I-thendon Rupture kwaye isiphene zizifo eziqhelekileyo, ubukhulu becala ubangelwa kukwenzakala okanye i-lession, ukuze uhlawulele umsebenzi welungu, i-tendon enesiphene okanye i-tendon engapheliyo kufuneka ilungiswe ngexesha. Ukutsala i-tendon yinto enzima kakhulu kwaye icocekile. Kungenxa yokuba i-tendon iqokelelwe ikakhulu ngeentsinga ze-mustudinal, isiphelo esaphukileyo sithambekele ekuphumeni okanye ukuthoba i-elongwation ngexesha lokuphumla. Isimo sengqondo siphantsi kwengxwabangxwaba kwaye ihleli de iphilise i-tendon, kwaye ukhetho lwemigca ikwabaluleke kakhulu. Namhlanje, ndiza kwabelana nawe nge-12 ye-tendon eqhelekileyo kunye nemigaqo, ixesha, iindlela kunye neendlela zokulungisa i-tendon zosulelo lwe-tendon.
I.cufftear
I-1.Patogeny:
Ukungakhathali okungapheliyo kwegxalaba;
I-Trauma: Ukonzakala kakhulu kwi-CREATOR Cuff Tell okanye ukuwa kunye ne-limi ephezulu eyandiswayo kwaye iqaqambe emhlabeni, kubangela intloko ye-hutharal ingena kwinxalenye yangaphandle ye-rostator;
Unyango lwezonyango: ukwenzakala kwi-temptotor cuff tendon ngenxa yokunyanzelwa okungaphezulu ngexesha lonyango lwencwadi;
I-2.clinical vem
Iimpawu: Ukulimala kwentsuba yeposi, ukhuhla-njengentlungu njengentlungu;
Iimpawu: 60º ~ 120 ~ 12) Ukugxothwa kwamagxa kunye neNtlawulo yangaphandle nengaphandle yokungaphandle kokunyangeka; uxinzelelo kumda ongaphandle we-Acimion kunye ne-tuberosity enkulu ye-humerus;
3.Ukuchwetheza uchwetheza:
Chwetheza i: Akukho ntlungu ngomsebenzi jikelele, iintlungu xa uphosa okanye ujike igxalaba. Uviwo kuphela lwentlungu ye-retro-ech kuphela;
Chwetheza ii: Ukongeza kwintlungu xa iphindaphinde intshukumo eyenzakeleyo, kukho iintlungu zokunganyangeki kwe-rotuftor, kunye nokuhamba ngokubanzi kwegxalaba ziqhelekileyo.
Chwetheza i-III: Iimpawu eziqhelekileyo, iimpawu zibandakanya iintlungu kunye nokusikelwa umda kwentshukumo, kwaye kukho uxinzelelo kunye nentlungu yokuxhathisa kwiimviwo.
4.Rotor Cuff thendon thendon:
① Ukuphumelela ngokupheleleyo:
Iimpawu zentlungu yasekhaya ngexesha lokulimala, ukukhululeka kwintlungu emva kokonzakala, kulandelwa kukwanda kancinci kwinqanaba lentlungu.
Iimpawu zomzimba: Intlungu exhaphakileyo yoxinzelelo egxalabeni, iintlungu ezibukhali kwindawo evuthiweyo ye-tendon;
Ihlala i-fissing ye-fissing kunye nezandi zethambo elingaqhelekanga;
Ubuthathaka okanye ukungakwazi ukuphatha ingalo ephezulu ukuya kwi-90º kwicala elichaphazelekayo.
I-X-ray: amanqanaba okuqala ahlala engenalo utshintsho olungaqhelekanga;
I-suberosis ebonakalayo ye-huberal tuberosis ye-osteosclerosis ye-osstic cyciction okanye i-thesson.
② Ayikuphumelelanga ngokupheleleyo: I-Arter Arthrography inokunceda ukuqinisekisa isifo.
I-5. Ukuchongwa kwe-rouritor cuff toons kunye nokugqogqa
①1% preseaine 10 ml painter painter;
② uvavanyo olungalukanga luphakamileyo.
II.NJORY YECAPPS Brachii i-Tendon
I-1.Patogeny:
Ukulimala okubangelwa kukujikeleza okuphindaphindiweyo kwegxalaba kunye nokuhamba kwamandla egxalaba, kubangela ukunxiba kunye nokukrazula i-tendon kwi-tendon sulcus;
Ukonzakala okubangelwa kukudonsa ngequbuliso;
EABANYE: I-ADATOR CURTAMOTION, i-roblator croundom ye-tendon iyeke ukwenzakala, amatywina asekhaya amaninzi, njl.
I-2.clinical vem
I-tendonitis kunye / okanye i-tenosynovitis yomsipha wentloko wentloko ye-biceps:
Iimpawu: Ubuhlungu kunye nokungahambi kakuhle ngaphambili kwegxa, ukunyibilikisa kwaye ezantsi kwengubo okanye i-biceps.
Iimpawu zomzimba:
I-nodal sulcus kunye ne-biceps intloko ye-tendoon ye-tendoon;
I-striae yendawo inokuba yipali;
Ingalo ephezulu yokuthimba kunye nentlungu engasemva;
Umqondiso we-yergason;
Uluhlu olulinganiselweyo lwentshukumo edibeneyo.
Ukuphuphuma kweTendon yeNtloko yeBiceps:
Iimpawu:
Abo bagculela i-tendon enochaphaza olubi: Ngamaxesha amaninzi akukho mbali icacileyo yoxinzelelo okanye ukwenzakala okuncinci, kwaye iimpawu azicacanga;
Abo banesidima esibangelwa kukungasebenzi kakuhle kweebhaphu ezichasene nokungaxhathisi: Isigulana sinemvakalelo yokuqhekeza okanye iva isandi esivuthiweyo egxalabeni, kwaye i-uper icacile kwaye iyabonakala ngaphambili kwingalo ephezulu.
Iimpawu zomzimba:
Ukudumba, i-ecchymosis kunye nesisa kwi-nodal sulcus;
Ukungakwazi ukutshintsha i-elbow okanye i-elbow encitshisiweyo;
I-Asymmetry ekwimo ye-Biceps yemisipha kumacala omabini ngexesha lokuchasana kwawo oko;
Indawo engaqhelekanga ye-Biceps yesisu se-Biceps kwicala elichaphazelekayo, elinokuhamba liye ezantsi 1/3 lengalo ephezulu;
Icala elichaphazelekayo linethoni yemisipha ephantsi kunecala elisempilweni, kwaye isisu semisipha sinexabiso eliphezulu kunelinye icala ngexesha lokuphambuka.
Ifilimu ye-X-ray: ngokubanzi akukho lutshintsho olungaqhelekanga.
III.II-Njoriry yeI-Caceps Brachiiii i-tendon
1.IYONOLOLOLOLOTION:
I-Enthengiopathy yeTriceps Brachii i-tendon (i-carthesiopathy yeTriceps Brachii i-tendon): I-Triceps Grachii i-tendon iphinda itsaliwe.
Ukuqhekezwa kweTriceps Brachii i-tendon (i-racture yeTriceps Brachii i-tendon): I-Triceps Grachii iqhekezwe ngamandla angaphandle kunye nobundlobongela.
2.clinications
I-Trices Tendon Everkothy:
Iimpawu: Intlungu ngasemva kwegxalaba elinokuthi lide libe yi-Demoid, i-samby yendawo okanye ezinye izinto ezingaqhelekanga;
Iimpawu:
Uxinzelelo lwentlungu kwi-tendon ye-triceps brachii, ekuqalekeni komda ophantsi we-scapular glenoid kwitafile engaphandle;
Intlungu eyandiswayo eyongezelelweyo eqinisekileyo; Intlungu yeTriceps ibanjiwe ngokusebenza kwengalo ephezulu.
I-X-ray: Ngamanye amaxesha kukho isithunzi se-hyperdsern ekuqaleni komsipha wetraki.
I-Tricerips Triendon Rupture:
Iimpawu:
Ukugqabhuka kakhulu emva kwe-elbow ngexesha lenzakala;
Intlungu kunye nokudumba kwindawo yokwenzakala;
Ubuthathaka kwi-elbow yongezwa okanye ukungakwazi ukwengeza ngokupheleleyo i-elbow ngokupheleleyo;
Intlungu ihluthiwe kukunganyangeki kulwandiso lwe-elbow.
Iimpawu zomzimba:
Uxinzelelo okanye isiphene sinokuziva ngaphezulu kwe-Ulnar humerus, kwaye isiphelo esiqingqiweyo seTriceps sinokuphazamiseka;
Ithenda ebukhali kwi-Ulnar Humerus Node;
Uvavanyo olwandisiweyo lwe-elbow ngokuchasene nobunzima.
Ifilimu ye-X-ray:
Ingqokelela ye-Auvilsion ye-Liner ibonwa malunga ne-1 cm ngaphezulu kwe-ilnar humerus;
Iziphene zethambo zibonwa kwi-tuberosity.
Ixesha lokuphumla: Jul-08-2024
