Amakuru - Ibikomere bisanzwe bya Tendon

Guturika kwa Tendon nubusembwa nindwara zisanzwe, ahanini ziterwa no gukomeretsa cyangwa gukomeretsa, kugirango ugarure imikorere yingingo, imitsi yaturika cyangwa ifite inenge igomba gusanwa mugihe. Tendon kudoda nubuhanga bukomeye kandi bworoshye bwo kubaga. Kuberako imitsi igizwe ahanini na fibre ndende, impera yamenetse ikunda gutandukana cyangwa kurambura igihe cyo kudoda. Suture iri munsi yikibazo kandi igumaho kugeza igihe imitsi ikize, kandi guhitamo suture nabyo ni ngombwa cyane. Uyu munsi, nzabagezaho ibikomere 12 bisanzwe bikunda kugaragara hamwe namahame, igihe, uburyo hamwe nubuhanga bwo gukosora imitsi ya suture.
I.Cufftear
1.Patogene ：
Ibikomere bidakira byigitugu ；
Ihahamuka: gukomeretsa bikabije kuri rotator cuff tendon cyangwa kugwa ukoresheje ingingo yo hejuru irambuye kandi igashyirwa hasi, bikabije bigatuma umutwe wumuntu winjira kandi ugashwanyaguza igice cyimbere cyimbere ya rotate cuff ；
Impamvu zubuvuzi: gukomeretsa rotator cuff tendon kubera imbaraga nyinshi mugihe cyo kuvura intoki ；
2.Ibiranga ivuriro:
Ibimenyetso: Kubabara ibitugu nyuma yo gukomeretsa, kubabara bisa;
Ibimenyetso: 60º ～ 120º arc nziza yikimenyetso cyububabare; gushimuta ibitugu no kubabara imbere no hanze kuzunguruka; ububabare bwumuvuduko kumupaka wimbere wa acromion hamwe nigituba kinini cyigitereko;
3. Kwandika kwa kliniki:
Ubwoko I: Nta bubabare nibikorwa rusange, ububabare iyo utaye cyangwa uhinduye urutugu. Ikizamini ni kububabare bwa retro-arch gusa;
Ubwoko bwa II: Usibye kubabara iyo usubiramo urujya n'uruza rw'imvune, hariho ububabare bwa rotator cuff, kandi kugenda muri rusange kurutugu nibisanzwe.
Ubwoko bwa III: bikunze kugaragara, ibimenyetso birimo kubabara ibitugu no kugabanya umuvuduko, kandi hariho igitutu nububabare bwo kwisuzumisha.

4.Rotator cuff tendon guturika:
Guturika byuzuye:
Ibimenyetso: Ububabare bukabije bwaho mugihe cyimvune, kugabanya ububabare nyuma yimvune, hakurikiraho kwiyongera buhoro buhoro urwego rwububabare.
Ibimenyetso bifatika: Ububabare bukabije bwigitugu ku rutugu, ububabare bukabije mugice cyacitse;
Akenshi ibice byoroshye hamwe nijwi ridasanzwe ryamagambo;

Intege nke cyangwa kudashobora gushimuta ukuboko hejuru kugeza 90º kuruhande rwanduye.
X-imirasire: Ibyiciro byambere mubisanzwe nta mpinduka zidasanzwe;
Gutinda kugaragara kwa humeral tuberosity osteosclerose cystic degeneration cyangwa tendon ossification.

Guturika bituzuye: arthrography yigitugu irashobora gufasha kwemeza indwara.
5. Kumenyekanisha rotate cuff tendons hamwe no guturika
①1% procaine 10 ml yo gufunga ingingo;
Test Ikigeragezo cyo hejuru cyo guta ikiganza.

II.Injoryi ya becips brachii ndende umutwe
1.Patogene ：
Gukomeretsa biterwa no guhinduranya inshuro nyinshi zo kuzunguruka ibitugu no kugenda ku gahato ingingo yigitugu, bigatera kwambara no kurira inshuro nyinshi muri sulcus hagati ya nodal;
Gukomeretsa biterwa no gukurura bikabije;
Abandi: gusaza, rotator cuff inflammation, subscapularis tendon guhagarika imvune, kashe nyinshi zaho, nibindi.
2.Ibiranga ivuriro:
Tendonitis na / cyangwa tenosynovitis y'imitsi miremire ya biceps:
Ibimenyetso: kubabara no kutamererwa neza imbere yigitugu, kumurika hejuru no munsi ya deltoid cyangwa biceps.
Ibimenyetso bifatika:
Inter-nodal sulcus na biceps birebire umutwe wumutwe;
Inzira yaho irashobora kuba nziza;
Gushimuta ukuboko hejuru no kubabara inyuma;
Ikimenyetso cyiza cya Yergason;
Intera ntarengwa yo kugenda yigitugu.

Gucika kw'imitsi y'umutwe muremure wa biceps:
Ibimenyetso:

Abavunika imitsi hamwe no kwangirika gukabije: akenshi usanga nta mateka agaragara y’ihahamuka cyangwa ibikomere byoroheje, kandi ibimenyetso ntibigaragara;

Abafite guturika biterwa no kugabanuka gukabije kwa biceps kurwanya kurwanya: umurwayi afite ibyiyumvo byo kurira cyangwa yumva ijwi rirenga ku rutugu, kandi ububabare bwigitugu buragaragara kandi burasa imbere yukuboko hejuru.

Ibimenyetso bifatika:

Kubyimba, ecchymose nubwuzu kuri sulcus inter-nodal;

Kudashobora guhinduranya inkokora cyangwa kugabanuka kwinkokora;

Asimmetrie muburyo bwimitsi ya biceps kumpande zombi mugihe cyo kwikuramo imbaraga;

Imyanya idasanzwe yinda yimitsi ya biceps kuruhande rwanduye, ishobora kumanuka ikamanuka kuri 1/3 cyukuboko hejuru;

Uruhande rwibasiwe rufite imitsi yo hasi kurenza uruhande rwiza, kandi inda yimitsi iba yuzuye kurusha urundi ruhande mugihe cyo kwikuramo imbaraga.

Filime X-ray: mubusanzwe nta mpinduka zidasanzwe.

III.Injory ofbecips brachii tendon

1.Ibinyabuzima:

Enthesiopathie ya triceps brachii tendon (enthesiopathie ya triceps brachii tendon): triceps brachii tendon ikururwa inshuro nyinshi.

Gucika kwa triceps brachii tendon (guturika kwa triceps brachii tendon): triceps brachii tendon yatanyaguwe nimbaraga ziturutse hanze zitunguranye kandi zikaze.

2. Kugaragara kwa kliniki:

Triceps tendon endopathie:

Ibimenyetso: ububabare inyuma yigitugu bushobora gukwirakwira kuri deltoid, kunanirwa kwaho cyangwa ibindi byumviro bidasanzwe;

Ibimenyetso:

Ububabare bwumuvuduko mumutwe muremure wa triceps brachii mugitangiriro cyumupaka muto wa scapular glenoid kumeza yinyuma yukuboko hejuru;

Kwagura inkokora nziza kubabara birwanya; triceps ububabare buterwa no gutondeka gukabije kwamaboko yo hejuru.

X-ray: rimwe na rimwe hari igicucu cya hyperdense mugitangira imitsi ya triceps.

Triceps tendon guturika:

Ibimenyetso:

Byinshi bivuza inyuma yinkokora mugihe cyimvune;

Kubabara no kubyimba ahakomeretse;

Intege nke mu kwagura inkokora cyangwa kudashobora kwagura inkokora byuzuye;