Jebinta clavicle oo ay weheliso kala-baxa acromioclavicular ee ipsilateral waa dhaawac naadir ah oo ku yimaada waxqabadka kiliinikada.Dhaawaca ka dib, jajabka fog ee clavicle waa mid guurguura, iyo kala-baxa acromioclavicular ee la xidhiidha ma muujin karo barokac cad, taas oo ka dhigaysa mid u nugul ogaanshaha khaldan.
Dhaawaca noocaan ah, waxaa jira dhowr habab oo qalliin ah, oo ay ku jiraan saxan dheer oo jillaab ah, isku darka saxan clavicle ah iyo saxan jillaab ah, iyo saxan clavicle oo ay weheliso hagaajinta birta ee habka coracoid.Si kastaba ha ahaatee, taarikada jillaabtu waxay u muuqdaan kuwo gaaban guud ahaan dhererka, taas oo keeni karta hagaajin aan ku filnayn dhamaadka u dhow.Isku darka saxan clavicle ah iyo saxan jillaab ah ayaa laga yaabaa in ay keento culayska walaaca ee isgoyska, kordhinta halista dib u laabashada.
Jebinta clavicle bidix oo ay weheliso kala-baxa acromioclavicular ipsilateral, la xasiliyay iyadoo la adeegsanayo isku-darka saxan jillaab ah iyo saxan jeexan.
Iyaga oo taas ka jawaabaya, aqoonyahannada qaarkood ayaa soo jeediyay qaab la isku daray saxan jeexjeexan iyo biro-xidho si loo hagaajiyo.Tusaale waxaa lagu sawiray sawirka soo socda, oo muujinaya bukaanka qaba jab-jilicsan dhexda dhexe oo ay weheliso kala-baxyada wadajirka ah ee nooca IV acromioclavicular:
Marka hore, saxan anatomical clavicular ah ayaa loo isticmaalaa si loo hagaajiyo jabka clavicle.Ka dib marka la yareeyo isku-dhafka acromioclavicular ee kala go'ay, laba bir ah oo bir ah ayaa la geliyaa habka coracoid.Tolmada ku dheggan furayaasha barroosinka ayaa dabadeed lagu dhex dunayaa godadka furaha ee saxanka jeexjeexa, waxaana lagu xidhaa guntin si loo sugo xagga hore iyo gadaalba.Ugu dambeyntii, seedaha acromioclavicular iyo coracoclavicular ayaa si toos ah loo tolaa iyadoo la isticmaalayo tolida.
Jabka dillaacsan ee go'doonsan ama kala-baxa acromioclavicular ee go'doonsan ayaa ah dhaawacyo aad caadi u ah marka la eego waxqabadka kiliinikada.Jajabka Clavicle wuxuu xisaabiyaa 2.6%-4% dhammaan jabka, halka kala-baxyada acromioclavicular ay ka yihiin 12%-35% dhaawacyada scapular.Si kastaba ha ahaatee, isku darka labada dhaawac waa dhif.Inta badan suugaanta jirta waxay ka kooban tahay warbixinno kiis.Isticmaalka nidaamka TightRope ee la xidhiidha hagaajinta saxanka clavicle waxay noqon kartaa hab cusub, laakiin meelaynta saxanka clavicle waxay awood u yeelan kartaa inay farageliso meelaynta xargaha TightRope, taasoo keenaysa caqabad u baahan in wax laga qabto.
Intaa waxaa dheer, xaaladaha dhaawacyada isku dhafan aan la qiimeyn karin ka hor qaliinka, waxaa lagula talinayaa in si joogto ah loo qiimeeyo xasilloonida wadajirka acromioclavicular inta lagu jiro qiimeynta jabka clavicle.Habkani wuxuu kaa caawinayaa inaad iska indhotirto dhaawacyada kala-baxa ee isku socda.
Waqtiga boostada: Agoosto-17-2023
