· SHAKA ANATomy
Imbere ya Scapula ni Fessa ya Subscaular, aho imitsi yimitsi itangirira. Inyuma ninyuma kandi hejuru gato yingendo zitera scapor, zigabanijwemo fossa na infraspinatus fossa, kumugereka wa supraspinatus na infraspinatus. Impera yinyuma yinzuki ni acroion, ikora acromioviculaglaviclavicular hamwe na acromion impera ya clavicle ikoresheje uburebure bwa ovoid artular ndende. Imbere yisumbuye ya Scapor Ridge ifite numero ntoya, yambutse imvugo ngufi ariko ikomeye cyane, aho imitsi ya Porogaramu ya Porogaramu ya Porogaramu ya Porogaramu ya Suprascapilar, kandi ikarenga. Kuruhande rwinyuma (axllary margin) ya scaport irabyimbye kandi yimura hanze yumuzi wijosi ryicara, aho ikora akantu ka glenoid hamwe nigitugu.
Ibimenyetso
1. Subiza ibibyimba bya berign.
2. Gurebwa Byibanze Byibintu bibi bya Scapula.
3. Scapula nyinshi nubundi bumuga.
4. Gukuraho amagufwa yapfuye muri STEPOOMITELIITS.
5. Syndrome ya Suprasrament.
· Umwanya
Umwanya wa kimwe cya kabiri, uhengamye kuri 30 ° kugeza ku buriri. Igitaramo cyo hejuru cyangiritse kipfunyitse igitambaro kidasanzwe kugirango kibe gishobora kwimurwa igihe icyo aricyo cyose mugihe cyo kubagwa.
· Intambwe zikora
1. Mubisanzwe byatemye bikozwe kumusozi wa Scapor muri FIPSAspinatus hamwe nigice cyo hejuru cya Fessa, hamwe nigice kinini gishobora gukorwa kuruhande rwa scapula cyangwa uruhande rwo hagati rwikigo cya subscapularis. Ibikorwa byacuragurika kandi birebire birashobora guhuzwa kugirango bibe l-imiterere, ihindagurika l-imiterere, cyangwa imiterere yambere, bitewe no gukenera kwiyumvisha ibice bitandukanye bya Scapula. Iyaba hejuru no hepfo yimpande za scapula igomba kugaragara, ibicuku bito birashobora gukorwa mubice bihuye (Ishusho 7-1-5 (1)).
2. Menyesha Faecialicial na fassiya wimbitse. Imitsi ifatanye numupaka wica skapular hamwe numupaka wo hagati utanga umusaruro cyangwa urebye cyane mu cyerekezo cyateganijwe (Ishusho 7-1-5 (2)). Niba Sapraspinatus arigomba kugaragara, fibre yimitsi yo hagati ya Trapezius itemewe mbere. PersiTeum iterwa hejuru ya bone ya gnap venad, ifite ibinure binini hagati yabyo, kandi Fesaspinatus yose yashyizwe ahagaragara no gutandukanya imitsi ya supraspinatus, hamwe nimitsi ya Trapezius. Mugihe ushishikarize fibre yo hejuru yimitsi yo kuri trapzius, hagomba kwitabwaho kugirango atangire imitsi ya parasympietic.
3. Iyo imitsi ya Porogaramu ya Porogaramu igomba guhishurwa, gusa fibre yo hejuru yo hagati yimitsi ya Trapezius irashobora gukururwa hejuru, kandi imitsi yo muri supraspinatus irashobora gukururwa neza nta kwiyambura, kandi imitsi ya Sapraspinatus irasenyuka, kandi imiterere yera iragaragara nimiterere ya Porogaramu ya Porogaramu. Iyo inzabibu za Porogaramu zimaze kumenyekana kandi zifite imitsi zaragaragaye, zirinzwe, insimbi yo guhinduranya irashobora gucika intege, kandi SCAPHTCAPULAL TINUSTION idasanzwe, kandi ScapID irashobora gusuzumwa, kandi stiprati irashobora gufatwa nkinzego zose zidasanzwe, hamwe nimitsi ya suprascapiland irashobora noneho kurekurwa. Hanyuma, imitsi yambuwe irambuye hamwe kugirango ifatanye na scapula.
4. Niba igice cyo hejuru cya infraspinatus kigomba kugaragara, fibre yo hasi na hagati yimitsi ya Trapesius hamwe ninyuma ya Flampuct, hamwe na nyuma yimitsi ya inkapuke, kandi nyuma yimitsi ya intera iragaragaramo, kandi nyuma yimitsi ya intera (Ishusho 3-1-5 (4)). Iyo wegereye iherezo ryisumbabyose ya axillary gonad ya grapular (ni ukuvuga munsi ya glenoid) Abakunzi ba mpandeshatu bakikijwe na batatu ba mbere, kugirango batabababakomere (Igishushanyo 7-1-5 (5)).
5. Kugira ngo ugaragaze umupaka wo hagati wa Scapula, nyuma yo gukangurira fibre yimitsi ya Trapezisi, imitsi yo muri Trapessuus na Supraspinatus yongeye kwerekana igice cyo hagati cya Fossapinaspatus na Passespinas; Kandi imitsi ya Trapessuus hamwe na infraspinatus, hamwe n'imitsi ya direustus kuruhande rwa Scapula, iyobowe no kwerekana igice cyo hagati cya Fossa, inguni yo hasi ya scapula, nigice cyo hepfo yumupaka.
Igicapo 7-1---------- Inzira ya dorsal igaragara
(1) gutemagura; (2) gutema umurongo w'imitsi; (3) gutandukanya imitsi ya deltoid kuva kurisha isuka; (4) kuzamura imitsi ya deltoid kugirango ugaragaze infraspinatus na teres nto; (5) Kuyambura imitsi ya infraspinatus kugirango uhishure icyerekezo cya Scapula hamwe na Anastomose
6. Niba FISSA ya Subscaplar igomba kugaragara, imitsi ifatanye nurwego rwimbere rwumupaka wo hagati, ni ukuvuga scaporis, imirongo hamwe na sertus imbere, kandi scapula yose irashobora kuzamurwa hanze. Iyo umaze kubohora umupaka wo hagati, hagomba kwitabwaho kugirango urinde ishami rimanuka ryimiyoboro ya Carotid yanduza hamwe nimbuto zisenyuka. Ishami rimanuka ryububiko bwa karotid transvers bituruka ku mpinga yijosi rya tiroyide no gutembera mu mbaruka yo hejuru ya scapulas the scapula ikoresheje scapula, bityo igomba kubahirizwa neza hejuru ya igufwa rya substerIGteal.
Igihe cyo kohereza: Nov-21-2023