He aha te whakakorikori o te hononga acromioclavicular?

He aha te whakakorikori o te hononga acromioclavicular?

Ko te piko o te hononga acromioclavicular e pā ana ki tētahi momo whara pakihiwi e pakaru ai te hononga acromioclavicular, ka puta ai te piko o te clavicle. He piko o te hononga acromioclavicular i puta mai i te kaha o waho e pā ana ki te pito acromion, ka meinga ai te scapula kia neke whakamua, kia heke rānei (ki muri rānei). Kei raro nei, ka ako tātou mō ngā momo me ngā maimoatanga o te piko o te hononga acromioclavicular.

Ko ngā wehenga o te hononga acromioclavicular (ngā wehenga, ngā whara rānei) he mea noa ake i roto i te hunga e whai wāhi ana ki ngā hākinakina me ngā mahi ā-tinana. Ko te wehenga o te hononga acromioclavicular he wehenga o te clavicle mai i te scapula, ā, ko tētahi āhuatanga noa o tēnei whara ko te hinganga ka pā te pito teitei o te pakihiwi ki te whenua, te pānga tika rānei ki te pito teitei o te pakihiwi. He maha ngā wā ka puta ngā wehenga o te hononga acromioclavicular i roto i ngā kaitākaro whutupaoro me ngā kaieke pahikara, ngā kaieke motopaika rānei i muri i te hinganga.

Ngā momo o te wehenga o te hononga acromioclavicular

II°(taumata): kua nekehia te hononga acromioclavicular, ā, ka totoro pea, ka haehae rānei te hononga acromioclavicular; koinei te momo whara o te hononga acromioclavicular e tino kitea ana.

II° (taumata): he nekehanga wāhanga o te hononga acromioclavicular, kāore pea e kitea te nekehanga i te wā e tirotirohia ana. He haehae katoa o te hononga acromioclavicular, kāore he pakaru o te hononga rostral clavicular

III° (taumata): te wehenga katoa o te hononga acromioclavicular me te haehae katoa o te hononga acromioclavicular, te hononga rostroclavicular me te capsule acromioclavicular. Nā te korenga o te hononga hei tautoko, hei kukume rānei, kei te piko te hononga pakihiwi nā te taumaha o te ringa o runga, nō reira te āhua o te clavicle e kitea nuitia ana, e hurihia ana ki runga, ā, ka kitea he tōnga i te pakihiwi.

Ka taea hoki te whakarōpū i te kaha o te pakaru o te hononga acromioclavicular ki ngā momo e ono, ko ngā momo I-III te mea tino kitea, ā, ko ngā momo IV-VI he onge. Nā te kino o te kino ki ngā hononga e tautoko ana i te rohe acromioclavicular, me rongoā pokanga ngā whara momo III-VI katoa.

Me pēhea te rongoā i te kokiritanga o te acromioclavicular?

Mō ngā tūroro e pakaru ana te hononga acromioclavicular, ka whiriwhiria te maimoatanga tika i runga i te āhua o te hononga. Mō ngā tūroro he mate ngawari, ka taea te maimoatanga ā-pūmau. Ina koa, mō te pakaru o te hononga acromioclavicular momo I, he rawaka te okioki me te whakatarewa ki te tauera tapatoru mō te 1 ki te 2 wiki; mō te pakaru o te momo II, ka taea te whakamahi i te whitiki tuara hei whakaū i te nekehanga. Ko te maimoatanga ā-pūmau pērā i te whakau me te aukati i te whitiki pakihiwi me te tuke; ko ngā tūroro he mate kino ake, arā, ko ngā tūroro he whara momo III, nā te mea kua pakaru te capsule hononga me te ligament acromioclavicular me te ligament rostral clavicular, ā, me whakaaro ki te maimoatanga pokanga mō te hononga acromioclavicular.

E whā ngā wāhanga o te maimoatanga pokanga: (1) te whakau ā-roto o te hononga acromioclavicular; (5) te whakau maukati o te tuara me te hanga anō i te hononga; (3) te tango i te clavicle distal; me te (4) te whakawhiti uaua kaha.