· 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 idinga ukutshatyalaliswa.
· Indawo yomzimba
Ukuma kwe-Supine, kunye namagxa aphakanyisiweyo.
Amanyathelo
1. Yenza i-anatomy ye-clavicle emise okwe-S, kwaye wandise ukusika ecaleni komgca ophezulu we-clavicle ukuya kumacala angaphakathi nangaphandle kunye nendawo yesilonda njengophawu, kunye nesayithi kunye nobude bokusika. iya kumiselwa ngokwesilonda kunye neemfuno zotyando (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 ihlanjululwe kunye ne-bony surface ye-subperiosteal dissection, kunye ne-sternocleidomastoid clavicle kwindawo engaphezulu yangaphakathi, i-pectoralis enkulu ye-clavicle kwindawo esezantsi engaphantsi, i-trapezius muscle kwindawo engaphezulu yangaphandle, kunye ne-deltoid muscle 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 ukuba kufakwe i-screw fixation yepleyiti, izicubu ezithambileyo ezijikeleze i-clavicle zikhuselwe kuqala nge-periosteal stripper, kwaye umngxuma wokubhobhoza kufuneka uqondiswe ngaphambili ezantsi, hayi ngasemva ezantsi, ukuze ungalimazi i-pleura kunye ne-pleura. umthambo we-subclavian.
Umzobo 7-1-2 Uveza iClavicle
Ixesha lokuposa: Nov-21-2023
