Vuko

Isimo seqhekeza le-clavicle lingama-30-60 ngabantu abayi-100,000, kunye nendoda kumyinge we-2: 1, i-accounting ye-5% ukuya kwi-10% yazo zonke izinto ezenzakeleyo kunye neepesenti ezingama-44 zenzala edibeneyo. I-clavicle yeyokufika ithambo lokuqala ukwenza izicaluli emzimbeni womntu, kwaye i-ossis yayo iqala kwiveki yesihlanu yobomi bomntu, kwaye kuphela kwethambo le-tubir le-osteous. Iziko le-ossation lezinto zokuqala liphakathi kwi-clavicle kwaye linoxanduva lokukhula kwe-clavicle ukuya kuthi ga kwiminyaka emi-5 ubudala. Kukho iplate ekhulayo ye-epiphyseal kwi-ofisi nganye yangaphakathi nangaphandle kwe-clavicle, kodwa kaninzi iziko le-OneIal kuphela elinokubekwa li-X-ray. Ipleyiti yeMedial Epiphyseal inoxanduva lwe-80% yobude beli-clavicle, kunye neziko le-ossical kwahlala zingaqali ukuvela kude kube nge-13 ukuya kweli-19 ubudala kude kube ngama-22 ukuya kwi-25 ubudala. Ke ngoko, xa uchonga ukubekwa i-sternocaricom kwizigulana ezincinci, kubalulekile ukwahlulahlula kwi-ofisi ye-epiphyseal ye-ephyseal.

I-anatomy esebenzayo

I-clavicle imalunga nokuthi ngqo xa ijongwa ngaphandle, kodwa ibunjwe xa ijongwa ngaphezulu, ivuza i-dorsing kwaye ihamba ngendlela engaphezulu. Inyathelo layo lokuwela icandelo le-Axis elide, kunye ne-1/3 ifihlakele ukulungiselela indawo yemisipha kunye ne-ligament; I-1/3 iphakathi i-tublar, kunye nobubanzi obuncitshisiweyo kunye nethambo le-byser kunye nethambo le-denser kunabanye, ukulungiselela uxinzelelo lwe-axial kunye nokukhusela iifles zeqanda; I-1/3 i-inile i-rhombic kwaye inxulunyaniswa ne-sternum kunye nembambo yokuqala ye-ligamentous tishu (umzobo 1). Izifundo ze-Aatomical zibonise ukuba i-clavicle ibuthathaka apha ngenxa ye-morphological diarication phakathi nangaphandle 1/3. Ukongeza, ifakwe i-Later Health ukuya kwindawo yokumisa imisipha ye-subclavian kwaye ishiye ukhuseleko lwe-ligarunts yemisipha, iyenza lelona ndawo iphantsi kwesaphulelo, njengoko kubonakalisiwe kutyelelo lweklinikhi.

Indlela yokulimala

Kwi-clavicle iqhekeza kubantu abadala, eyona ndlela ixhaphakileyo yokulimala kwe-clavicle ityhudiyo ngaphambili yayicinga ukuba sisiphumo sokuwa ngesandla se-hyperexadented, kodwa uStanley et al. ifumanise ukuba le nkqubo yokwenzakala ibalelwa kuphela kwi-6.3% yefradi ye-clavicle kunye ne-5.9% ye-Districle edibeneyo, kwaye eyona ndlela iqhelekileyo yokulimala, ihlala ingenamsebenzi.

Kwimeko yokuwela intende kwindawo ye-hyperexndenteden, iqhekeza lihlala libangelwa yimpembelelo yesibini yamandla angaphandle ukuya ekuweni. Olunye uhlobo lokuqhekeka ngenxa yogonyamelo olungathanga ngqo xa amandla angaphandle egxalabeni, ebangela i-clavicle ukuba ichaphazele imbambo yokuqala, ekhokelela ekumongeni kwi-friction kwi-1/3 ye-clavicle. Ukongeza, ngokuvela rhoqo kweengozi zendlela kwiminyaka yakutshanje, ngenxa yefuthe elinqabileyo kwingozi yemoto, ibhanti lesihlalo ibeka i-golturuss egxalabeni, abantu ababiza ngokuba sisihlalo. Mhlawumbi ngenxa yokuba ubundlobongela bobuhlungu buhlala bubaluleke ngakumbi, olu hlobo lokuqhekeka luthambekele ngakumbi ku-Union kune-Clavicle ye-Clavic.

Unyango

Iqhekeza le-clavicle:

Ukulungiswa kwe-splint: Ukulungiswa kwe-splint ye-clavicle gwenxa iseyinto yegolide ''. Iipleyiti zibandakanya i-3.5mm LC-DCP, i-3.5mm ye-3.5mm ye-Rectest, i-LCP yokutshixa, kunye neendlela ezikhethekileyo zeepleyiti. Iinzuzo ze-Splices zibandakanya: Ukucinezelwa kweqhinga elinqabileyo; Ukulungiswa kwe-oblique okanye ibhulethi yebhabhathane ngesikrweqe esidityanisiweyo esidityanisiweyo sokungafaniyo; ulawulo olusebenzayo lokujikeleza; Ukulungiswa okukhuselekileyo kokuqhekeka kwemisebenzi yemihla ngemihla yesigulana; Kwaye inyani yokuba iindawo zokuma zihlala zingadingi zisuswe (ukuba kufuneka zisuswe kude kube ziinyanga ezili-12 ukuya kwezili-18 ngeposi).

I-divical fecture ye-disvicle:

I-Clavicle Hook splint yindlela yokulungisa ngokungathanga ngqo, izibonelelo zokubandakanya ukubekwa lula kulungiso lwangaphakathi, akukho luvo oluchanekileyo lokulungiswa, kunye nokuzinza kwe-Acromioclavicol, kunye nokuziqhelanisa ne-tissing ye-kyy.

I-proximal clavicle phricuon:

Uncwadi olunika ingqalelo ukuba unyango lwe-akukho lukhethiwe kolu hlobo lokuqhekeka, nge-rist-wrical-wrist brack brack. Ukulungiswa kwangaphakathi kunokuthathelwa ingqalelo ukuba kukho ukulimala kwe-vascular ye-nerve, okanye ukuba i-phrackid ishenxisiwe ibengela ukuba isigulana sibe nobunzima kodwa sibonisa ukuba ukungasebenzi kakuhle. Ukuba ulungiso alunakwenzeka, i-proximal clavicle ingasuswa xa kukho imfuneko.

Iingxaki

• Akukho mpicalulo: Uncwadi lwangaphambili luxele i-0.9% ukuya kwi-4% ye-Clavicle Fraction, kwaye iSaveyi yeNqaku le-Bulk ifunyenwe ukuba inqanaba lokuphilisa elingaphezulu lingaphezulu kakhulu kunomnye unokulindela.

• Ukuphulukana nonyango: Ukujonga ngokwesiko kukuba ukuphathwa gadalala kwi-clavicle kuphela yingxaki yobuhle, ukuba akukho mntu ungaphili kuyo emva kokuvumela ukulahleka kwakho. Nangona kunjalo, ukuqaphela kwakutshanje kubonisile ukuba ukunqunyulwa kwe-clavicle ye-15 cm kuhlala kukhokelela kwiintlungu kunye nokusikelwa umda kwinqanaba lokugqibela. Ukongeza, abanye abaphengululi baphakamise i- 'clavicle yokuya ' kunyango lokuphilisa, kodwa le ndlela ayicetyiswayo. Ukususa kuphela i-scab ekhulayo inokwenza i-clavicle icekeceke kwaye yandise kakhulu umngcipheko wokuqhekeka, kwaye ukusukela kwi-clavicle ibonakaliswe kwimilinganiselo emithathu yenqwelomoya kuphela ayiyi kulungisa ngokupheleleyo isiphoso. Ke ngoko, indlela ethembekileyo ethembekileyo iyafana nonyango lwe-nonion: Ukususwa kwethambo lethambo ngokugqithileyo kangangoko kunokwenzeka emva kokudibana, ukuzinza kwenqanaba langaphakathi kunye nenqanaba lethambo langaphakathi. Ewe kunjalo, isigulana masixelwe ngomngcipheko we-Unimatiswa ngaphambi kotyando.

• I-vascular nerve ye-nerve: Ukulimala kwe-vascular nerve emva kokuqhekeka kwe-clavicle kuphantsi kwinqanaba lokuqalisa, kwaye ukulimala okwethutyana, ukukhula kwethambo kunokubangela iimpawu zokufaka. Nje ukuba kwenzeke oku, ukubekwa kwe-surjical kusoloko kuyimfuneko.

• I-Artitritis yoBuhlungu: I-Artigitis yeTraumatic emva kokuqhekeka kwe-clavicle ithanda ukuba yenzeke emva kokuqhekeka kwe-1/3 ye-clavicle, ikakhulu ngenxa yokuqhekeka kobundlobongela. Ukuba ukuvalwa kungasebenzi, i-distal 1 cm ye-clavicle kufuneka iconjululwe, kwaye ukhathalelo lwentraopeative kufuneka luthathwe ukukhusela i-robral-clovicoury limelela i-ligament ligament.

  
  

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