Kedu otu esi eme ka mgbaji dị n'etiti clavicle jikọtara ya na dislocation acromioclavicular ipsilateral?

Mgbaji nke clavicle jikọtara ya na ipsilateral acromioclavicular dislocation bụ mmerụ ahụ dị ụkọ na omume ụlọ ọgwụ.Mgbe mmerụ ahụ gasịrị, akụkụ dịpụrụ adịpụ nke clavicle dị ntakịrị mobile, na nkwụsịtụ acromioclavicular metụtara nwere ike ọ gaghị egosi nhụpụ doro anya, na-eme ka ọ bụrụ ihe na-adịghị mma.

Maka ụdị mmerụ ahụ a, a na-enwekarị usoro ịwa ahụ, gụnyere efere nko ogologo, ngwakọta nke efere clavicle na efere nko, na efere clavicle jikọtara ya na screw fixation na usoro coracoid.Otú ọ dị, efere nko na-adịkarị mkpụmkpụ n'ogologo n'ozuzu ya, nke nwere ike iduga ndozi nke ọma na njedebe dị nso.Nchikota nke efere clavicle na efere nko nwere ike ime ka ịta ahụhụ na nkwụsịtụ, na-abawanye ohere nke mgbagha.

Mgbaji nke clavicle aka ekpe jikọtara ya na ipsilateral acromioclavicular dislocation, kwadoro site na iji ngwakọta nke efere nko na efere clavicle.

N'ịzaghachi nke a, ụfọdụ ndị ọkà mmụta atụpụtawo ụzọ a ga-esi jiri ngwakọta nke efere mgbawa na skru arịlịka mee ihe maka idozi.E gosipụtara ihe atụ na foto na-esonụ, na-egosi onye ọrịa nwere mgbaji ọkpụkpụ midshaft jikọtara ya na ụdị ipsilateral IV acromioclavicular nkwonkwo dislocation:

Nke mbụ, a na-eji efere anatomical clavicular dozie mgbawa mgbawa ahụ.Mgbe ibelata nkwonkwo acromioclavicular gbapụrụ agbapụ, a na-etinye skru abụọ nke ígwè n'ime usoro coracoid.A na-awụnye sutures ndị a na-etinye na skru arịlịka ahụ site na oghere mkpọda nke efere clavicle ahụ, a na-ekekọtakwa eriri iji chekwaa ha n'ihu na n'azụ clavicle.N'ikpeazụ, acromioclavicular na coracoclavicular ligaments na-eji sutures na-agbakọta ozugbo.

Ọkpụkpụ clavicle dịpụrụ adịpụ ma ọ bụ mwepu acromioclavicular dịpụrụ adịpụ bụ mmerụ ahụ a na-ahụkarị na omume ụlọ ọgwụ.Clavicle fractures na-akpata 2.6%-4% nke ọkpụkpụ niile, ebe mgbawa acromioclavicular na-eme 12%-35% nke mmerụ ahụ scapular.Agbanyeghị, njikọta nke mmerụ ahụ abụọ dị obere.Ọtụtụ n'ime akwụkwọ ndị dị adị nwere akụkọ ikpe.Ojiji nke usoro TightRope jikọtara ya na ndozi efere clavicle nwere ike ịbụ ụzọ ọhụụ, mana ntinye nke efere clavicle nwere ike igbochi ntinye nke TightRope graft, na-ebute ihe ịma aka nke kwesịrị ilebara ya anya.

Ọzọkwa, n'ọnọdụ ebe a na-enweghị ike nyochaa mmerụ ahụ jikọtara ọnụ tupu oge eruo, a na-atụ aro ka ị nyochaa nkwụsi ike nke nkwonkwo acromioclavicular mgbe a na-enyocha ọkpụkpụ clavicle.Ụzọ a na-enyere aka igbochi ileghara mmerụ ahụ anya n'otu oge.