Ibipimo byemewe byo gukiza kuvunika kwimyanya ndangagitsina ni imbere-inyuma yinyuma ya munsi ya 20 °, kuruhande ruri munsi ya 30 °, kuzenguruka munsi ya 15 °, no kugabanuka munsi ya 3cm.Mu myaka ya vuba aha, hamwe no gukenera gukenera imikorere yingingo zo hejuru no gukira hakiri kare mubuzima bwa buri munsi, kubaga kuvura kuvunika kwimyanya ndangagitsina byabaye rusange.Uburyo bwibanze burimo imbere, imbere, cyangwa inyuma yinyuma kugirango ikosorwe imbere, kimwe no gutera imisumari.Ubushakashatsi bwerekana ko igipimo cyo kudahuza kugabanya kugabanuka imbere yimvune zumuntu zigera kuri 4-13%, hamwe n’imvune zo mu bwoko bwa iatrogenic radial nervice zigaragara hafi 7%.
Kugira ngo wirinde gukomeretsa kw'imitsi ya iatrogène no kugabanya igipimo cyo kudahuza kugabanuka ku mugaragaro, intiti zo mu gihugu cy’Ubushinwa zakoresheje uburyo bwo hagati, zifashishije tekinike ya MIPPO kugira ngo zikosore ibice byavunitse, kandi byageze ku musaruro mwiza.
Uburyo bwo kubaga
Intambwe ya mbere: Umwanya.Umurwayi aryamye mu mwanya mwiza, hamwe n'ingingo zanduye zashimuswe dogere 90 hanyuma zishyirwa ku meza akorerwa.
Intambwe ya kabiri: Kubagwa.Mubisanzwe bisanzwe byo gukosora isahani imwe (Kanghui) kubarwayi, ibice bibiri birebire bigera kuri 3cm buri kimwekimwe gikorerwa hafi yimpera zegeranye.Gutemagura hafi ya byose ni ubwinjiriro bwigice kinini cya deltoid na pectoralis, mugihe icyerekezo cya kure kiri hejuru ya epicondyle yo hagati yigitereko, hagati ya biceps brachii na triceps brachii.
Igishushanyo mbonera cya incike yegeranye.
: Kubagwa;: Umuyoboro wa Cephalic;③: Pectoralis major;: Imitsi ya Deltoid.
Igishushanyo mbonera cyerekana ishusho ya kure.
: Umutima wo hagati;②: Ulnar nerv;: Imitsi ya Brachialis;.: Kubagwa.
Intambwe ya gatatu: Kwinjiza isahani no gukosora.Isahani yinjizwamo binyuze mu gutemagura hafi, gukubita hejuru yamagufwa, kunyura munsi yimitsi ya brachialis.Isahani yabanje gushyirwaho kugeza kumpera yanyuma yimitsi ya humeral.Ibikurikira, hamwe no gukwega kuzunguruka ku gihimba cyo hejuru, kuvunika gufunze no guhuza.Nyuma yo kugabanuka gushimishije munsi ya fluoroscopi, hashyizwemo umugozi usanzwe unyuze mugice cya kure kugirango ubone isahani hejuru yamagufwa.Icyuma cyo gufunga noneho kirakomera, cyuzuza ibyapa.
Igishushanyo mbonera cya plaque yo hejuru.
: Imitsi ya Brachialis;: Biceps brachii imitsi;③: imiyoboro yo hagati n'imitsi;④: Pectoralis major.
Igishushanyo mbonera cya plaque ya kure.
: Imitsi ya Brachialis;: Umutima wo hagati;③: Ulnar nerv.
Igihe cyo kohereza: Ugushyingo-10-2023
