Sternoclavicular ngokuhlanganyela: isakhiwo

ngokuhlanganyela Sternoclavicular akuyona into ebonakalayo kwesinye ngokucacile. Ngokuvamile ubonakala abantu abangekho ezacile noma astenikov. Ephambi kwezinduna nengcosana amafutha ongama ungabona. Ngo abantu esisindo evamile noma ukwanda kwemithwalo ke zibukeke izakhamuzi zaseBosnia zifana. Palpation uholwe ithambo clavicular, phakathi lapho, at kwalapho we sternum, ngezansi izimbobo entanyeni ezimbili ziyalingana sternoclavicular ngokuhlanganyela.

Ubunikazi nendawo joint

Sternoclavicular ngokuhlanganyela - kuba kuhlangana ne sternum ithambo clavicular. It has an ukuma quin, okuyinto ikuvumela ukuba bavale isikhala umehluko isayizi shape we ukusikeka amathambo clavicle, siyivumele ukuba ukufanisa kahle nomunye. Kutholwe ngaphakathi ngokuhlanganyela disk articular okuyinto ivala isikhala ingcindezi phakathi amathambo, njengoba isici yokuxhuma. Ngaphezu kwakho konke kwakwakhe asibekela izicubu cartilaginous ukuvikela ngokumelene ithonya zangaphandle kanye umonakalo.

ngokuhlanganyela Sternoclavicular. sici

Injongo enkompolo Ilunga kulapho nasemilenzeni engenhla esifubeni ngokuhlanganisa clavicle ithambo nesiphanga amabhande emzimbeni. Esikhathini sawo sokuphila imvelaphi ngokuhlanganyela sternoclavicular - a rudiment, okuyinto okuxubene imilenze engenhla futhi phambi, hhayi kuphela e abantu kodwa futhi izilwane ezisukela ezihuquzelayo. Kuyinto okuhlala kakhulu futhi ehilelekile ukuhamba ngezandla, eNkathini Yezinguquko. Lokhu ikakhulukazi wezwa ubuhlungu obungakanani lapho wacosha izingalo bese ngihlaliswa phansi. Lokhu uxhumano ikuvumela ukuhambisa clavicle e-eksisi ezinkulu ezintathu, ukuvumelanisa nge ngokuhlanganyela ehlombe, osekelwa apharathasi enamandla uqine kakhulu ligamentous.

isakhiwo

ngokuhlanganyela Sternoclavicular lesi sijame njengebhoksi sehhashi-ngokuhlanganyela. Ngokusho isakhiwo kwalo unohlobo yokuxhumana, kokuba concavity futhi convexity elihambisana nomunye. Lokhu kuhambisana enezimbazo ezimbili nokwenza ngokukhululekile ukunyakaza kubo, ngokombono Mechanics elula kuyinto ngokuhlanganyela jikelele. isakhiwo Its kuhlanganisa enjalo izicubu cartilaginous :

• uqwanga esehlanganise ithambo clavicular;
• uqwanga esehlanganise ukucindezeleka sternocostal;
• uqwanga disc;
• uqwanga ukumboza ngokuhlanganyela.

Ngakho, ngo-isakhiwo ngokuhlanganyela kuhlanganisa:

• ekupheleni medial we clavicle ukuba ubuso bayo ezinkulu;
• i-bundle Upper;
• umsipha anterior;
• kweqembu costoclavicular;
• posterior umsipha;
• arc ngilugweda ebusweni sternocostal.

Futhi ngokuhlanganyela sternoclavicular isekelwa:

• umsipha Intervertebral sisalokhu phezu jugular notch umgodi phakathi sternum clavicular ithambo eziyimpumelelo.
• Inxanxathela sternoclavicular nemisipha. Ngu isikhundla zalo, bukhomba ngaphambili, evele akha eliphezulu ngokuhlanganyela, gcizelela ngamandla alo.
• Enamandla kakhulu futhi eyizingqabavu besigaxa sternum - costoclavicular. Lolo hide luqala ngo onqenqemeni engenhla ubambo kuqala futhi clavicle evuka. Izilawuli nomkhawulo phezulu ephakamisa clavicle.

ngokuhlanganyela Sternoclavicular, kokuba isakhiwo sehhashi emise, le iyakhumbula eyindilinga e izici ukunyakaza kwabo.

ukulimala

Ngenxa indawo yayo olukha phezulu kanye indima kule nhlangano phakathi amathambo namalunga ka kwebhande ehlombe isiqu uqobo ingqwababa nezihlanganiso enamathiselwe nalokho, ngokuvamile kuncike waphuka futhi dislocations. Dislocation kwenzeka ngenxa ukunyakaza ngokushesha ibhande ehlombe posteriorly noma ngaphansi futhi emuva. zidabukile Ngakho umsipha anterior, ukwakha subluxation. Lapho elinamandla kule ngokuhlanganyela seziklebhukile zonke nemisipha, idedela ingqwababa we fossa glenoid, ukwakha dislocation we ngokuhlanganyela ukuthi kalula obonwa ngokubukeka kwabo. Olunye uhlobo dislocation kwenzeka uma umthelela ingqwababa futhi ngokuhlanganyela oqondile, okungukuthi ngu nomthelela ngqo noma nengcindezi enamandla lapho zidabukile posterior umsipha. dislocation okunjalo kwenzeka ngaphakathi thorax. Ngakho kwenzekani lapho zihlatshwa joint ngu kokucindezelwa enamandla emahlombe phambili nangaphakathi. Njengomthetho, miphumela waphawula ukwa wokuqala noma ngowokuqala izimbambo ezine sternum.

isifo

Ngenxa yale njongo, joint libhekene izifo ezifana ankylosis, okuyinto umphumela arthritis gonococcal noma samathambo. Ngemva engamashumi amane ubudala kukhulunywa ngayo kaningi isifo osteoarthritis, ngaleso amafomu sayo samanje osteophyte abekelwe emaceleni ekhanda we clavicle. Soreness okubangelwa lapho eyizwa sternoclavicular ngokuhlanganyela, crunching, ukuvuvukala kufanele kube isikhathi evakashele Udokotela wemisipha namathambo.

necrosis Avascular eziboshelwe ngasekugcineni sternum we clavicle, okuyinto engcono eyaziwa ngokuthi Friedrich Syndrome, futhi kunqunywe palpation. Kubangela ukuvuvukala okubuhlungu kwezicubu emhlabeni joint, ukuvuvukala kanye ububomvu lomkhuba kwesikhumba. izinguquko Giperostoznye exhunywe ekupheleni ithambo clavicular ziboniswa at isifo zemabula (isifo Paget sika). Hyperostosis ukubonakaliswa ejwayelekile ka ugcunsula azalwa nako.

Ukuxilongwa izinguquko emalungeni

Izindlela izifo nezinkinga zempilo emalungeni sternoclavicular kukhona wokuhlola kanye palpation,-X-ray of amathambo esifuba. Zonke izifundo yayiqhutshelwa ukuhlukumezeka udokotela ohlinzayo noma Udokotela wemisipha namathambo. Uneminye ukusonteka asymmetry, ububomvu noma ubuhlungu ngesikhathi ukunyakaza emalungeni sternoclavicular, ukubukeka ezinyakazayo endaweni ziwe ibonisa esinye sezifo eziphawulwe ngenhla okunzima noma umonakalo.

Palpation, iminwe okwesibili nokwesithathu ngakwesokunene, futhi lo dokotela isendaweni emuva noma uhlangothi nesineke. Iminwe asethwe e phakathi sternum futhi eqondiswa ekhosombeni ngaphansi entanyeni yesiguli, siphumputha ngokuhlanganyela. Ukuze ukuthola kangcono nesineke sakhe wabuza ukuba baphakamise izandla ngendiza ovundlile, okuyinto lula kakhulu ukuthola.

ngokuhlanganyela Sternoclavicular e isakhiwo ilula. Kodwa eqinile ngempela, ophethe nemilenze exhunywe esifubeni. Endabeni ka umonakalo joint ingalo ukunyakaza ayokhawula kakhulu, futhi zibangele ubuhlungu.