· Uburyo bwo kuvura indwara hakoreshejwe uburyo bwa 'anatomie'
Uburebure bwose bwa clavicle buri munsi y'umubiri kandi biroroshye kuyibona. Impera y'imbere cyangwa impera y'inyuma ya clavicle ni nini, ubuso bwayo bw'inyuma bureba imbere no hepfo, bugakora umutwe wa sternoclavicular hamwe n'agace k'inyuma k'umukono w'inyuma; impera y'inyuma cyangwa impera ya acromion ni nini kandi irambuye kandi yagutse, hamwe n'ubuso bwayo bwa acromion bumeze nk'urudodo kandi bugaragara inyuma no hepfo, bugakora umutwe wa acromioclavicular hamwe na acromion. Clavicle ni nziza hejuru kandi izengurutse hagati y'inkombe y'imbere. Hariho agace gakomeye k'umugongo wa costoclavicular ku ruhande rwo hagati hepfo, aho umugongo wa costoclavicular ufata. Ku ruhande rwo hasi hari agace k'inyuma n'umurongo wa oblique hamwe n'umugongo wa conical w'umugongo wa rostroclavicular n'umugongo wa oblique, uko bikurikirana.
· Ibimenyetso
1. Gucika kw'ikirenge bisaba gukata no kugabanya gufunga imbere.
2. Osteomyelitis idakira cyangwa igituntu cya clavicle bisaba gukuraho igufwa ryapfuye.
3. Ikibyimba cya Clavicle gisaba gucibwa burundu.
· Imiterere y'umubiri
Uhagaze ku ntebe y'inyuma, amatugu ye azamuwe gato.
Intambwe
1. Kora icyuho ukurikije imiterere y'ikibuno cya clavicle gifite ishusho ya S, hanyuma ugure icyuho ugishyire ku nkombe yo hejuru y'ikibuno ugere ku mpande z'imbere n'inyuma ushyireho ikimenyetso cy'aho ikibuno giherereye, maze aho giherereye n'uburebure bwacyo bizagenwa hakurikijwe igisebe n'ibisabwa mu kubaga (Ishusho ya 7-1-1 (1)).
Ishusho ya 7-1-1 Inzira yo Kugaragaza Imbere Ishusho ya Clavicular
2. Kata uruhu, inyama zo munsi y'umubiri n'ibice byimbitse by'uruhu ku gice cyo hasi hanyuma urekure uruhu ruguru kandi rumanuka uko bikwiye (Ishusho ya 7-1-1 (2)).
3. Shyira umutsi wa vastus cervicis ku buso bwo hejuru bwa clavicle, imitsi ikungahaye ku mitsi y'amaraso, witondere gukoresha electrocoagulation. Periosteum ishyirwa ku buso bw'amagufwa kugira ngo igabanywe, aho clavicle ya sternocleidomastoid iba iri ku gice cyo hejuru cy'imbere, clavicle ikomeye ya pectoralis iba iri ku gice cyo hasi cy'imbere, imitsi ya trapezius iba iri ku gice cyo hejuru cy'inyuma, n'imitsi ya deltoid iba iri ku gice cyo hasi cy'inyuma. Mu gihe cyo gukuraho subclavian y'inyuma, gukuraho bigomba gukorwa neza ku buso bw'amagufwa, kandi stripper igenzura igomba kuba ihamye kugira ngo idakwangiza imitsi y'amaraso, imitsi, na pleura ya clavicle y'inyuma (Ishusho ya 7-1-2). Niba biteganyijwe ko hashyirwaho screw fixation y'icyuma, ingirangingo zoroshye zikikije clavicle zibanza kurindwa na stripper ya periosteal, kandi umwobo wo gutobora ugomba kwerekezwa imbere hasi, ntabwo inyuma hasi, kugira ngo udakomeretsa pleura n'imitsi ya subclavian.
Ishusho ya 7-1-2 Igaragaza Clavicle
Igihe cyo kohereza: Ugushyingo-21-2023
