Nigute ushobora guhagarika imvune ya clavicle ya midshaft ihujwe no gutandukana kwa acromioclavicular?

Kuvunika kwa clavicle hamwe no gutandukana kwa acromioclavicular impande zombi ni imvune idasanzwe mubikorwa byubuvuzi.Nyuma yo gukomeretsa, igice cya kure cya clavicle kigendanwa cyane, kandi kwimura acromioclavicular bifitanye isano ntibishobora kwerekana kwimuka kugaragara, bigatuma umuntu ashobora kwisuzumisha nabi.

Kuri ubu bwoko bwimvune, mubisanzwe hariho uburyo bwinshi bwo kubaga, harimo isahani ndende, guhuza isahani ya clavicle hamwe nisahani ifatanye, hamwe nisahani ya clavicle ihujwe no gukosora imigozi kuri coracoid.Nyamara, amasahani yibikoresho akunda kuba mugufi muburebure muri rusange, bishobora kuganisha ku gukosorwa bidahagije kumpera yegeranye.Gukomatanya isahani ya clavicle hamwe nisahani ifatika bishobora kuviramo guhangayika aho bihurira, bikongera ibyago byo kuvunika.

Ivunika rya clavicle ibumoso ihujwe no gutandukana kwa acromioclavicular itandukanijwe, ihagaze neza ikoresheje guhuza isahani ifatanye hamwe nisahani ya clavicle.

Mu gusubiza iki, intiti zimwe zasabye uburyo bwo gukoresha ikomatanyirizo rya plaque clavicle hamwe na screw ya ankor kugirango bikosorwe.Urugero rwerekanwe mumashusho akurikira, yerekana umurwayi ufite imvune ya clavicle ya midshaft ihujwe nubwoko bwa IV acromioclavicular dislocation:

Ubwa mbere, plaque clavicular anatomical ikoreshwa mugukosora kuvunika clavicle.Nyuma yo kugabanya acromioclavicular yimuwe, ibyuma bibiri byuma byuma byinjizwa mubikorwa bya coracoid.Ubudodo bufatanije n’imigozi ya ankeri noneho bugahuzwa nu mwobo wa plaque ya clavicle, kandi ipfundo rihambiriwe kugirango ririndwe imbere na inyuma ya clavicle.Hanyuma, acromioclavicular na coracoclavicular ligaments zidodwa neza ukoresheje suture.

Ivunika rya clavicle ryitaruye cyangwa gutandukana kwa acromioclavicular ni ibikomere cyane mubikorwa byubuvuzi.Ivunika rya Clavicle rifite 2,6% -4% byavunitse byose, mugihe kwimura acromioclavicular bigizwe na 12% -35% byimvune zidasanzwe.Ariko, guhuza ibikomere byombi ni gake.Ibyinshi mubitabo bihari bigizwe na raporo y'imanza.Gukoresha sisitemu ya TightRope ifatanije no gukosora plaque clavicle bishobora kuba uburyo bushya, ariko gushyira plaque clavicle birashobora kubangamira ishyirwa mubikorwa bya TightRope, bigatera ikibazo gikwiye gukemurwa.

Ikigeretse kuri ibyo, mugihe aho ibikomere byahujwe bidashobora gusuzumwa hakiri kare, birasabwa gusuzuma buri gihe ihame ryimiterere ya acromioclavicular mugihe cyo gusuzuma ibice byavunitse.Ubu buryo bufasha kwirinda kwirengagiza ibikomere byo gutandukana.