Yintoni i-acromioclavicular joint dislocation?

Yintoni i-acromioclavicular joint dislocation?

I-Acromioclavicular joint dislocation ibhekisela kuhlobo lokuxhatshazwa kwamagxa apho i-acromioclavicular ligament yonakaliswe, okubangelwa ukuchithwa kwe-clavicle. I-dislocation ye-acromioclavicular joint ebangelwa amandla angaphandle asetyenziswe kwi-acromion end, ebangela ukuba i-scapula iqhube phambili okanye ihlehlise (okanye ngasemva). Ngezantsi, siya kufunda malunga neentlobo kunye nonyango lwe-acromioclavicular joint dislocation.

I-Acromioclavicular dislocations (okanye ukuhlukana, ukulimala) ixhaphake kakhulu kubantu ababandakanyekayo kwimidlalo kunye nomsebenzi womzimba. I-acromioclavicular joint dislocation yi-dislocation ye-clavicle kwi-scapula, kwaye into eqhelekileyo yale nzakala kukuwa apho indawo ephezulu yegxala ibetha phantsi okanye impembelelo ethe ngqo kwindawo ephezulu yegxalaba. I-Acromioclavicular dislocations joint dislocations idla ngokuvela kubadlali bebhola kunye nabaqhubi beebhayisikile okanye abahamba ngezithuthuthu emva kokuwa.

Iintlobo ze-acromioclavicular joint dislocation

II ° (ibakala): i-acromioclavicular joint is milly displaced kwaye i-acromioclavicular ligament inokolulwa okanye iqhekezwe inxalenye; olu lolona hlobo luqhelekileyo lokulimala ngokudibeneyo kwe-acromioclavicular.

I-II ° (ibakala): ukuchithwa kwenxalenye ye-acromioclavicular joint, ukufuduka kungabonakali kuviwo. Ukukrazula ngokupheleleyo kwe-acromioclavicular ligament, akukho kugqabhuka kwe-rostral clavicular ligament

III ° (ibakala): ukuhlukana okupheleleyo kwe-acromioclavicular joint kunye nokukrazula okupheleleyo kwe-acromioclavicular ligament, i-rostroclavicular ligament kunye ne-acromioclavicular capsule. Njengoko kungekho ligament yokuxhasa okanye ukutsala, igxalaba liyancipha ngenxa yobunzima bengalo ephezulu, ngoko ke i-clavicle ibonakala ivelele kwaye iphakanyisiwe, kwaye ukugqwesa kunokubonwa ehlombe.

Ubunzima be-acromioclavicular joint dislocation bungaphinda buhlelwe kwiintlobo ezintandathu, kunye neentlobo ze-I-III zixhaphake kakhulu kunye neentlobo ze-IV-VI ezinqabileyo. Ngenxa yomonakalo omkhulu kwiigaments ezixhasa ummandla we-acromioclavicular, zonke iintlobo zokulimala kwe-III-VI zifuna unyango lotyando.

Iphathwa njani i-acromioclavicular dislocation?

Kwizigulane ezine-acromioclavicular joint dislocation, unyango olufanelekileyo lukhethwa ngokwemeko. Kwizigulane ezinezifo ezingephi, unyango olulondolozayo lunokwenzeka. Ngokukodwa, kuhlobo lwe-acromioclavicular joint dislocation, ukuphumla kunye nokumiswa ngethawula elingunxantathu kwi-1 ukuya kwiiveki ze-2 kwanele; ngohlobo lwe-II yokuchithwa, i-strap back strap ingasetyenziselwa immobilisation. Unyango olulondolozayo olufana negxalaba kunye ne-elbow strap fixation kunye ne-braking; izigulane ezineemeko ezimbi kakhulu, oko kukuthi izigulane ezinokulimala kohlobo lwe-III, ngenxa yokuba i-capsule yabo edibeneyo kunye ne-acromioclavicular ligament kunye ne-rostral clavicular ligament ziye zaphuka, okwenza ukuba i-acromioclavicular joint ingazinzi ngokupheleleyo imfuneko yokuqwalasela unyango lotyando.

Unyango lotyando lunokwahlulwa lube ngamacandelo amane: (1) ukulungiswa kwangaphakathi kwe-acromioclavicular joint; (5) ukulungiswa kwe-rostral lock kunye nokwakhiwa kwakhona kwe-ligament; (3) ukuchithwa kwe-distal clavicle; kunye (4) nokutshintshwa kwemisipha yamandla.