Kedu otu esi eme ka ọkpụkpụ clavicle nke etiti kwụsie ike yana nkwarụ acromioclavicular ipsilateral?

Mgbaji nke clavicle jikọtara ya na nkwarụ acromioclavicular ipsilateral bụ mmerụ ahụ a na-adịghị ahụkebe n'ọgwụgwọ. Mgbe mmerụ ahụ gasịrị, akụkụ dị n'akụkụ nke clavicle na-agagharị agagharị, mgbanwe acromioclavicular metụtara ya nwere ike ọ gaghị egosi mgbanwe doro anya, nke na-eme ka ọ bụrụ ihe a na-apụghị ịchọpụta nke ọma.

Maka ụdị mmerụ ahụ a, enwere ọtụtụ ụzọ ịwa ahụ, gụnyere efere nko ogologo, ngwakọta nke efere clavicle na efere nko, na efere clavicle jikọtara ya na nhazi skru na usoro coracoid. Agbanyeghị, efere nko na-adịkarị mkpụmkpụ n'ogologo, nke nwere ike ibute enweghị nhazi zuru oke na njedebe nso. Njikọta nke efere clavicle na efere nko nwere ike ibute nrụgide n'ebe njikọ ahụ dị, na-abawanye ohere nke ịgbaji.

Mgbaji nke clavicle aka ekpe jikọtara ya na mwepụ acromioclavicular ipsilateral, ejiri ngwakọta nke efere nko na efere clavicle kwụsie ike.

N'ịzaghachi nke a, ụfọdụ ndị ọkà mmụta atụpụtala ụzọ isi jiri ngwakọta nke efere clavicle na skru arịlịka maka idozi. E gosipụtara ihe atụ na foto na-esonụ, na-egosi onye ọrịa nwere mgbawa clavicle midshaft jikọtara ya na mwepụ nkwonkwo acromioclavicular nke ụdị ipsilateral IV:

Nke mbụ, a na-eji efere anatomical nke clavicular edozi mgbawa nke clavicle. Mgbe ebelatasịrị nkwonkwo acromioclavicular gbagọrọ agbagọ, a na-etinye skru ígwè abụọ n'ime usoro coracoid. A na-etinye skru ndị ejikọtara na skru arịlịka site na oghere skru nke efere clavicle, a na-ekekọtakwa eriri iji jide ha n'ihu na n'azụ clavicle. N'ikpeazụ, a na-eji stures dụkọta ligaments acromioclavicular na coracoclavicular ozugbo.

Mgbaji clavicle nke dịpụrụ adịpụ ma ọ bụ mgbaji acromioclavicular nke dịpụrụ adịpụ bụ mmerụ ahụ a na-ahụkarị n'ụlọ ọgwụ. Mgbaji clavicle na-akpata 2.6%-4% nke mgbawa niile, ebe mgbaji acromioclavicular na-eme 12%-35% nke mmerụ ahụ scapular. Agbanyeghị, njikọta nke mmerụ ahụ abụọ a dị ụkọ. Ọtụtụ n'ime akwụkwọ ndị dị ugbu a gụnyere akụkọ ikpe. Ojiji nke sistemụ TightRope na njikọ nke clavicle plate fixation nwere ike ịbụ ụzọ ọhụrụ, mana itinye clavicle plate nwere ike igbochi itinye TightRope graft, na-eweta ihe ịma aka nke a ga-elebara anya.

Ọzọkwa, n'ọnọdụ ebe enweghị ike ịchọpụta mmerụ ahụ ejikọtara ọnụ tupu ịwa ahụ, a na-atụ aro ka a na-enyocha ọnọdụ nkwonkwo acromioclavicular mgbe niile n'oge a na-enyocha mgbawa clavicle. Ụzọ a na-enyere aka igbochi ileghara mmerụ ahụ ndị a na-ewepụ n'otu oge anya.