· Gukoresha Anatomy
Uburebure bwose bwa clavicle ni munsi yubutaka kandi byoroshye kubibona. Impera yo hagati cyangwa impera yinyuma ya clavicle ni ntoya, hamwe nubuso bwayo bwa arctular ireba imbere no hepfo, ikora ingingo ya sternoclavicular ifatanye na clavicular notch of the sternal; Impera yinyuma cyangwa acromion impera ni ntoya kandi iringaniye kandi yagutse, hamwe na acromion articular surface ovoid no hanze no hepfo, ikora acromioclavicular ihuriweho na acromion. Clavicle iringaniye hejuru kandi izengurutswe hagati yimbere yimbere. Hano haribintu byerekana indangagaciro ya Costoclavicular ligament kuruhande rwagati hepfo, aho ligamenti ya Costoclavicular ifatanye. Kuruhande rwinyuma hari uruzitiro rwumurongo hamwe numurongo wa oblique hamwe nu murongo uhuza ururondogoro rwa rostroclavicular ligament hamwe na oblique ligament attachment.
· Ibyerekana
1. Kuvunika kwa Clavicle bisaba gutemwa no kugabanya gukosorwa imbere.
2. Osteomyelitis idakira cyangwa igituntu cya clavicle bisaba gukuramo amagufwa yapfuye.
3. Ikibyimba cya Clavicle gisaba kwangwa.
Umwanya wumubiri
Umwanya mwiza, hamwe n'ibitugu bizamutse gato.
Intambwe
1. Kora incike kuruhande rwa S-anatomiya ya clavicle, hanyuma wongere ugatembereza kumurongo wo hejuru wa clavicle kumpande zimbere ninyuma hamwe numwanya wa lesioni nkikimenyetso, kandi ikibanza nuburebure bwacyo bizagenwa ukurikije ibikomere nibisabwa kubagwa (Ishusho 7-1-1 (1)).
Igicapo 7-1-1 Inzira Yimbere Yerekana Inzira
2. Kuzamura uruhu, uduce duto duto hamwe na fassiya yimbitse kuruhande hanyuma urekure uruhu hejuru no hepfo nkuko bikwiye (Ishusho 7-1-1 (2)).
3. Kangura imitsi ya cervicis nini cyane hejuru ya clavicle, imitsi ikungahaye kumitsi yamaraso, witondere amashanyarazi. Periosteum yometse hejuru yamagufa kugirango itandukane na subperiosteal, hamwe na clavicle ya sternocleidomastoid kuruhande rwimbere rwimbere, clavicle nini ya pectoralis kumurongo wo hepfo yimbere, imitsi ya trapezius kuruhande rwo hejuru, n'imitsi ya deltoid kuruhande rwo hasi. Mugihe wambuye subclavian yinyuma, kwiyambura bigomba gukorwa cyane hejuru yamagufwa, kandi umugenzuzi wigenzura agomba guhagarara neza kugirango atangiza ibyamaraso, imitsi, na pleura ya clavicle yinyuma (Ishusho 7-1-2). Niba bisabwe gushyiramo imigozi ya plaque, isahani yoroheje ikikije clavicle ibanza gukingirwa hamwe na striosteal stripper, kandi umwobo wimyitozo ugomba kwerekezwa imbere imbere, ntukamanuke inyuma, kugirango udakomeretsa pleura nu mitsi ya subclavian.
Igicapo 7-1-2 Kugaragaza Clavicle
Igihe cyo kohereza: Ugushyingo-21-2023
