Waa maxay kala-baxa wadajirka acromioclavicular?

Waa maxay kala-baxa wadajirka acromioclavicular?

Kala-baxa wadajirka ah ee acromioclavicular waxaa loola jeedaa nooc ka mid ah dhaawaca garabka kaas oo xuubka acromioclavicular uu waxyeello u geysto, taasoo keentay kala-baxa xuubka. Waa kala-baxa isku-dhafka acromioclavicular oo ay sababto xoog dibadeed oo lagu dabaqo dhammaadka acromion, taas oo keenta in scapula uu hore u socdo ama hoos u socdo (ama gadaal). Hoosta, waxaan ku baran doonaa noocyada iyo daaweynta kala-baxa wadajirka acromioclavicular.

Kala-baxyada wadajirka ah ee acromioclavicular (ama kala-goyn, dhaawacyo) ayaa aad ugu badan dadka ku lug leh ciyaaraha iyo shaqada jirka. Kala-baxa wadajirka ah ee acromioclavicular waa kala-soocidda xuubka ka soo baxa scapula, iyo qaabka caadiga ah ee dhaawacan waa dhicitaan kaas oo meesha ugu sarreysa ee garbaha ay ku dhufato dhulka ama saameyn toos ah oo ah meesha ugu sareysa ee garabka. Kala-baxyada wadajirka ah ee acromioclavicular inta badan waxay ku dhacaan ciyaartoyda kubbadda cagta iyo baaskiilleyda ama mootada ka dib dhicitaanka.

Noocyada kala-baxa wadajirka acromioclavicular

II°(darajada): Isku-xidhka acromioclavicular si khafiif ah ayaa loo barakici karaa waxaana laga yaabaa in seedaha acromioclavicular la kala bixiyo ama qayb jeexan; Tani waa nooca ugu badan ee dhaawaca wadajirka acromioclavicular.

II° (fasalka): kala goynta qayb ka mid ah isgoysyada acromioclavicular, barokaca waxa laga yaabaa in aanu ka muuqan baaritaanka. Jeex dhammaystiran oo ah ligament acromioclavicular, ma dillaacin ligament clavicular rostral

III ° (fasalka): kala soocida dhamaystiran ee wadajirka acromioclavicular oo leh jeex dhammaystiran ee ligament acromioclavicular, ligament rostroclavicular iyo acromioclavicular kaabsal. Maaddaama aysan jirin seedo lagu taageerayo ama la jiido, laf-dhabarka garabka ayaa hoos u dhacaya culeyska cududda sare, sidaas awgeed clavicle wuxuu u muuqdaa mid caan ah oo kor u kacay, caanna ayaa laga arki karaa garabka.

Darnaanta kala-baxa wadajirka ah ee acromioclavicular sidoo kale waxaa loo kala saari karaa lix nooc, oo leh noocyada I-III oo ah kuwa ugu caansan iyo noocyada IV-VI waa naadir. Sababtoo ah dhaawaca daran ee seedaha taageera gobolka acromioclavicular, dhammaan noocyada III-VI dhaawacyada waxay u baahan yihiin daaweyn qalliin.

Sidee loo daweeyaa kala-baxa acromioclavicular?

Bukaanka qaba kala-baxa wadajirka ah ee acromioclavicular, daaweynta ku habboon ayaa loo doortaa iyadoo loo eegayo xaaladda. Bukaanka qaba cudur fudud, daawaynta muxaafidka ah waa mid macquul ah. Gaar ahaan, nooca I acromioclavicular kala-baxa wadajirka ah, nasasho iyo ka joojinta tuwaal saddex xagal ah 1 ilaa 2 toddobaad ayaa ku filan; kala-baxa nooca II, suunka dhabarka ayaa loo isticmaali karaa dhaqdhaqaaq la'aan. Daawaynta muxaafidka ah sida hagaajinta suunka garabka iyo suxulka iyo joojinta; Bukaanada qaba xaalad aad u daran, tusaale ahaan bukaanada qaba dhaawaca nooca III, sababtoo ah kaabsalkooda wadajirka ah iyo acromioclavicular ligament iyo ligament clavicular rostral ayaa dillaacay, taasoo ka dhigaysa wadajirka acromioclavicular gebi ahaanba aan degganeyn baahida loo qabo in la tixgeliyo daaweynta qalliinka.

Daaweynta qalliinka waxaa loo qaybin karaa afar qaybood: (1) hagaajinta gudaha ee wadajirka acromioclavicular; (5) hagaajinta qufulka rostral ee dib u dhiska seedaha; (3) kala-soocidda xuubka fog; iyo (4) Awood beddelidda muruqa.