Anterior Clavicle Revealing Path

· Applied Anatomy

Hurefu hwese hwe clavicle ndeye subcutaneous uye iri nyore kuona. Mugumo wepakati kana kuti sternal end of clavicle yakaoma, ine articular surface yakatarisa mukati uye pasi, ichiita sternoclavicular joint ne clavicular notch ye sternal handle; the lateral end kana acromion end yakakasharara uye yakati sandara uye yakafara, ine acromion articular surface ovoid uye kunze uye pasi, ichiita acromioclavicular joint ne acromion. Iyo clavicle yakati sandara pamusoro uye yakatenderedzwa zvakatenderedzwa pakati peiyo anterior margin. Iko kune rough indentation yecostoclavicular ligament padivi repakati pazasi, apo iyo costoclavicular ligament inonamira. Pamberi pezasi kune conical node uye oblique line ine conical ligament ye rostroclavicular ligament uye oblique ligament attachment, maererano.

· Zviratidzo

1. Clavicle fracture inoda incision uye kuderedza kugadziriswa kwemukati.

2. Chronic osteomyelitis kana tuberculosis ye clavicle inoda kubviswa kwemafupa akafa.

3. Clavicle bundu rinoda resection.

· Chinzvimbo chemuviri

Supine chinzvimbo, nemapendekete akakwira zvishoma.

Matanho

1. Ita chidimbu pamwe chete neS-shaped anatomy ye clavicle, uye wedzera kuvharwa pamwe nepamusoro pemucheto wepamusoro we clavicle kusvika kumativi emukati nekunze nechinzvimbo chechirwere sechiratidzo, uye nzvimbo uye kureba kwekucheka kuchagadziriswa maererano nekukuvadza uye zvinodiwa zvekuvhiya (Mufananidzo 7-1-1 (1)).

Mufananidzo 7-1-1 Anterior Clavicular Manifestation Pathway

2. Isai ganda, subcutaneous tissue uye yakadzika fascia pamwe chete nekucheka uye kusunungura ganda rinoputika kumusoro uye pasi sezvakakodzera (Mufananidzo 7-1-1 (2)).

3. Inse the vastus cervicis muscle kusvika kumusoro kwe clavicle, musuru wakapfuma mumidziyo yeropa, teerera kune electrocoagulation. Iyo periosteum incised pamwe chete nebony surface ye subperiosteal dissection, ine sternocleidomastoid clavicle pachikamu chepamusoro chemukati, pectoralis guru clavicle pachikamu chemukati chezasi, trapezius muscle kune chikamu chepamusoro chekunze, uye deltoid muscle pane chikamu chekunze chezasi. Paunenge uchibvisa posterior subclavian, kubvisa kunofanira kuitwa zvakasimba pamusoro pefupa repamusoro, uye chigadziro chekutonga chinofanira kuva chakasimba kuitira kuti chisakuvadza midziyo yeropa, mitsipa, uye pleura ye posterior clavicle (Mufananidzo 7-1-2). Kana iyo yakarongedzerwa kuisa screw fixation yeplate, zvinyoro zvinyoro zvakapoteredza clavicle zvinotanga kuchengetedzwa ne periosteal stripper, uye gomba rekuchera rinofanira kutungamirirwa nechemberi pasi, kwete kumashure pasi, kuitira kuti usakuvadza pleura uye subclavian vein.

 Mufananidzo 7-1-2 Kufumura Clavicle