Kuvuka kwa supracondy yumusomeri nimwe mubice bisanzwe mubana kandi bibera mumasangano ya shaft yuburyo hamwe naAbakuferal Company.
Kwigaragaza
Kuvuka kwa supracondy yumusomeri ni abana, nububabare bwaho, kubyimba, ubwuzu, hamwe na dassess, hamwe na dassertion birashobora kubaho nyuma yimvune. Imiterere idahwitse idabura ibimenyetso bigaragara, kandi elbow exaving irashobora kuba ikimenyetso cyonyine cyubuvuzi. Guhuriza hamwe na capsule munsi yimitsi yinkokora nibyinshi, aho capsule yoroshye, izwi kandi nka softspot, irashobora kwiboza mugihe cyo guhindagurika. Ingingo yo guhinduka mubisanzwe iri imbere kumurongo uhuza hagati yumutwe wa Radial kugeza ku isonga rya Olecran.
Ku bijyanye n'ubwoko bwa Supracondy Rocketilar III, hari ubumuga bubiri bukomeye bw'inkokora, bikabiha isura nziza. Mubisanzwe ukomeretsa imbere yintoki zo hejuru cyane, kandi niba ivunika ryimuwe rwose, iherezo ryibiryo ryinjira mu mitsi ya brachias, kandi kuva amaraso birakomeye. Nkigisubizo, ikimenyetso cya Pucker kigaragara imbere yinkokora, mubisanzwe byerekana amabere ya bony proxical kumenagura yinjira muri dermis. Niba iherekejwe nimvune ya radial, kwagura udukugi birashobora kuba bike; Gukomeretsa Median Meity birashobora gutuma urutoki ruto rudashobora kudashobora guhinduka cyane; Gukomeretsa Ulnar birashobora kuvamo amacakubiri make yintoki nimigabane.
Kwisuzumisha
(1) Isuzumabubasha
①EVE AMATEKA YUBUKARA; Ibimenyetso n'ibimenyetso: ububabare bwaho, kubyimba, ubwuzu no gukora nabi; ③x-ray yerekana umurongo wa sucracondylar kandi umurongo wacitsemo ibice bya humerus.
(2) Gutandukana Bitandukanye
Kwitondera bigomba kwishyurwa kubirangaKwirukana inkokora, ariko kumenyekanisha kuvura kwamamaza kwagura kwamamaza kuva ku nkombe biragoye. Mu kuvunika supracondylar ya Humerus, Epicondyle ya Humerus ituma umubano usanzwe anatiomicake na Olecran. Ariko, mu kwiringira inkokora, kubera ko Olecran iherereye inyuma ya Epicondyle ya Humerus, irakomeye. Ugereranije n'imivurungano Fupracondy, icyamamare cyo kuboko mu kwibasirwa n'inkokora ni kure cyane. Kubaho cyangwa kubura amakoti ya bony nabyo bigira uruhare mukumenya amakuru ya Supracondy ya Humerus Kwirinda inkokora, kandi rimwe na rimwe biragoye gutanga amahano ya bol. Kubera kubyimba gukabije no kubabara, manipulations itera amato yato akenshi bitera umwana kurira. Kubera ibyago byo kwangirika kwa neurovascular. Kubwibyo, manipulations itera amagufwa igufwa. X-ray Isuzuma rirashobora gufasha kumenya.
Ubwoko
Icyiciro gisanzwe cyo guhagarika ubuhinzi bwimisozi ni ukubagabana kwaguka no guhindagurika. Ubwoko bwa flexion ntabwo ari gake, hamwe na x-ray ya x-ray yerekana ko iherezo ryibiryo riherereye imbere yigitambaro cy'amato. Ubwoko bugororotse burasanzwe, kandi Garland igabanyamo ubwoko i kuri III (Imbonerahamwe 1).
| Ubwoko | Kwigaragaza |
| Ubwoko bwa LOA | Kuvunika nta kwimura, guhinga cyangwa valgus |
| Ubwoko bwa LHB | Kwimura byoroheje, guhuza imitako ya cortical, umurongo wubucuruzi rusange unyuze mumutwe wubuhinzi |
| Ubwoko bwa LOA | HyperexTensions, Ubunyangamugayo bwinyuma, umutwe wubuhinzi inyuma yumupaka wurubuga rwumupaka wurubuga rwumupaka, nta kuzunguruka |
| Ubwoko bwa LHB | Kwimura kirekire cyangwa kuzunguruka hamwe nigice cyo kurangiza kumpera |
| Ubwoko bwa LOA | Uzuza imyanya yinyuma nta guhuza amakuru, ahanini biraba kure kubijyanye no kwimurwa inyuma |
| Ubwoko bwa LHB | Kwimura ibiranga, Tissue yoroshye yashyizwe mu mpera zarangiye, imurikagurisha rikomeye cyangwa rizunguruka ryimvura irangira |
Imbonerahamwe 1 Urutonde rwa Garrtland rwa Supracondy Ractures
Kuvura
Mbere yo kuvurwa neza, inkokora igomba gukosorwa by'agateganyo mu mwanya wa 20 ° kugeza 30 ° idahinduka ku murwayi, ahubwo igabanya amakimbirane y'inzego za Neurovascular.
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. °) Ikosora ikomeza umwanya nyuma yo kugabanya, ariko yongera ibyago byo gukomeretsa neurovascular yingingo yibasiwe ningaruka zo gufungwa bikabije. Kubwibyo, perranteousKirschner WireNibyiza nyuma yo kugabanya kuvunika (Ishusho 1), hanyuma ukosorwe hanze hamwe na plaster yapanze ahantu hizewe (Elbow Flexion 60 °).
Igishushanyo 1 Ishusho ya Kirctaneous Kircchner Wire
. Kugabanuka hamwe na Kirscner Kirscner Wire Ubusanzwe birashoboka, ariko kugabanya gufungura birakenewe niba imyigaragambyo yoroshye idashobora kugabanuka cyangwa niba hari igikomere cyubusa (Ishusho 2).
Igishushanyo 5-3 Icyiciro cya X-Ray Ralms ya Supracondy Ractures
Hariho uburyo bune bwo kubaga bwo kugabanya igabanuka rya fuctracondy ya Humerus: (1) kwerekana inkokora kuruhande (harimo uburyo bwo kubeshya); (2) kwerekana inkoni zo hagati; (3) guhuza inkokora yo hagati kandi kuruhande; na (4) elbora yinyuma yinyuma.
Hafi yinkokora kuruhande hamwe nuburyo bwo hagati bifite ibyiza byimiryango idahwitse hamwe nuburyo bworoshye anatomicamake. Guhagarika hagati ni umutekano kuruta uko byarakaye kandi bishobora gukumira ibyangiritse bya Ulnar. Ibibi nuko ntanumwe muribo ushobora kubona kuvunika uruhande rwibintu binyuranyijeho, kandi birashobora kugabanuka gusa no gukemurwa nibyiyumvo byintoki, bisaba uburyo bwo kubaga bwo kubaga kubakoresha. Uburyo bwinyuma bwinyuma bwatagabanijwe kubera gusenya ubusugire bwa triceps imitsi nibyangiritse byinshi. Ihuriro ryahujwe ryinkokora yo hagati kandi kuruhande irashobora guhimba ibibi byo kutabasha kubona ubusuzi bwububiko bwamagufwa. Ifite ibyiza byinkokora yo hagati kandi kuruhande, bifasha kugabanya no kugabanya kugabanuka no gukosorwa, kandi birashobora kugabanya uburebure bwa chosion yatinze. Nibyiza gutabarwa no kwangirika kubyimba byimirenge; Ariko ibibi byayo nuko yongera ibishishwa; Hejuru cyane kuruta inzira yisi.
Ingorane
Ingorabahizi zivuza inyongeramvure zirimo: (1) igikomere cya Neurovascular; (2) Syndrome ya septal ikaze; (3) gukomera elbow; (4) Myosetis Ossifiyani; (5) avasCular necrosis; (6) ubumuga bwa cututus; (7) Ubumuga bwa Cuto.
Incamake
Kuvuka kwa supracondy yo muri Humerus biri mubice bisanzwe mubana. Mu myaka yashize, kugabanya kugabanya ibiranga urugero bya Humerus byabyutse. Mu bihe byashize, Cubitus Varus cyangwa Cubitus Valgus byafatwaga ko biterwa no gufatwa kwinzara kwa epiphyphyphycal ya kure, aho kugabanuka nabi. Byinshi mubimenyetso bifatika ubu bitesha inkunga ko kugabanya nabi ari ikintu cyingenzi muri cubity vatus. Kubwibanuka rero kuvugurura humeruslar humerus, gukosorwa kwa Ulnar Offset, kuzunguruka kwa horizontal no kugarura uburebure bwa humer ni urufunguzo.
Hariho byinshi muburyo bwo kuvura bwo kuvura buvunika bwa Humerus, nko kugabanuka kw'intoki + Gukosora hanzeHamwe na plaster ya plaster, gukurura olecranon, gukosora hanze hamwe no kugabanuka, kugabanya gufungura no gukosorwa imbere, no kugabanya no gufunga no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere no gukosorwa imbere. Mu bihe byashize, kugabanuka kwa manipulative na plaque yo hanze niyo miti nyamukuru, yaduka, yavuzweho hejuru ya 50% mubushinwa. Kugeza ubu, kubwoko bwa II na Ubwoko bwa III urugero rwa III, gukosora urushinge rwa burundu nyuma yo kugabanya kuvuka kwabaye muburyo bwemewe muri rusange. Ifite ibyiza byo kudasenya amaraso no gukiza amagufwa yihuta.
Hariho n'ibitekerezo bitandukanye ku buryo na nimero nziza ya kirschner fix fiction nyuma yo kugabanya imivurungano. Ubunararibonye bwa Muhinduzi nuko insinga za kirsclener zigomba guhindukana mugihe cyo gukosora. Hafi ya kure yindege yatakaye ni, hagenda neza. Insi za KirSChner ntizigomba kwambuka indege yavunika, bitabaye ibyo kuzunguruka ntibizagenzurwa kandi gukosorwa bizahungabana. Bigomba kwitabwaho kugirango wirinde kwangirika kuri Ulnar Nulnar mugihe ukoresheje Kirschner Kirscner Wire Wire. Ntugahangane nurushinge mumwanya woroheje winkokora, ugorora inkokora kugirango ureke umuvuduko wa Ulnar kugirango usubire inyuma, ukora ku gikumwe hanyuma uyisunike neza k-wire. Gusaba Kirschner Wire Win Imbere Yimbere Ifite Ibyiza Byashoboka Mugukora Amagasaruro
Igihe cyo kohereza: Nov-02-2022
