Chii chinonzi acromioclavicular joint dislocation?

Chii chinonzi acromioclavicular joint dislocation?

Acromioclavicular joint dislocation inoreva rudzi rwekushungurudzika kwepfudzi umo iyo acromioclavicular ligament inokuvadzwa, zvichiita kuti kubviswa kwe clavicle. Iko kuparadzaniswa kwekubatana kweacromioclavicular kunokonzerwa nekunze kwesimba rinoshandiswa kune acromion end, izvo zvinoita kuti scapula iende mberi kana pasi (kana kumashure). Pazasi, isu tichadzidza nezve mhando uye marapirwo eacromioclavicular joint dislocation.

Acromioclavicular joint dislocations (kana kupatsanurwa, kukuvara) inowanzoitika kune vanhu vanobatanidzwa mumitambo uye basa remuviri. An acromioclavicular joint dislocation ndiyo kupatsanurwa kwe clavicle kubva ku scapula, uye chinhu chinowanzoonekwa chekukuvara uku ndiko kuwira umo iyo yakakwirira yepfudzi inorova pasi kana kukanganisa kwakananga kwepamusoro pepfudzi. Acromioclavicular joint dislocations inowanzoitika muvatambi venhabvu nevatyairi vemabhasikoro kana vatyairi vemidhudhudhu mushure mekudonha.

Mhando dze acromioclavicular joint dislocation

II ° (giredhi): mubatanidzwa we acromioclavicular unobviswa zvinyoro uye iyo acromioclavicular ligament inogona kutambanudzwa kana kubvamburwa zvishoma; iyi ndiyo inowanzozivikanwa yekukuvara kwekubatana kwe acromioclavicular.

II ° (giredhi): kuparadzaniswa kwechikamu chejojo ​​yeacromioclavicular, kutama kunogona kunge kusingaoneki pakuongorora. Kubvarura kwakakwana kweacromioclavicular ligament, hapana kuputika kwe rostral clavicular ligament.

III ° (giredhi): kupatsanurwa kwakakwana kweacromioclavicular joint nekubvarura kwakakwana kweacromioclavicular ligament, rostroclavicular ligament uye acromioclavicular capsule. Sezvo pasina ligament yekutsigira kana kudhonza, mubatanidzwa wepafudzi uri kuderera nekuda kwekuremera kweruoko rwepamusoro, iyo clavicle saka inoratidzika yakakurumbira uye yakasimudzwa, uye mukurumbira unogona kuonekwa mufudzi.

Kuoma kweacromioclavicular joint dislocation inogonawo kuiswa mumhando nhanhatu, nemhando I-III ndiyo inonyanya kuzivikanwa uye mhando IV-VI isingawanzoitiki. Nekuda kwekukuvadzwa kwakanyanya kumarunda anotsigira acromioclavicular region, marudzi ese III-VI akakuvara anoda kurapwa.

Ko acromioclavicular dislocation inorapwa sei?

Kune varwere vane acromioclavicular joint dislocation, kurapa kwakakodzera kunosarudzwa maererano nemamiriro acho ezvinhu. Kune varwere vane chirwere chidiki, kurapwa kwechinyakare kunogoneka. Kunyanya, nokuda kwechimiro I acromioclavicular joint dislocation, kuzorora uye kumiswa ne triangular tauro kwevhiki 1 kusvika ku2 zvakakwana; yemhando II dislocation, bhanhire rekumashure rinogona kushandiswa kumisa. Conservative treatment yakadai semapfudzi uye elbow strap fixation uye braking; varwere vane chirwere chakakomba, kureva varwere vane rudzi rwechitatu rwekukuvara, nokuti yavo capsule yekubatanidza uye acromioclavicular ligament uye rostral clavicular ligament zvakaputika, zvichiita kuti acromioclavicular joint isakanganise zvachose chido chekufunga nezvekurapa kwekuvhiya.

Kurapa kwekuvhiya kunogona kugoverwa muzvikamu zvina: (1) kugadziriswa kwemukati we acromioclavicular joint; (5) rostral lock fixation ne ligament reconstruction; (3) resection ye distal clavicle; uye (4) simba mhasuru transposition.