Ni gute wakwita ku guhagarara kw'ivunika rya clavicle rya midshaft hamwe no gucika kw'inyuma kwa acromioclavicular?

Gucika kw'agatsi k'umugongo hamwe no gucika kw'agatsi k'umugongo mu gice cya kabiri ni imvune idakunze kugaragara mu buvuzi. Nyuma y'imvune, agatsiko k'agatsi k'umugongo kaba gasanzwe gashobora kugenda, kandi gucika kw'agatsiko k'umugongo mu gice cya kabiri bishobora kutagaragaza ko umuntu yimuka, bigatuma ashobora kwitabazwa nabi.

Kuri ubu bwoko bw'imvune, ubusanzwe hariho uburyo bwinshi bwo kubaga, harimo icyuma gifata icyuma gifata icyuma, icyuma gifata ...

Gucika kw'agatsi k'ibumoso k'umugongo hamwe no kwangirika kw'agatsi k'umugongo k'inyuma, bihamye hakoreshejwe uburyo bwo guhuza icyuma gifatana n'agatsi k'umugongo k'inyuma.

Mu gusubiza ibi, abahanga bamwe batanze uburyo bwo gukoresha uburyo bwo guhuza clavicle plate na anchor vis kugira ngo bifatanye. Urugero rugaragazwa mu ishusho ikurikira, igaragaza umurwayi ufite clavicle fracture ya midshaft hamwe na ipsilateral type IV acromioclavicular dislocation:

Ubwa mbere, icyuma gifata clavicle kikoreshwa mu gukosora clavicle fracture. Nyuma yo kugabanya acromioclavicular connection yavuye aho iri, screws ebyiri z'icyuma zishyirwa muri coracoid process. Inkingi zifatanye na screws zishyirwa mu mwobo w'impande z ...

Gucika kw'imitsi yo mu bwoko bwa clavicle cyangwa kuvunika kw'imitsi yo mu bwoko bwa acromioclavicular ni imvune zikunze kugaragara mu buvuzi. Gucika kw'imitsi yo mu bwoko bwa clavicle bingana na 2.6%-4% by'imvune zose, mu gihe kuvunika kw'imitsi yo mu bwoko bwa acromioclavicular bingana na 12%-35% by'imvune zo mu bwoko bwa scapular. Ariko, guhuzwa kw'imvune zombi ni gake cyane. Inyinshi mu nyandiko zihari zigizwe n'amakuru y'imanza. Gukoresha sisitemu ya TightRope hamwe no gushyiraho clavicle plate bishobora kuba uburyo bushya, ariko gushyira clavicle plate bishobora kubangamira ishyirwa rya TightRope graft, bigatera ikibazo kigomba kwitabwaho.

Byongeye kandi, mu gihe imvune zose hamwe zidashobora gupimwa mbere yo kubagwa, ni byiza gusuzuma buri gihe uburyo ingingo ya acromioclavicular ihagaze neza mu gihe cyo gusuzuma imvune ya clavicle. Ubu buryo bufasha kwirinda kwirengagiza imvune zavuye mu mwanya umwe.