I-hip engathathi ntweni iyonke i-hip ye-hip eyi-hip ephezulu yendlela inciphisa ukonakala kwemisipha

Kuba uStulko et al. Okokuqala kuxelwe i-hip encinci ye-hip encinci ye-hip encinci (i-tha) enemifanekiso ye-Porterollals ngo-1996, kubiwe uhlengahlengiso oluncinci oluncinci kangangezihlandlo ezininzi. Kule mihla, ukusasazeka kancinci kudluliselwe ngokubanzi kwaye kwamkelwe ngokuthe ngcembe ngabakreceli. Nangona kunjalo, akusekho isigqibo esicacileyo sokuba nokuba kusetyenziswe iinkqubo ezincinci okanye eziqhelekileyo.

Izibonelelo zotyando olungaphantsi komhlaba zibandakanya isithuba esincinci, ukopha okuncinci, iintlungu ezimbalwa, kwaye ziphinde ziphinde zifumane ngokukhawuleza; Nangona kunjalo, ukungalunganga kubandakanya indawo yokujonga umda, kulula ukuvelisa ukonakala kwe-neurovascular yezonyango, indawo engalunganga, kunye nomngcipheko wokwanda kovavanyo olwakhayo kwakhona.

Iyonke i-hip engaphantsi komhlaba i-hip ye-hip epheleleyo (i-sub-tha), i-Postoped Colcle ilahleko sisizathu esibalulekileyo esichaphazela ukubuyela kwimeko yesiqhelo. Umzekelo, i-anterolateral kunye nezangaphandle ze-anterlates zinokusonakalisa amaqela emisipha ye-ABDOKI, ekhokelela kwi-gait egudileyo (iTrandelenburg Limlep).

Kwimizamo yokufumana iindlela ezincinci zokuhlasela kancinci ezinciphisa ukonakala kwemisipha, uGqirha INanatullah ET Al. Ukusuka kwikliniki yase-MAyo eUnited States kuthelekiswa neesoso ezimbini ze-thanga, indlela engaphandle yangaphandle (da) kunye nendlela ephezulu ye-DEART (DS), kwii-casaveric ze-casaveric ukufumanisa umonakalo kwimisipha kunye neetekisi. Iziphumo zolu phononongo zibonisa ukuba indlela ye-DS ayiyonakalisa ingozi kwimisipha kunye neeteko kunendlela ye-DA kwaye inokuba yinkqubo ekhethiweyo ye-I-I-I-tha.

Uyilo lovavanyo

Isifundo sasiqhutywa kwii-cadeven ezisibhozo ezisandul'yo ezinamabini asibhozo ezinamaqhosha ayi-16 ngaphandle kwembali yotyando we-hip. I-hip enye yayikhethwe ngokungacwangciswanga ukuba iqhubeke nge-thai-tha ngendlela ye-DA kunye nenye indlela ye-DS kwi-cadaver enye, kwaye zonke iinkqubo zenziwa ngoosophula amava. Umgangatho wokugqibela wemisipha kunye nokulimala kweteko kwavavanywa ngugqirha wamathambo ongabandakanyekanga ekusebenzeni.

Izakhiwo ze-anatomical ziyavavanywa: I-Gluteus Maximus, Glutuus Metaius, i-thedorsis, i-quadzius, i-quadsius, i-piatto, i-piatto, i-Oltratus, umzobo 1). Izihlunu zavavanywa ngeenyembezi zemisipha kunye nobubele ezibonakalayo kwiliso elize.

Umzobo 1 we-anatomical yomzobo wemisipha nganye

Iziphumo

I-1. Umonakalo wemisipha: Kwakungekho manani oomahluko kubungakanani bomonakalo ongaphezulu kwi-glutus medius phakathi kweendlela ze-DAS kunye ne-DS. Nangona kunjalo, ngenxa yemisipha ye-GLTUUUS, ipesenti yokulimala komphezulu okubangelwa yindlela ye-DA yayiphezulu kakhulu kunokuba ibangelwa yindlela ye-DS, kwaye kwakungekho mahluko obalulekileyo phakathi kwezi ndlela zimbini ze-quadriceps zemisipha. Kwakungekho mahluko mabini obalulekileyo phakathi kwezi ndlela zimbini ngokulimala kwimisipha ye-quadriceps, kunye nepesenti yokwenzakala komhlaba kwi-farciae latae kunye ne-fumoris ye-fumoris yayinkulu ngendlela ye-DS.

2. Ukulimala kwe-tendon: nokungahambi kukhokelela ekulimaleni.

3. I-Tendon Trancen: Ubude be-Gluteus Minis Itreyini yeTendon yayiphezulu kakhulu kwiqela le-DS, kwaye ipesenti yokulimala yayiphezulu kakhulu kwiqela le-DS. Kwakungekho mahluko ubalulekileyo kwi-thendon transen esecaleni kwamaqela amabini kwi-pyriformis kunye ne-oblisus. I-schegic schematic iboniswe kwi-Fig. 2, Umzobo 3 ubonakalisa indlela yemveli kamva, kunye ne-4.

Umzobo 2 1A. Ukugcwala ngokupheleleyo kwe-Gluteus Tendon ngexesha lenkqubo ye-da ngenxa yesidingo sobuso benyama; 1b. Itreyini yenxalenye ye-GLTUUS ibonisa ubungakanani bemonakalo kwi-tendon yayo kunye nesisu somsipha. GT. I-Trochanaster enkulu; * I-Gluteus Minis.

Umzobo 3 wezikim ezi-3 zendlela yemveli ethe ngqo kunye ne-acetalum ebonakalayo ngasekunene ngetrasti efanelekileyo

Umzobo 4 Ukuvezwa kwe-router ye-rotator yangaphandle ye-rotator yangaphandle kwiNdlela yePosi engaphandle

Ukuqukumbela kunye neziphumo zeklinikhi

Uninzi lwezifundo zangaphambili azibonisi mahluko kwixesha longenelelo, ulawulo lwentlungu, ireyithi yegazi, i-the yegazi, i-gait yokuthelekisa i-tha.i tha.A yekliniki yokufikelela kwi-TAPUVIs et al. Aboni mahluko obalulekileyo phakathi kwaba bantu babini, ngaphandle kokuba kuncitshiswe kwintlungu, kwaye akukho mahluko obalulekileyo ekwenzini, ukunyamezelana, okanye ukulungisa imeko yendawo. Isifundo sekliniki yi-goosen et al.

I-rct ye-goosen et al. Ibonise ukonyuka kwe-HHS ye-HHS emva kwendlela encinci engahlambulukanga (ephakamisa ukubuyela kwakhona), kodwa ixesha elide lokusebenza kunye neengxaki ezifanelekileyo. Kwiminyaka yakutshanje, kuye kwakho izifundo ezininzi zokuhlolisisa umonakalo wemisipha kunye nexesha lokubuyiswa kwendawo ekuhlambulula kakhulu, kodwa le micimbi ayikalungiswa. Isifundo esikhoyo saqhutywa ngokusekwe kwimicimbi enjalo.

Kolu phononongo, kwafunyaniswa ukuba indlela ye-DS ibangela ukonakala kancinci kwizicubu zemisipha kunendlela encinci yokusebenza, njengoko i-tensor ye-tenssor fascoe fascoe, kunye ne-thectus faricue fascle, kunye ne-thectus ye-faxiae fascoe atae, kunye ne-thectus fariae fascle fascle, kunye ne-thectus temoris miscle. Obu bubi bagqitywa kwendlela ye-da kwaye bekunzima ukulungisa emva kotyando. Ukujonga ukuba olu phononongo yiCaavericle, kufuneka kuphononongwe ukubaluleka kweklinikhi yezi ziphumo zobunzulu.