· Applied Anatomy
Ubude bonke be-clavicle bungaphantsi kwaye kulula ukububona. Isiphelo se-medial okanye i-sternal end of the clavicle i-coarse, kunye ne-articular surface ijonge ngaphakathi nangaphantsi, yenza i-sternoclavicular joint kunye ne-clavicular notch yesibambo sangaphandle; isiphelo secala okanye isiphelo se-acromion sirhabaxa kwaye sicaba kwaye sibanzi, kunye ne-acromion articular surface ovoid nangaphandle nangaphantsi, eyenza i-acromioclavicular joint kunye ne-acromion. I-clavicle ithe tyaba ngaphezulu kwaye ijikelezwe ngokucacileyo phakathi komda wangaphambili. Kukho ukunyanzeliswa okukrakra kwe-costoclavicular ligament kwicala eliphakathi apha ngezantsi, apho i-costoclavicular ligament ifaka khona. I-lateral ukuya ngaphantsi kukho i-conical node kunye ne-oblique line kunye ne-conical ligament ye-rostroclavicular ligament kunye ne-oblique ligament attachment, ngokulandelanayo.
· Iimpawu
1. I-Clavicle fracture ifuna ukusika kunye nokunciphisa ukulungiswa kwangaphakathi.
2. I-osteomyelitis engapheliyo okanye isifo sofuba se-clavicle sifuna ukususwa kwamathambo afileyo.
3. I-tumor ye-Clavicle ifuna ukutshatyalaliswa.
· Ukuma komzimba
Ukuma kwe-Supine, kunye namagxa aphakanyisiweyo.
Amanyathelo
1. Yenza i-incision ecaleni kwe-S-shaped anatomy ye-clavicle, kwaye wandise ukutyunjwa kwinqanaba eliphezulu le-clavicle ukuya kumacala angaphakathi nangaphandle kunye nokuma kwe-lesion njengophawu, kwaye indawo kunye nobude be-incision iya kugqitywa ngokuhambelana ne-lesion kunye neemfuno zokuhlinzwa (Umfanekiso 7-1-1 (1)).
Umzobo 7-1-1 I-Anterior Clavicular Manifestation Pathway
2. Gcoba ulusu, i-subcutaneous tissue kunye ne-fascia enzulu kunye ne-incision kwaye ukhulule i-flap yesikhumba phezulu nangaphantsi ngokufanelekileyo (Umfanekiso 7-1-1 (2)).
3. Gcoba i-vastus cervicis muscle ukuya kwindawo ephezulu ye-clavicle, i-muscle isityebi emithanjeni yegazi, qaphela i-electrocoagulation. I-periosteum incised kunye ne-bony surface ye-subperiosteal dissection, kunye ne-sternocleidomastoid clavicle kwindawo yangaphakathi engaphezulu, i-pectoralis enkulu ye-clavicle kwindawo engaphantsi, i-trapezius muscle kwindawo engaphezulu yangaphandle, kunye ne-deltoid ye-deltoid kwindawo engaphantsi yangaphandle. Xa ukhulula i-subclavian yangasemva, ukuchithwa kufuneka kwenziwe ngokuqinileyo ngokubhekiselele kwithambo, kwaye i-stripper yokulawula kufuneka ihlale iqinile ukuze ingonakalisi imithwalo yegazi, i-nerve, kunye ne-pleura ye-clavicle yangasemva (Umfanekiso 7-1-2). Ukuba kucetywayo ukusebenzisa i-screw fixation ye-plate, izicubu ezithambileyo ezijikeleze i-clavicle zikhuselwe kuqala kunye ne-periosteal stripper, kwaye umngxuma wokubhobhoza kufuneka uqondiswe ngaphambili, ungabi ngasemva, ukuze ungalimazi i-pleura kunye ne-subclavia vein.
Umzobo 7-1-2 Uveza iClavicle
Ixesha lokuposa: Nov-21-2023
