaka 5. Hariho isahani ya epiphyseal ikura kuri buri gice cyimbere ninyuma ya clavicle, ariko akenshi ikigo cyo hagati cyo hagati gishobora gusa kugaragara na x-ray. Isahani ya epiphyseal yo hagati ishinzwe 80% yuburebure bwikura rya clavicle, kandi ikigo cyayo cya osifisation ntisanzwe gitangira kugaragara kugeza kumyaka 13 kugeza 19, kandi ntigihuza na clavicle kugeza kumyaka 22 kugeza 25. Kubwibyo, mugihe usuzumye sternoclavicular dislocation ku barwayi bakiri bato, ni ngombwa kubitandukanya n’imvune zo mu bwoko bwa clavicular epiphyseal.
Imikorere ya Anatomy
Clavicle iragororotse iyo urebye imbere, ariko ifite S-iyo urebye neza, igoramye kandi igana kuruhande rwumuyaga. Igice cyacyo gihinduka ku murongo muremure, hamwe na 1/3 cyo hanze cyarambuye kugirango gikire imitsi n'imitsi; hagati ya 1/3 ihinduka igituba, hamwe na diametre yagabanutse hamwe na cortex nini cyane hamwe namagufa yuzuye kurusha ayandi, kugirango ihuze umuvuduko wa axial hamwe nimpagarara no kurinda imitsi y'amaraso munsi yacyo; imbere imbere 1/3 ni rombic kandi ifitanye isano na sternum nimbavu yambere hamwe ningingo zikomeye (Ishusho 1). Ubushakashatsi bwa Anatomical bwerekanye ko clavicle ifite intege nke hano kubera itandukaniro ryimiterere ya morphologie hagati na hanze 1/3. Byongeye kandi, iherereye kuruhande rwimitsi ya subclavian ihagarara kandi ikabura uburinzi bwimitsi yimitsi, bigatuma iba ahantu hashobora kwibasirwa cyane no kuvunika, nkuko bigaragazwa nubuvuzi.
Uburyo bwo gukomeretsa
Kuvunika kwa clavicle kubantu bakuze, uburyo bukunze gukomeretsa kuvunika kwa clavicle mbere twatekerezaga ko ari ingaruka zo kugwa ukuboko mu mwanya urenze urugero, ariko Stanley n'abandi. yasanze ubu buryo bwo gukomeretsa bugera kuri 6.3% gusa yo kuvunika hagati ya clavicle na 5.9% by’imvune za kure za clavicle, kandi mu barwayi bose, uburyo bwo gukomeretsa bwakomotse ku mbaraga zitaziguye zikora ku rutugu Uburyo bukunze gukomeretsa ku barwayi bose ni imbaraga zitaziguye ku rutugu, ubusanzwe nta kwimuka gukomeye cyangwa kwimurwa byoroheje gusa.
Mugihe cyo kugwa hamwe nikigazi mumwanya wa hyperextended, kuvunika akenshi guterwa ningaruka zingufu zo hanze zongera kugwa. Ubundi bwoko bwo kuvunika kubera ihohoterwa ritaziguye ni igihe imbaraga zo hanze zikora ku rutugu, bigatuma clavicle igira ingaruka ku rubavu rwa mbere, bikavamo kuvunika kuzunguruka hagati ya 1/3 cya clavicle. Byongeye kandi, hamwe n’impanuka zikunze kugaragara mu myaka yashize, kubera ingaruka zikomeye zabaye mu mpanuka y’imodoka, umukandara wicyicaro ukora imbaraga nyinshi mu rutugu, ibyo bikaba akenshi biganisha ku kuvunika guhindagurika cyangwa guhindagurika hagati ya clavicle, abantu bita kuvunika umukandara. Birashoboka kubera ko ihohoterwa ry’ihahamuka risanzwe ari ryinshi, ubu bwoko bwo kuvunika bukunze kwibasirwa n’ubumwe kuruta kuvunika kwa clavicle bisanzwe.
Nta gukira literature Ubuvanganzo bwabanje bwatangaje ko igipimo kidakiza cya 0.9% kugeza kuri 4% ku kuvunika kwa clavicle, kandi ubushakashatsi bwakozwe ku bushakashatsi bwakozwe vuba aha bwerekanye ko igipimo nyacyo kidakiza kiri hejuru cyane y’uko umuntu yabitekereza.
Gukiza ubumuga: Igitekerezo gakondo nuko gukiza ubumuga bwa clavicle ari ikibazo cyubwiza gusa kandi ko niba hari kudakira nyuma yo kubagwa, ibisubizo nibyiza kuruta kwemerera ubumuga kubaho. Nyamara, ubushakashatsi buherutse gukorwa bwerekanye ko kugabanya clavicle ya cm zirenga 15 akenshi bitera ububabare no kugabanya umuvuduko mugihe cyanyuma. Byongeye kandi, intiti zimwe zasabye ko 'clavicle shaping ' mu kuvura gukiza ubumuga, ariko ubu buryo ntabwo ari bwiza. Kuraho gusa ibisebe byasohotse bishobora gutuma clavicle yoroha kandi byongera cyane ibyago byo kuvunika, kandi kubera ko ubumuga bwa clavicle bugaragara mubice bitatu, 'koroshya ' clavicle mu ndege itambitse yonyine ntabwo bizakosora rwose ubumuga. Kubwibyo, uburyo bwizewe burasa nubuvuzi bwo kudahuza: kuvanaho igisebe kirenze amagufwa ashoboka nyuma yo gutemwa, gutuza imbere imbere no guteranya amagufa. Birumvikana ko umurwayi agomba kumenyeshwa ibyago byo kutabana mbere yo kubagwa.
Gukomeretsa kw'imitsi y'amaraso: Birashoboka ko imvune zo mu mitsi ziva mu mitsi nyuma yo kuvunika kwa clavicle iba nkeya mu ntangiriro, kandi igikomere cya kabiri ntikiboneka bitewe no kwimuka kwavunitse kubera ubwiyongere bw'imyakura y'amaraso nyuma yo kuvunika, mu gihe mu bihe bitinze, imikurire y'amagufwa ishobora gutera ibimenyetso byo gufatwa. Iyo ibi bibaye, kubaga decompression akenshi birasabwa.
Ihahamuka: Indwara ya rubagimpande nyuma yo kuvunika clavicle ikunda kugaragara mu gihimba cya acromioclavicular nyuma yo kuvunika hanze ya 1/3 cya clavicle, ahanini biterwa no gusenya iyi ngingo hamwe n’urugomo mu gihe cy’ihungabana, kandi ahanini biterwa no kuvunika birimo ubuso bwa arctular. Niba gufunga ntacyo bivuze, cm 1 ya intera ya clavicle igomba gusubirwamo, kandi hagomba kwitabwaho ingamba zo gukingira rostral-clavicular ligament.
Nigute wagura imitekerereze ya orthopedie nibikoresho bya orthopedie？
