Clavicle fracture: Symptoms a me ka iapaau ana

Clavicle fracture - he 'ano pinepine eha. Ua hiki ia i ka hopena o ka pololei loa ia ia, akā, oi pinepine i ka hihia aie a hiki i ka haule ana ma ka, ua kīkoʻo akula paha manao i ke kuʻekuʻe aku, kahiko a meʻaoʻao o ka poohiwi. Ka loa kūlana wahi i ka waena hapakolu o ka iwi, a me ka mokuna ma waena o ka mea, a me ka lua o kolu - keia mea i ka loa ke kino a me ka uma noho.

Mea Maluna

Ka loa, he pono ole i loko o nā mākua i kēia kekahi fracture:

- kea;

- comminuted (ka loa luna ', a me na hakina, neʻe hoahanau i kekahi i kekahi);

- kēlā.
Ma na keiki, i ka loa, he pono ole fracture o ke ano o ka "uliuli lālā" - subperiosteal. Ma kekahi mau hihia, ka meaʻino i ka neurovascular laulau a me ka Dome o ka pleura, i kekahi manawaʻoi? Inoaia puka nō ia o ka ili.

Pehea e ike kekahi lahuikanaka i mokumokuia collarbone

Ke easiest ala eʻike hoʻoneʻe fracture. Mai ka pōʻino, ua makeʻaoʻao poʻohiwi ami pili ana i ka mea 'ē aʻe mea iki lalo a anteriorly. A kanaka me ia i ka pilikia ana e malama i ka manao lima ma ka torso, ka malama ana i kou mau kuʻekuʻe lima. Ka lima kahi mea akaka hou ma mua o ka hapa o ke olakino collarbone. I ka mea e like me mamua, a me ka poo ua lń i, i ka fracture paena hiki hemorrhage a me kaʻeho no ka mea ola. I na keiki, na symptoms o ka clavicle fracture e ho'ēmi i nani a me ka eha ma palpation, e i i pēpē. E hōʻoia i ka alo ana o fractures a me ka hooholo kona 'ano, hoʻomaka X-Ray ninaninau.

Lapaʻau o clavicle fracture

e hoi aku i ka pololei kulana iwi koena ai, ua leha lima mai, a haawi ia hoʻi, nae, e koho i kēia kahua ka loa paʻakikī. Eia naʻe, hiki ina ka collarbone srastetsyaʻAʻole nō i pono, nui loli, nā loiloi a me ka aesthetic, IeAUPIIe, IAa IO 'aʻole e ala mai oe. Ke wale nō koe o ka lōʻihi-makahiki fixation o ka poohiwi hui, i hiki ke alakai i ka oolea. Clavicle fracture ua malamaia lakou nei, me ka hōʻemi iki offset ai ole offset me 8-hoʻokino lole wili, a ua superimposed ma o ka mālama '-anesthetized hoʻohana 20ml 1% novocaine, wahi. Kanaka makua nā mea maʻi lole wili hooikaika puna bandages, a me nā keiki i ka mau kāki. Inā he luna 'trauma, he nui koena ai, ikaika biased kūikawā kaea Ua hoʻohana' ia mawaena o lakou iho. Ua ua i mai o nā pāpale hainakā ma Cramer, anuenue, a ua hoʻopili. Oia ka mea a paa wili lauoho i ka distal apana nahaha mea i loko o ka hoalaia wahi, a me ka iki waiho hoʻi.

I ka lole wili Ua wehe 'ia ma hope o 2-4 pule, ke kaumaha ma muli o ka ka manaʻo pohihihi o ke poho functioning i na mea kaua e maopopo hoihoi hou ia ma hope o 4-7 pule ma hope o ka fracture. Keia'ōpā pū 'oleʻino wale i neurovascular puapua, a me ka wā o ka pilikia o kaʻeha o kona ano hoopono ia ae ho'āʻo ana e reposition iwi koena ai ua lawe mai pilikiaʻoki kino. Nō hoʻi,ʻoki kino ua hōʻike ma ka hihia me ka nui pohupani hale o ka iwi koena ai. Ma ka hooko ana mai i kēia manipulation collarbone paa Via mau huila a me kila koʻokoʻo, a ua wehe 'ia ma hope o 3-4 mahina. Removal ua hana ma lalo o kūloko anesthesia. Ke incision no kēia mea i loko o ka wahi, kahi a ka palpable hope o ke kookoo.

Clavicle fracture i loko o nā pēpē i

Mawaena o ka hanau ana mā o ka musculoskeletal'ōnaehana, o clavicle fracture ia lŘlŘ loa pinepine. Kahi o 3% o nā keiki i me keiaʻike, i hanau. Ke kumu paha ia i ka kokololio haawi, pololei ole kulana o ke keiki a me nā kumu i e ka mea paakiki e paipai i ka nascent bebe ma ka hanau ana Canal. E like me ka hopena, i ka bebe poʻohiwi'uī makuwahine pelvic iwi, a me he mea he fracture. Hana i kēia mau hoʻomanawanui iki mai opiopio, pribintovyvaya i ka 'au i ke kino, puni iho la ma waena o ka pulupulu pale. 5-8 lā ka congenital fracture e hoola i loa, neʻe hoihoi hou ma hope o kekahi manawa a me kekahi mea e like mea i hanaia.