Jabka ku dhaca lafta qoorta oo ay weheliso kala-goysyada lafta dhabarka ee ipsilateral acromioclavicular waa dhaawac naadir ah oo ku dhaca dhaqanka caafimaadka. Ka dib dhaawaca, jajabka kala-goysyada ee lafta dhabarka ayaa si tartiib tartiib ah u dhaqaaqa, kala-goysyada la xiriira acromioclavicular-na waxaa laga yaabaa inaysan muujin barokac muuqda, taasoo ka dhigaysa mid u nugul in si khaldan loo ogaado.
Noocan dhaawaca ah, waxaa badanaa jira dhowr hab oo qalliin ah, oo ay ku jiraan saxan jillaab dheer, isku-darka saxanka clavicle iyo saxanka jillaab, iyo saxanka clavicle oo lagu daray boolal lagu dhejiyo habka coracoid. Si kastaba ha ahaatee, saxanka jillaabku waxay u muuqdaan inay gaaban yihiin guud ahaan, taasoo keeni karta ku filnaan la'aan ku habboon dhammaadka u dhow. Isku-darka saxanka clavicle iyo saxanka jillaabku waxay keeni kartaa isku-ururinta cadaadiska ee isgoyska, taasoo kordhinaysa khatarta dib u dhaca.
Jabka lafta bidix oo ay weheliso kala-goysyada acromioclavicular ee ipsilateral, oo la xasiliyay iyadoo la isticmaalayo isku-darka saxanka jillaab iyo saxanka lafta.
Iyada oo taas laga jawaabayo, qaar ka mid ah culimada ayaa soo jeediyay hab loo isticmaalo isku-darka saxanka clavicle iyo boolal barroosin ah si loo hagaajiyo. Tusaale ayaa lagu sawiray sawirka soo socda, isagoo muujinaya bukaan qaba jabka clavicle-ka ee u dhexeeya shaft iyo kala-goysyada acromioclavicular nooca ipsilateral IV:
Marka hore, saxan anatomical ah oo loo yaqaan 'clavicular anatomical' ayaa loo isticmaalaa in lagu hagaajiyo jabka kala-goysyada. Ka dib marka la yareeyo kala-goysyada 'acromioclavicular' ee kala-go'ay, laba boolal oo bir ah ayaa lagu geliyaa habka coracoid-ka. Tolmada ku xiran boolal-ka barroosinka ayaa markaa lagu xidhaa godadka boolalka ee saxanka 'clavicle', waxaana lagu xidhaa guntimo si loogu xidho hor iyo gadaasha 'clavicle'. Ugu dambeyntii, seedaha 'acromioclavicular' iyo 'coracoclavicular' ayaa si toos ah loogu tolaa iyadoo la isticmaalayo tolmada.
Jabka lafta ee go'doonsan ama kala-goysyada acromioclavicular ee go'doonsan waa dhaawacyo aad u badan oo ka dhaca dhaqanka caafimaadka. Jabka lafta ee go'doonsan wuxuu ka dhigan yahay 2.6%-4% dhammaan jabka, halka kala-goysyada acromioclavicular ay ka kooban yihiin 12%-35% dhaawacyada lafta ee go'doonsan. Si kastaba ha ahaatee, isku-darka labada dhaawac waa mid naadir ah. Inta badan qoraallada jira waxay ka kooban yihiin warbixinno kiis. Isticmaalka nidaamka TightRope oo lala xiriirinayo hagaajinta saxanka lafta ee go'doonsan waxay noqon kartaa hab cusub, laakiin meelaynta saxanka lafta ee go'doonsan waxay faragelin kartaa meelaynta TightRope, taasoo keenaysa caqabad u baahan in wax laga qabto.
Intaa waxaa dheer, xaaladaha aan dhaawacyada isku dhafan aan la qiimeyn karin kahor qalliinka, waxaa lagu talinayaa in si joogto ah loo qiimeeyo xasilloonida kala-goyska acromioclavicular inta lagu jiro qiimeynta jabka lafa-beelka. Habkani wuxuu ka caawiyaa ka hortagga in la iska indho tiro dhaawacyada kala-baxa ee isku mar dhaca.
Waqtiga boostada: Agoosto-17-2023
