I-Dorsal Scape Scaure Progical Playway

Ifaka i-Aatomy yedatha

Phambi kwe-scaupula yiFossapula yePorsappu, apho iqala khona umsipha wemisipha. I-Scapalar ngasemva kwaye incinci ihamba kancinci kwaye ihamba kancinci i-Scapalar Tossa, eyahlulahlulwe yangu-Supraspinatus fossa kunye ne-infrospinatus fossa, ngenxa yokuncamathisela ifossa, ngenxa yokuncamathisela i-suprassinatus kunye ne-infraspinatus. Isiphelo sangaphandle se-Scapulaur Ride yi-acromion, eyenziwa idibeneyo ye-Acromioclaicoclaund kunye nesiphelo se-acromion ye-clavicle i-ovoricar ende. Umda ophezulu we-Scapulaurge une-notch encinci ye-U-Une-Unch, enqamlezwe yi-ligament emfutshane kodwa i-suprascapulapula ye-suprascapulapula, phantsi kwe-suprascapupur parve, kwaye apho i-suprascapur parve igqitha khona. Umda we-Lateral (i-Axillary corgin) ye-Scapular Rickest kwaye ihamba ngaphandle kwengcambu yentamo, apho i-netch ye-glenoid inomphetho weglasi.

Izakubo

I-1. Ukupheliswa kwamathumba e-scapiki.

I-2. I-Tumor yendawo ye-tumant tumant ye-scaupula.

3. I-Scasika ephezulu kunye nezinye iingxaki.

I-4. Ukususwa kwethambo elifileyo kwi-scapulamlitis.

5

Isikhundla somzimba

Isikhundla se-semi-prone, sikhutshiwe kwi-30 ° ebhedini. Ilungu elichaphazelekayo elichaphazelekayo lisongelwe ngetawuli le-Sterle ukuze isuswe nangaliphi na ixesha ngexesha lokusebenza.

Amanyathelo okusebenza

1. Isimo sokuhamba sisenziwa rhoqo ecaleni kwe-scapulause kwifossarinatus fossa kunye nenxalenye ephezulu ye-infrassinatus fossa, kwaye i-demerical the the the the the the the scaula okanye kwicala lemigangatho ye-Pemalial Fossa. Imeko eguqukayo kwaye i-Long Litudinal inokudityaniswa ukwenza ubume be-L-In-Inveres, okanye ubume beklasi, ngokuxhomekeka kwimfuno yokuboniswa kwamanqaku ahlukeneyo. Ukuba nje kuphela iikona eziphezulu nezingaphantsi zes scalayi kufuneka zivezwe, izithuba ezincinci zinokwenziwa kwiindawo ezihambelanayo (umzobo 7-15 (1)).

I-2. Qenga i-fasciative kunye ne-fascia enzulu. Imisipha eqhotyoshelwe kwi-Scapular Ridge kunye nomda weMedial zikhutshelwe ngokuhamba kancinci okanye ixesha elide kwicala lendawo (Fig. 7-15 (2)). Ukuba i-sussassatus foossa iya kuvezwa, iifiber zomsipha wetrapezius ziyacandwa kuqala. I-periosteum yenziwa ngokuchasene ne-bony gonad gonad, enomaleko omncinci wamafutha phakathi kwababini, kwaye yonke i-subrassinatus ityhilwe ngokuhlanjwa komhlaba, kunye nomsipha omkhulu we-trapezius. Xa ifumana imicu emiselweyo yomsipha we-trapezius umsipha, ukhathalelo kufuneka luthathwe ukuba lungonakalisi i-nerve ye-parasyfitic nerve.

3. Xa i-nerposcapulcular ityhilwe, kuphela i-fibers kuphela yenxalenye ephezulu yenxalenye yemisipha ye-trapezius ingatsalwa phezulu, kwaye isakhiwo esimhlophe esikhawulezayo siyabonakala kwi-ligament ye-sugrascapular. Nje ukuba iinqanawa ze-suprascapiyo zichongiwe kwaye zikhuselwe, i-ligament ye-suprascapuppulapula inqamlezwe, kwaye i-scapula ye-Scapula ingakhutshwa kuyo nayiphi na izakhiwo ezingaqhelekanga, kunye ne-sumascapulapula zinokukhululwa. Okokugqibela, i-trapezius ye-trapezius umsipha usasazwa kunye ukuze iqhotyoshelwe kwi-Scaupula.

I-4. Ukuba inxenye ephezulu ye-infraspinatus fossa iza kuvezwa, imiqonga esezantsi nephakathi nephakathi komsipha kunye nomsipha we-Demotid onokwenziwa ekuqaleni kwe-scapulatus ekuqaleni nasemva kwe-7-1-5 (4) (4)). Xa usondela kwisiphelo esiphezulu se-axillary gonad gonad (okt, ngezantsi kwe-giceral ye-humerator ejikelezwe yi-humernimer ejikelezwe yi-humersus, kunye nentamo ye-humerator ye-humerator scarery edlula Ngombala onxantathu ongqongwe ngabathathu, ukuze ungabenzakalise (Fig. 7-15 (5)).

5. Ukuveza umda we-khukula we-Scalla, emva kokufaka imicu ye-trapezius umsipha, i-trapezius kunye nezihlunu ze-Trapinatus ziyagcinwa ngaphezulu kwe-surelial yendawo ye-sumeligas kunye nenxalenye ephezulu yomda weMedial; Kwaye izihlunu ze-trapezius kunye ne-infraspinatus, kunye ne-sustals emnyama iqhotyoshelwe kwi-angle engaphantsi ye-Scaula, isuswe i-ofisi ye-ofisi ye-infraspinatus ye-infrassinatus, kunye nenxalenye esezantsi yomda weMedial.

Umzobo 7-1-5 Indlela ye-Dorsal Scarity

(1) Isikhumbululo; (2) ukubekwa komgca wemisipha; . . .

I-6. Ukuba ifossa yogcino kufuneka ivezwe, imisipha eqhotyoshelwe kumda wangaphakathi womda weMedia, okt, i-Scapularis, i-Scapulari, i-Scappais, i-Shomboids, kwaye yonke i-scaula inokuphakanyiswa ngaphandle. Xa ikhululwe umda womda, ukhathalelo kufuneka luthathelwe ukukhusela isebe elisezantsi lobugcisa obuguqukayo kunye ne-dorsal yessalve. Isebe elihlaselayo le-carotid carotid ye-carotid ivela kwisiqu sentamo ye-thyroid kwaye ihamba kwi-teamoula inethiwekhi ye-Scapula ye-Scapula, ukuze ilandelwe ngokuqinileyo kumphezulu we Ithambo lokuphazamiseka kwamahlelo.