Anterior Clavicle Kuwulura Njira

· Anatomy Yogwiritsidwa Ntchito

Kutalika konse kwa clavicle ndi subcutaneous komanso kosavuta kuwonera.Mapeto apakati kapena apakati a clavicle ndi ovuta, ndi malo ake ozungulira akuyang'ana mkati ndi pansi, kupanga mgwirizano wa sternoclavicular ndi notch ya clavicular ya chogwirira cha sternal;Mapeto a lateral kapena acromion mapeto ndi okhwima ndi athyathyathya ndi aakulu, ndi acromion articular pamwamba ovoid ndi kunja ndi pansi, kupanga acromioclavicular olowa ndi acromion.The clavicle ndi yathyathyathya pamwamba ndipo mozungulira mozungulira pakati pa anterior margin.Pali kulowera kovutirapo kwa ligament ya costoclavicular kumbali yapakati pansipa, pomwe ligament ya costoclavicular imamangiriridwa.Kumbali ya pansi pali conical node ndi oblique line ndi conical ligament ya rostroclavicular ligament ndi oblique ligament attachment, motero.

· Zizindikiro

1. Kuphulika kwa Clavicle kumafuna kudulidwa ndi kuchepetsa kukonza mkati.

2. Matenda osteomyelitis kapena chifuwa chachikulu cha clavicle chimafuna kuchotsa mafupa akufa.

3. Clavicle chotupa amafuna resection.

· Malo a thupi

Chapamwamba, ndi mapewa okwezeka pang'ono.

Masitepe

1. Pangani chodulira motsatira mawonekedwe a S a clavicle, ndipo tambasulani chodulidwacho m'mphepete chakumtunda kwa mbali yamkati ndi kunja ndi malo a zilondazo ngati chizindikiro, ndi malo ndi kutalika kwa chotupacho. zidzatsimikiziridwa molingana ndi zilonda ndi zofunikira za opaleshoni (Chithunzi 7-1-1 (1)).

Chithunzi 7-1-1 Anterior Clavicular Manifestation Pathway

2. Pukutsani khungu, minofu ya subcutaneous ndi fascia yakuya pamodzi ndi kudulidwa ndikumasula khungu la khungu mmwamba ndi pansi ngati kuli koyenera (Chithunzi 7-1-1 (2)).

3. Phulani minofu ya vastus cervicis kumtunda wa clavicle, minofu imakhala ndi mitsempha yambiri ya magazi, tcherani khutu ku electrocoagulation.Mitsempha ya periosteum imayikidwa pambali pa bony pamwamba pa subperiosteal dissection, ndi sternocleidomastoid clavicle kumtunda wamkati, pectoralis yaikulu clavicle pamunsi mkatikati, minofu ya trapezius kumtunda wakunja, ndi minofu ya deltoid kumtunda wakunja. .Pochotsa posterior subclavian, kuvula kuyenera kuchitidwa mwamphamvu motsutsana ndi fupa, ndipo chowongolera chiyenera kukhala chokhazikika kuti zisawononge mitsempha ya magazi, mitsempha, ndi pleura ya posterior clavicle (Chithunzi 7-1-2).Ngati alangizidwa kuti agwiritse ntchito screw fixation ya mbale, minofu yofewa yozungulira clavicle imatetezedwa poyamba ndi periosteal stripper, ndipo dzenje lobowola liyenera kulunjika kutsogolo pansi, osati kumbuyo pansi, kuti lisavulaze pleura ndi mtsempha wa subclavia.

 Chithunzi 7-1-2 Kuwonetsa Clavicle