Nzira yekudzikamisa sei midshaft clavicle fracture yakasanganiswa ne ipsilateral acromioclavicular dislocation?

Kutyoka kwe clavicle kusanganiswa ne ipsilateral acromioclavicular dislocation ndiko kukuvadzwa kusingawanzo kuitika mumakiriniki.Mushure mekukuvadzwa, chidimbu che distal che clavicle chinenge chichifamba, uye iyo yakabatana acromioclavicular dislocation inogona kusaratidza kutama kuri pachena, zvichiita kuti ive nyore kutadza kuongororwa.

Kune rudzi urwu rwekukuvara, pane kazhinji nzira dzekuvhiya dzakati wandei, kusanganisira hoko refu hoko, musanganiswa weplate yeclavicle uye hoku ndiro, neplate yeclavicle yakasanganiswa ne screw fixation kune coracoid process.Zvisinei, mahwendefa ehoko anowanzove akapfupika mukureba kwese, izvo zvinogona kutungamirira kune kusakwana kugadzirisa pamagumo ekupedzisira.Iko kusanganiswa kweplate ye clavicle uye hook hook kunogona kukonzera kushushikana kwekushushikana pajunction, zvichiwedzera njodzi yekurambana.

Kutyoka kwegomba rekuruboshwe rakasanganiswa ne ipsilateral acromioclavicular dislocation, yakagadzikana uchishandisa musanganiswa wehoko yeplate uye clavicle plate.

Mukupindura kune izvi, dzimwe nyanzvi dzakaronga nzira yekushandisa musanganiswa weclavicle plate uye anchor screws yekugadzirisa.Muenzaniso unoratidzwa mumufananidzo unotevera, unoratidza murwere ane midshaft clavicle fracture yakasanganiswa ne ipsilateral type IV acromioclavicular joint dislocation:

Kutanga, clavicular anatomical plate inoshandiswa kugadzirisa clavicle fracture.Mushure mekudzikisa iyo dislocated acromioclavicular joint, maviri esimbi anchor screws anoiswa mukati meiyo coracoid process.Masutu anonamirwa kune anchor screws anobva aiswa mukati me screw holes ye clavicle plate, uye mapfundo anosungwa kuti achengetedze kumberi nekuseri kwe clavicle.Pakupedzisira, iyo acromioclavicular uye coracoclavicular ligaments inosungirirwa zvakananga uchishandisa sutures.

Isolated clavicle fractures kana isolated acromioclavicular dislocations zvinowanzoitika kukuvadzwa mumakiriniki maitiro.Clavicle fractures account ye2.6% -4% yezvose zvakaputsika, nepo acromioclavicular dislocations inogadzira 12% -35% yekukuvara kwescapular.Zvisinei, kusanganiswa kwekukuvara kwese kunenge kushoma.Mazhinji emabhuku aripo ane nyaya dzenyaya.Kushandiswa kweTightRope system pamwe chete neclavicle plate fixation inogona kunge iri nzira itsva, asi kuiswa kweplate yeclavicle kunogona kukanganisa kuiswa kweTightRope graft, zvichiunza dambudziko rinoda kugadziriswa.

Uyezve, mumamiriro ezvinhu apo kukuvadzwa kwakasanganiswa hakugoni kuongororwa kusati kwaitwa, zvinokurudzirwa kuti ugare uchiongorora kugadzikana kwejojo ​​ye acromioclavicular panguva yekuongororwa kweclavicle fractures.Iyi nzira inobatsira kudzivirira kutarisisa kukuvadzwa kwakafanana kwekuparara.