· Whakamahi Anatomy
Ko te roa katoa o te clavicle he subcutaneous me te ngawari ki te tiro. Ko te pito waenga, te pito hiku ranei o te korokoro he maru, me te anga o tona mata ki roto me te whakararo, ka hangai te hononga sternoclavicular me te kakari o te kakau sternal; ko te pito o te taha taha, o te pito acromion ranei, he maamaa, he papatahi me te whanui, me tona mata toi acromion he ovoid me waho me te whakararo, ka hanga te hononga acromioclavicular me te acromion. He papatahi te papa o runga me te porotaka i waenganui o te taha o mua. He nuku taratara o te here costoclavicular i te taha waenga o raro, kei reira te hononga o te costoclavicular ligament. Ko te taha ki te taha o raro ko te node conical me te raina oblique me te here conical o te rostroclavicular ligament me te oblique ligament attachment, ia.
· Tohutohu
1. Te pakaru o te kookiri e hiahia ana ki te tapahi me te whakaiti i te whakatikatika o roto.
2. Ko te osteomyelitis roa, ko te mate kohi ranei o te clavicle me tango i nga wheua mate.
3. Me tapahi te puku kookiri.
· Te tūnga tinana
Ko te tuunga ki runga, he paku whakanekehia nga pakihiwi.
Nga hikoinga
1. Hangaia he tapahi ki te taha o te ahua S-ahua o te korokoro, me te toro atu i te waahi ki te taha o runga o te taha ki te taha o roto me waho me te waahi o te whiu hei tohu, me te waahi me te roa o te waahi ka whakatauhia i runga i te waahi me nga whakaritenga mahi (Whakaahua 7-1-1(1)).
Whakaahua 7-1-1 Te Ara Whakakitenga Clavicular Tuhinga o mua
2. Whakawetohia te kiri, te kiko o raro me te fascia hohonu i te taha o te werohanga, ka whakaatea te kiri ki runga, ki raro ina tika (Whakaahua 7-1-1(2)).
3. Tuhia te uaua vastus cervicis ki te mata o runga o te clavicle, he taonga te uaua i roto i nga oko toto, whakarongo ki te electrocoagulation. Ka werohia te periosteum ki te taha o te mata kikoo mo te wehenga o raro, ko te sternocleidomastoid clavicle kei runga o roto, ko te pectoralis major clavicle kei roto o raro, ko te uaua trapezius kei runga o waho, me te uaua deltoid kei te taha o raro. I te wa e tango ana i te subclavian o muri, me tino mahi te tihorenga ki te mata o te kōiwi, me noho tonu te kaihoroi whakahaere kia kore ai e kino nga oko toto, nga nerves, me te pleura o te papa o muri (Whakaahua 7-1-2). Mena ka whakaarohia kia whakamahia te whakatikatika o te pereti, ka tiakina tuatahi nga kopa ngohe huri noa i te clavicle ki te tangohanga periosteal, a ko te kohao drill me tuku ki mua ki raro, kaua ki muri ki raro, kia kore ai e whara te pleura me te uaua subclavian.
Whakaaturanga 7-1-2 Te Whakakitenga i te Raraunga
Wā tuku: Noema-21-2023
