· Kushandiswa kweAnatomy
Kureba kwese kweclavicle kuri pasi peganda uye kuri nyore kuona. Mugumo wepakati kana weshure weclavicle wakakora, nemusoro wayo wakatarisana mukati nepasi, zvichigadzira jointi yesternoclavicular ine clavicular notch yemubato westernal; mugumo wedivi kana weacromion wakakora uye wakafara uye wakafara, nemusoro wayo weacromion wakakora uye kunze nepasi, zvichigadzira jointi yeacromioclavicular neacromion. Clavicle yakati sandara pamusoro uye yakatenderera zvisina kujeka pakati pemucheto wepamberi. Pane gomba rakakombama recostoclavicular ligament parutivi rwepakati pazasi, apo costoclavicular ligament inobatana. Padivi pezasi pane conical node nemutsara wakakora neconical ligament yerostroclavicular ligament uye oblique ligament attachment, zvichiteerana.
· Zviratidzo
1. Kutsemuka kweclavicle kunoda kuchekwa uye kuderedzwa kwekugadzika kwemukati.
2. Osteomyelitis isingaperi kana kuti TB ye clavicle inoda kubviswa kwemapfupa akafa.
3. Bundu reClavicle rinoda kubviswa.
· Nzvimbo yemuviri
Nzvimbo yakarara pasi, mapendekete akasimudzwa zvishoma.
Matanho
1. Gadzira kucheka uchitevedza chimiro cheS checlavicle, wobva wawedzera kucheka uku kumucheto wepamusoro weclavicle kusvika kumativi emukati nekunze uine nzvimbo yechironda sechiratidzo, uye nzvimbo nehurefu hwekucheka uku zvichatsanangurwa zvichienderana nechironda uye zvinodiwa pakuvhiyiwa (Mufananidzo 7-1-1(1)).
Mufananidzo 7-1-1 Nzira yeKuratidzwa kweClavicular Yepamberi
2. Cheka ganda, nyama iri pasi peganda uye fascia yakadzika iri pedyo nepaburi uye bvisa ganda rakavhara kumusoro nekudzika sezvakakodzera (Mufananidzo 7-1-1(2)).
3. Bata tsandanyama yemusana wevastus cervicis pamusoro pe clavicle, tsandanyama ine mitsipa yeropa yakawanda, teerera ku electrocoagulation. Periosteum inochekwa pamusoro pemapfupa kuti iparadzwe pasi pe subperiosteal, ne sternocleidomastoid clavicle iri pamusoro pemukati, pectoralis major clavicle iri pasi pemukati, trapezius tsandanyama iri pamusoro pekunze, uye deltoid tsandanyama iri pasi pekunze. Pakubvisa posterior subclavian, kubvisa kunofanira kuitwa zvakasimba pamusoro pemapfupa, uye control stripper inofanira kunge yakadzikama kuitira kuti isakuvadze mitsipa yeropa, tsinga, uye pleura ye posterior clavicle (Mufananidzo 7-1-2). Kana zvichikurudzirwa kuisa screw fixation yeplate, tishu dzakapfava dzakatenderedza clavicle dzinotanga dzadzivirirwa ne periosteal stripper, uye gomba rekuboorera rinofanira kunangidzirwa mberi pasi, kwete kumashure pasi, kuitira kuti pleura ne subclavian vein isakuvadze.
Mufananidzo 7-1-2 Kufumura Clavicle
Nguva yekutumira: Mbudzi-21-2023
