Haehaeia ligaments o ka poʻohiwi hui: Symptoms a me ka iapaau ana

Inā mākou e pili ana i ke kumumanaʻo i ka hana ua i mai ka Keko kanaka, ka mua ka anu u ma keia lōʻihi a me ka pilikia ala a pau a hiki i ka'ūhā mua ami. Ua ua i kona kū hoʻokahi 'ole i hiki ma ka hp'pnphp Hoʻohana o ke keena lala e loaʻa i ke koena o nā hana mammals ooieoeiiaeuiuo hiʻona.

I huli ai oe, me ka nui loa hoʻonui kona oihana, mai ka olelo kākoʻo ka wā e neʻe, ua lilo kekahi o ka loa traumatized māhele o ke kino kanaka lima. Ma keia manao, o ka poino o ka poohiwi kaei, a pinepine accompanies ka haehaeia ligaments o ka poohiwi hui, aia i loko o ka wahi o ka nānā 'ana o clinicians. A me ka mole kumu o keia - hiki lilo o ke akamai, e hana, a me ka mea ino, he kanaka me ka kino kīnā pono paha i nā manaʻoi hoʻokoe 'hoola poino.

Pōkole anatomical pili

Ke kū hoʻokahi o ka'ūhā mua ami ua hoike like me ka lākiō o kona oiaio articular surfaces. Ma ke kahua o ka iwi hehee wale i pili 'ole mau iwi: ka maka a me ka humerus. Ke articular ili o ka humerus ua poe spherical poo. Me ka pili ana i ka concave ili o ka glenoid lua ka'ololaha ke kōmi 'āpana ia mea ma kahi o eha manawa uuku ma mua o ka wahi e pili i ka poepoe.

'Eu mai o ka papa maka ua offset cartilage ke komo lima - anuanu connective' ole, i kapaʻia articular lehelehe. He kēia fibrous hehee ai, pu me ka mea hōʻikeʻikeʻuʻuku a puni i ka hui, a leie aku la ia ia e ia i loko o ka pololei anatomical ke ano, a ma ka mea ia manawa, e hana i ka mea hiki ole huahelu o ka noi, i ka hiki ana ma ka ape pua paha o nā mea a pau i ka'ē aʻe ami.

Hoʻokoe iho i ka mau ligaments a me nāʻiʻo ka ho'ā ana

Ua kōkua lahilahi synovium ami mea hōʻikeʻikeʻuʻuku noho ma kona anatomical 'ole ikaika rostral-humeral ligament. A me ka mea i loko o ke ami hoi e holo ana aua keu-articular mea hōʻikeʻikeʻuʻuku bloat biceps tendon (biceps) a me ka subscapularis nāʻiʻo. Mau ekolu connective kaula a me koʻu hoomanawanui ana'ku ia ina he mea kekahi rupture o ligaments o ka'ūhā mua ami.

Subscapularis, deltoid, above- a me ka podkostnaya, nui a me ka meaʻuʻuku a, e like me ka pectoralis nui, a latissimus dorsi haawi aku i ka ami i ka laulā huahelu o ka neʻe 'ana a puni a pau ekolu nā koʻi lipi. Biceps i loko o ka neʻeʻana o ka'ūhā mua ami, aole ia e komo.

Nā palapū i ka'ūhā mua a me nā hui kumu o nā palapū

Mawaena o ka loa e like me nā palapū o ka'ūhā mua ami kala paopao koke mai oia. Hiki sprains ke ami hoi i ka hapa 'a piha rupture paha me ia. Dislocation hui, ke kūʻai 'a keu-articular avulsion fracture hakina (i loko o ka IeIIeYOA ligaments) i waena o nā nā palapū loa hoʻoponopono.

I ka papa kuhikuhiE kumu o ka poino i ka'ūhā mua ami mea he pololei pahaʻauhau'ēʻaʻe ia ma luna o kona me mechanical 'ole. Kēia paha ia i ka pololei LIKE, a haule iho la ia lima kākāuha i mua. Pahikaua excessive Muscle hoʻopilikia, neʻe i ke ami, a me kekahi ulia neʻeʻana o ka nui puke i i like me ka sprain a dislocation o ka ami. Ana pu ma ko lakou mau haehaeia ligaments o ka'ūhā mua ami (kiʻi hoikeia ma lalo nei), ka mea pono,ʻaʻole hana wale loa nā palapū, akā, i hoʻihoʻi aku i ka pono o ka ligament nakeke.

Na hoailona o ka ligament rupture

Pilikia ana, e hoʻomaka ai ka wā he mea kekahi e haule pu iho i loko o ka haawi mai ia mai imua a hiki i kaʻaoʻao lima. Ua mea no hoi e hiki ligament rupture ku i kaʻoi o ka neʻeʻana i loko o ka i kā mākou ana loa a kāʻawe aku hoʻi paha ma ka lima, no ka laʻana ka wā i hāʻule mai ke kiekie.

Hele pū ana me poino a me ka rupture o ka mea hōʻikeʻikeʻuʻuku o ka'ūhā mua ami ligaments symptoms i wehewehe aku eʻoi kaʻeha ma ka manawa o ka poino, a me ia mea maopopo nui no ka discontinuity, no ka neʻe houʻano papa hana o ka hewa. Eia ulu edema āpana o ke poho i alters ka waho ami hoʻonohonohoʻia. Ma waho aʻeo ia edema, haanou ana i loko o ke kahua e komo kahawai 'o mai ka pōʻino, ua make na moku ma na tendons, nāʻiʻo a me ke koko i ke koko.

Additional ano o ke kālailaiʻana i ke oolea o ka eha

Mawaena o ka lapaʻau noiʻi kiʻina hana, hiki traumatologist e ike ai i ko laila mea he hapa rupture o na ligaments o ka'ūhā mua ami a me ka huina poino, kū kani ultrasonicʻike, a me kaʻume mākenēki resonance kiʻi. Nā kiʻina hana mai i halihali kahahānai haawe ana, akā, i ka nui loa resolution. Ma kekahi, MRI e leie aku ka mea i kā mākou pono, e hooholo i kaʻike, a me ka maikai o ka nohoʻana.

Radiography a Me tomography e lawe mai i mea e pale aku iwi lesions: fractures (me palapala), dislocations, conjugated me ka fracture a me dislocation o ka'ūhā mua ami. Pinepine i hoʻohana arthrocentesis. Arthroscopy hula i loko o kēia degenerative loli o connective'aʻaʻa nā hale o ka ami a me ka haki ana o ka mea hōʻikeʻikeʻuʻuku. Ma kekahi mau hihia, i hoʻohana arthrography.

Ke degere o ka oolea o ka eha

Ka panina kaawale ana o ka poe noonoo ole, lōpū i ka loa poino, a me ka noi aku i haehaeia ligaments. Ma kekahi hōʻemi iki poino o ka poohiwi hui, kŘpa a ligaments, ka lolouila moe me ka hapa poino i na ligaments o na olona,, oiai e malama ana i ka pono o na moku koko, nä olonä a me nāʻiʻo. Wehewehe aku ma ka hapa 'awelike degere o ka puluniu waimaka a pau o na tendons, na nāʻiʻo a puni ka poino kuleana komo i loko o ke kaʻina hana, ka ami mea hōʻikeʻikeʻuʻuku hiki ke poino. Ka mua pili i ka ke degere sprain, i ka lua o ka - stretchability hapa discontinuity.

Loa poino pu ma ka piha nahae tendon pono o ka 'ole (ligament) - discontinuity poʻohiwi ami ligaments kūloko vascular poino, a me nā aʻalolo komo ana o mā ma ka ami mea hōʻikeʻikeʻuʻuku. Ma keia kuhelu 'a me ka intraarticular avulsion fractures, ami hemorrhage (hemarthrosis).

Ka iapaau ana i ke kaʻina hana

Ke kaumaha ma muli o ka nui o ka oolea o ke poho a hiki i ka'ūhā mua hui ligament i hoʻomākaukauʻia, makeʻe kulana a operative'āpana hana e hiki ke hoʻohana. Inā he mea kekahi hapa rupture o ligaments o ka poohiwi hui, lapaʻau ua kaupalena 'i ka makeʻe kulana ki ina hana like. Haʻapili analgesia a me ka immobilization (immobilization). Paha kau bintovoy paha puna nou ana la o, ke kaumaha ma muli o ka oolea, ke ano o ka ino a me ka buke o ka loli ana i nā hale. Bintovuyu ole puna immobilisation orthesis hiki e puku i (ka poe hao wale) o ka'ūhā mua ami a me kaʻoʻoleʻa fixation meakino.

A piha wanaao ae, pela me ka poho ana i na nāʻiʻo a me ka hui capsules, hoʻohanaʻoki kino. Ka luahi Pono ka hospitalization trauma holoʻokoʻa a me ka hou loa-makahiki hoʻopulapula ma hope o hookuuia mai o ka haukapila.

Hana ana hewa ke ola alakai

Ka koke ke? Iaea nahā o ka'ūhā mua ami ligaments hana e e pili, i ka maikaʻi o ka hiki wale mai no i ka piha hou ana o ka hui hana, a malalo o ka pakeneka o ka hewa complications. ʻoki lāʻau lapaʻau? Aiiio o ka pōʻino, ua make ligament (tendon) e pili Muscle, a me ka hoʻopau o ka poino vascular kina mea hōʻikeʻikeʻuʻuku ho'ēmi i kā i kā lākou crosslinking.

Ma lalo o kekahi mau anesthesia (narcosis) pololei ke kōkua o ua i luna o ka pōʻino, ua make locus layerwise dissection a me ka hookaawale ana o ka'aʻaʻa. Mā loaʻa hoʻi iaʻu ma sutured. Kaʻeha Ua paa i ka papa. Ma ka postoperative wā kakahiaka nui ka hoʻohana 'ana i ka puna hoolei immobilization me ka puka no postoperative suture.

Hoʻouna 'puna immobilization a me ka haukapila lapaʻau e nānā' ia ma ka buke o ka maikaʻiʻole ia ma nā hale. An nui ololi no ka helu o ka moe-lā o ka makahiki o ke ahonui, i ke ano o kana hana, a me ke kākoʻo '-morbidities.

Poino i na ligaments o ke kuʻekuʻe aku

He loa pohihihi keia ma ka hale rula, o ka ino i oi typical o ka 'oihana' âlapa, ka wā hoʻohanaʻeleu a me kaʻoi nalu lima, manao ma ke kuʻekuʻe aku. 'Ākena hui kikowaena, mua o nā mea a pau, Hana âlapa pôhili me, kolepa kaulana, handball, pôhili, a me ka wai i ka polo wai.

Loa pinepine hana ino iki mai annular ligament o ke kahahńnai, ulna collateral ligament, a kahahānai. He He hoailona o ke poho a hiki i ka eha, mahuahua i neʻe. Wehewehe aku ma ka edema, hemorrhage i loko o ka puni'aʻaʻa. Chance o hemarthrosis. Inā he mea he piha rupture o ligaments, i ke iki offset forearm iwi i loko o ka ami.

Radiography apono 'e differentiate i ka fracture o dislocation. MRI e hōʻike kahi IIeEeAIEUIeXAIIUE rupture o ligaments o ke kuʻekuʻe aku. Lapaau ana i ka helehelena, a kāpili rupture o ka makeʻe kulana. Pili immobilization no kekahi mau pule. A piha wanaao ae ua i ka eaʻoki lāʻau lapaʻau poino ligaments.

Pōkole'anatomia o ka na pulima oʻu ami

Eiiieaena i 'ole i hana ami articular cartilage ili o ka pāhawewe papa a me ka ulna ma ka forearm a me ka scaphoid, lunate a me triangularʻaoʻao palaki. Pisiform iwi o Nyos i loko o ke Keena Kalaiaina o ka tendon a me ka pololei komo i loko o ke kahua o ke ami, aole ia iʻae.

Hooikaika ami elima ligaments. Ka lāʻau o ke kuʻekuʻe aku, a na pulima oʻu ligament, mai ka 'ilikai hoʻi - hoʻi o ka pūpū palaki. Ma na aoao i ke kīloi paʻewa palmar (ma kaʻaoʻao o ka manamana nui) a me ka ulnar (lima ikiʻaoʻao) ligaments.

Poino i na ligaments o ka na pulima oʻu, ua nui rarer ma mua o ka mea i haehaeia ligaments o ka'ūhā mua ami. Akā, oi ma mua o ke kuʻekuʻe aku ligaments.

E uhai i ka pulima oʻu ligaments

Keʻano papa hana o ka hanana o nā palapū pili me ka hāʻule i loko o ka mua, i hooleiiaʻi mawaho lima a me ka lāʻau a hiki i ke alo a straightened palaki. Ke kulana o ka lima i ka manawa o ka hewa ka pololei pili e hooholo i o ka ligament i ke poino. Ka hapa nui o nā mea a pau poino connective e ku pono ana i ka pa 'ole o ka palaki.

Top hiʻona o ligament poino: eha, edema, hoʻopōʻino olelo papa a me ka pahee'aʻaʻa hematoma. Inā he mea eha ma luna o ka neʻeʻana i loko o ka manamanalima a me ka lima o ka mea maoli he ikaika i ka huli i loko o ka hui, ka mea hiki ke manao haehaeia ligaments o ka na pulima oʻu ami. Symptoms i complemented ma ka noiʻi i loko o kaʻike, o ka lako e: X-Ray - e hookaawale ia iwi fractures, ultrasound a / a MRI. Ka mea, e pono e hooholo i ke ano o ka poino ana o ligaments a me nā pahee nā'aʻaʻa puni i ke ami.

Like i loko o kekahi 'ē aʻe hihia, ina he mea kekahi ligaments o ka na pulima oʻu hui, ka iapaau ana, e hilinaʻi ma ka oolea o ka eha. I ka mehana a me ka lōpū oolea pili makeʻe kulana ma lalo o kaumaha - hana ana ka hoʻolālā.

Nānā 'ole o ka mea ano o ka poho ana, i ke ano o ka pono o ka hui kanu'ōiwi nā' aʻe ana, ua poino he ami, na pulima oʻu, kuʻekuʻe aku, a he mea he hapa 'a piha rupture o na ligaments o ka poohiwi hui, lapaʻau E mau e lawelawe ma ka hoʻomalu. OAXA kuka i loko o ka Profile pahu (fracture? Aaieou i trauma i loko o ka? Aaieou paha i loko o ka loaa oihana o ka haukapila traumatological). He oi loa oiaio o ka noho 'ana kamaliʻi trauma, e like me ka mea uuku hoʻomanawanui iki mai, aia no he helu o ka makahiki-pili hiʻona i hiki hūnā au i ka eha nui. A lohi imi kupono 'inikua kōkua ke alakai i ka io loa-manawa hopena.