· I-Anatomy esetyenzisiweyo
Ubude bonke be-clavicle bungaphantsi kwesikhumba kwaye kulula ukububona. Isiphelo esiphakathi okanye isiphelo esingasemva se-clavicle sirhabaxa, kunye nomphezulu waso ocacileyo ujonge ngaphakathi nasezantsi, okwenza i-sternoclavicular joint ene-clavicular notch yesiphatho esingasemva; isiphelo esisecaleni okanye isiphelo se-acromion sirhabaxa kwaye sithe tyaba kwaye sibanzi, kunye nomphezulu waso ocacileyo we-acromion ovoid kwaye ungaphandle nasezantsi, okwenza i-acromioclavicular joint kunye ne-acromion. I-clavicle ithe tyaba ngaphezulu kwaye ijikelezwe ngokungqalileyo embindini womda ongaphambili. Kukho ukuxinana okurhabaxa kwe-costoclavicular ligament kwicala elisezantsi, apho i-costoclavicular ligament inamathela khona. Kwicala elingaphantsi kukho i-conical node kunye nomgca ocacileyo kunye ne-conical ligament ye-rostroclavicular ligament kunye ne-oblique ligament attachment, ngokulandelelana.
· Izalathiso
1. Ukuqhekeka kwe-Clavicle okufuna ukunqunyulwa kunye nokunciphisa ukulungiswa kwangaphakathi.
2. I-osteomyelitis engapheliyo okanye isifo sephepha se-clavicle sidinga ukususwa kwethambo elifileyo.
3. Ithumba le-Clavicle lifuna ukususwa kwakhona.
· Indawo yomzimba
Ukuma ulele phantsi, amahlombe ephakanyisiwe kancinci.
Amanyathelo
1. Yenza ukusika ecaleni kwendlela yokwakheka kwe-clavicle enomfanekiso ka-S, kwaye wandise ukusika ecaleni komphetho ophezulu we-clavicle ukuya kumacala angaphakathi nangaphandle kunye nendawo yesilonda njengophawu, kwaye indawo kunye nobude besilonda buya kugqitywa ngokwesilonda kunye neemfuno zotyando (Umfanekiso 7-1-1(1)).
Umfanekiso 7-1-1 Indlela Yokubonakaliswa Kwe-Clavicular Engaphambili
2. Sika ulusu, izicubu ezingaphantsi komhlaba kunye ne-fascia enzulu ecaleni kwe-incision kwaye ukhulule i-skin flap phezulu nasezantsi njengoko kufanelekile (Umfanekiso 7-1-1(2)).
3. Nciba umsipha we-vastus cervicis kumphezulu ophezulu we-clavicle, umsipha utyebile kwimithambo yegazi, qaphela i-electrocoagulation. I-periosteum inqunyiwe kumphezulu wamathambo ukuze kunqunyulwe i-subperiosteal, kunye ne-sternocleidomastoid clavicle kwinxalenye ephezulu yangaphakathi, i-pectoralis major clavicle kwinxalenye esezantsi yangaphakathi, umsipha we-trapezius kwinxalenye ephezulu yangaphandle, kunye nomsipha we-deltoid kwinxalenye esezantsi yangaphandle. Xa ususa i-subclavian engasemva, ukuhluba kufuneka kwenziwe ngokuqinileyo kumphezulu wethambo, kwaye i-control stripper kufuneka ihlale iqinile ukuze ingonakalisi imithambo yegazi, ii-nerves, kunye ne-pleura ye-posterior clavicle (Umfanekiso 7-1-2). Ukuba kucetywayo ukuba kufakwe i-screw fixation yepleyiti, izicubu ezithambileyo ezijikeleze i-clavicle ziqala zikhuselwe nge-periosteal stripper, kwaye umngxuma wokubhola kufuneka uqondiswe ngaphambili uye ezantsi, kungekhona ngasemva uye ezantsi, ukuze kungalimazi i-pleura kunye nomthambo we-subclavian.
Umfanekiso 7-1-2 Ukutyhila iClavicle
Ixesha lokuthumela: Novemba-21-2023
