Dislocation ya acromioclavicular ni iki?

Dislocation ya acromioclavicular ni iki?

Gutandukanya Acromioclavicular bivuga ubwoko bwihungabana ryigitugu aho ligamenti ya acromioclavicular yangiritse, bikavamo kwimura clavicle. Nugusibanganya ingingo ya acromioclavicular iterwa nimbaraga zo hanze zikoreshwa kumpera ya acromion, itera scapula kugenda imbere cyangwa hepfo (cyangwa inyuma). Hasi, tuziga kubyerekeye ubwoko nubuvuzi bwa acromioclavicular joint dislocation.

Acromioclavicular dislocations (cyangwa gutandukana, gukomeretsa) bikunze kugaragara mubantu bitabira siporo nakazi keza. Gutandukanya acromioclavicular ni ugutandukanya clavicle na scapula, kandi ikintu gikunze kugaragara muri iyi mvune ni kugwa aho ingingo ndende yigitugu ikubita hasi cyangwa ingaruka zitaziguye zingingo nkuru yigitugu. Kwimura Acromioclavicular bikunze kugaragara mubakinnyi bumupira wamaguru nabatwara amagare cyangwa abamotari nyuma yo kugwa.

Ubwoko bwa acromioclavicular gufatanya gutandukana

II ° (urwego): ingingo ya acromioclavicular yimuwe byoroheje kandi ligamenti ya acromioclavicular irashobora kuramburwa cyangwa gucika igice; ubu ni ubwoko bukunze gukomeretsa acromioclavicular.

II ° (urwego): kwimura igice cya acromioclavicular ingingo, kwimuka ntibishobora kugaragara mugisuzuma. Amosozi yuzuye ya acromioclavicular ligament, nta guturika kwa rostral clavicular ligament

III °. Nkuko nta ligamenti yo gushyigikira cyangwa gukurura, urutugu rwigitugu rugenda rugabanuka kubera uburemere bwikiganza cyo hejuru, clavicle rero igaragara nkigaragara kandi yazamutse, kandi icyamamare kirashobora kugaragara mubitugu.

Uburemere bwa acromioclavicular gufatanya gutandukana nabyo birashobora gushyirwa mubwoko butandatu, ubwoko bwa I-III bukunze kugaragara kandi ubwoko bwa IV-VI ntibusanzwe. Kubera kwangirika gukabije kwimitsi ishyigikira akarere ka acromioclavicular, ibikomere byose byubwoko bwa III-VI bisaba kuvurwa.

Nigute dislokasiyo ya acromioclavicular ivurwa?

Ku barwayi bafite acromioclavicular dislocation, ubuvuzi bukwiye bwatoranijwe hakurikijwe imiterere. Ku barwayi bafite uburwayi bworoheje, kuvura indwara birashoboka. By'umwihariko, kubwoko bwa I acromioclavicular gufatanya gutandukana, kuruhuka no guhagarikwa hamwe nigitambaro cya mpandeshatu mugihe cyibyumweru 1 kugeza 2 birahagije; kubwoko bwa II dislocation, umugongo winyuma urashobora gukoreshwa muri immobilisation. Ubuvuzi bwa conservateur nk'igitugu n'inkokora gukosora no gufata feri; abarwayi bafite uburwayi bukomeye, ni ukuvuga abarwayi bafite imvune yo mu bwoko bwa III, kubera ko capsule hamwe na acromioclavicular ligament hamwe na rostral clavicular ligament yaracitse, bigatuma ingingo ya acromioclavicular idahungabana rwose ikeneye gutekereza kubuvuzi bwo kubaga.

Ubuvuzi bwo kubaga bushobora kugabanywamo ibyiciro bine: (1) gukosora imbere kwa acromioclavicular; (5) gufunga rostral gukosora hamwe no kwiyubaka kwa ligament; (3) kwanga clavicle ya kure; na (4) imbaraga zo guhinduranya imitsi.