Chii chinonzi acromioclavicular joint dislocation?

Chii chinonzi acromioclavicular joint dislocation?

Kubviswa kwejoini reAcromioclavicular zvinoreva rudzi rwekukuvara kwepfudzi uko ligament yeacromioclavicular inokuvadzwa, zvichikonzera kuputsika kweclavicle. Kuputsika kwejoini reacromioclavicular kunokonzerwa nesimba rekunze rinoshandiswa kumucheto weacromion, izvo zvinoita kuti scapula ifambe mberi kana pasi (kana kumashure). Pazasi, tichadzidza nezvemhando uye marapirwo ekuputsika kwejoini reacromioclavicular.

Kubviswa kwemajoini eAcromioclavicular (kana kuparadzaniswa, kukuvara) kunowanzoitika kuvanhu vanoita zvemitambo nemabasa emuviri. Kubviswa kwemajoini eAcromioclavicular kuparadzaniswa kweclavicle kubva kuscapula, uye chinhu chinowanzoitika pakukuvara uku kudonha uko nzvimbo yepamusoro yefudzi inorova pasi kana kubatwa zvakananga nenzvimbo yepamusoro yefudzi. Kubviswa kwemajoini eAcromioclavicular kunowanzoitika muvatambi venhabvu nevatyairi vemabhasikoro kana vatyairi vemidhudhudhu mushure mekudonha.

Mhando dze acromioclavicular joint dislocation

II°(giredhi): joini ye acromioclavicular inobviswa zvishoma uye ligament ye acromioclavicular inogona kutatamuka kana kubvaruka zvishoma; iyi ndiyo mhando inonyanya kuitika yekukuvara kwejoini ye acromioclavicular.

II° (giredhi): kupatsanuka kwechikamu chejoini re acromioclavicular, kusuduruka kunogona kusaonekwa pakuongorora. Kubvaruka kwakakwana kwegomarara re acromioclavicular, hapana kutsemuka kwegomarara re rostral clavicular

III° (giredhi): kupatsanurwa kwakakwana kwejoini re acromioclavicular nekutsemuka kwakazara kwejoini re acromioclavicular, rostroclavicular ligament uye acromioclavicular capsule. Sezvo pasina tambo yekutsigira kana kudhonza, joini repafudzi rinotsvedza nekuda kwehuremu hweruoko rwepamusoro, saka clavicle inoita seyakajeka uye yakasimudzwa, uye kuonekwa kunogona kuonekwa pafudzi.

Kuoma kwekubatana kwejoini re acromioclavicular kunogonawo kuiswa muzvikamu zvitanhatu, mhando I-III dziri idzo dzakajairika uye mhando IV-VI dzisingawanzoitiki. Nekuda kwekukuvara kwakanyanya kwetsinga dzinotsigira nzvimbo ye acromioclavicular, kukuvara kwese kwerudzi rwe III-VI kunoda kurapwa kwekuvhiyiwa.

Kubviswa kweropa muuropi kunorapwa sei?

Kune varwere vane acromioclavicular joint dislocation, kurapwa kwakakodzera kunosarudzwa zvichienderana nemamiriro ezvinhu. Kune varwere vane chirwere chisina kusimba, kurapwa kwakachengeteka kunogoneka. Kunyanya, kune rudzi rwekutanga acromioclavicular joint dislocation, kuzorora uye kusungirirwa netauro retriangular kwevhiki imwe kusvika mbiri zvakakwana; kune rudzi rwechipiri dislocation, tambo yekumashure inogona kushandiswa kudzivirira kufamba. Kurapa kwakachengeteka kwakadai sekusunga tambo yefudzi negokora uye kubhureka; varwere vane mamiriro akakomba, kureva varwere vane kukuvara kwerudzi rwechitatu, nekuti kapisi yavo yejoini uye acromioclavicular ligament uye rostral clavicular ligament zvakabvaruka, zvichiita kuti joini yeacromioclavicular isashande zvachose inofanirwa kufunga nezvekurapa kwekuvhiyiwa.

Kurapa kwekuvhiyiwa kunogona kukamurwa muzvikamu zvina: (1) kugadziriswa kwemukati mejoini re acromioclavicular; (5) kugadziriswa kwerostral lock nekuvakwazve kwema ligament; (3) kubviswa kwe distal clavicle; uye (4) kuchinjika kwemhasuru dzesimba.