Tsekolotsoeng ligaments ea lenonyello la mahetla: Matšoao le Phekolo

Haeba re khomarela khopolo ea hore mosebetsi o boima o entsoeng ka Monkey motho, mohato oa pele tseleng ena e telele le e thata ke ea lenonyello la mahetla. E ne e le mohaho o ea hae e ikhethang entse khoneha ke likarolo ka sehloohong ea leoto e ka holimo ho fumana ba bang kaofela ba liphoofolo tse anyesang e sa tloaelehang makgetheng tshebetso.

Ka lehlakoreng le leng, haholo ho atolosa mesebetsi lona ho tloha tšehetso feela ha falla, matsoho a batho ba ba e mong oa likarolong tse ngata sithabetse maikutlong ea 'mele. Tabeng ena, ho mo ntša kotsi tsa senyepa mahetla, tseo hangata li tsamaea le ligaments tsekolotsoeng a kopanetsoeng ka mahetla, teng ka sebaka sa tshebetso sa lebisa tlhokomelo e khethehileng ea baoki. Le sesosa ena - khoneha tahlehelo ya matla a ho sebetsa, 'me ke eng e mpe le ho feta, e le motho ea nang le bokooa hantle kapa ha ka nako e loketseng a phekola senya.

Brief anatomical ya referense

The ikhethang tsa kopanetsoeng ka mahetla e hlalosoa e le e karo-karolelano ea bokaholimo lona 'nete articular. Ka sebopeho sa thepa ea motheo e masapo a ameha ka ho toba masapo a mabeli: ho lehare le humerus. The articular holim 'a humerus e emeloang chitja hlooho. Mabapi le holim concave tsa glenoid cavity oval lehare sebakeng e le ka makhetlo a mane e nyenyane ho feta sebakeng seo se haufi bolo.

Hlokoe lehare ho ikopanya le e koala lefufuru lesale - teteaneng sebopeho connective, e bitsoang articular molomo. Ho ena elements fibrous, hammoho le komiki potolohileng kopanetsoeng, 'me o lumella a mo ho ba ka nepahetse anatomical lekana' me ka nako e tšoanang ho phetha mefuta e fapaneng hlollang tsa libaesekopo, e leng ho ka khonehang ka setokong phethola tsa kopanetsoeng tse ling tsohle.

Kobomba misala mpona ho ligaments kopanetsoeng le mesifa nolofalletsa mokhatlo oa

E thusa tšesaane synovium lenonyeletso boloke lona anatomical sebopeho e matla rostral-humeral ligament. Hammoho le yona ho ya ka e kopanetsoeng extending boloke eketsehileng-articular komiki bloat biceps tendon (biceps) le mesifa subscapularis. Tsena tse tharo connective thapo le utloa bohloko haeba ho na le ke otlile ea ligaments ea lenonyello la mahetla.

Subscapularis, deltoid, above- le podkostnaya, kholo le tse nyenyane ho potoloha, hammoho le ho pectoralis kgolo le latissimus dorsi fa e kopanetsweng e mengata e fapaneng mekhatlo pota lilepe tsohle tse tharo. Biceps ka motsamao o ea lenonyello la mahetla ha ba le seabo.

Dikotsi ho kopanetsoeng ka mahetla le lisosa tsa dikotsi

Har'a likotsi atileng ka ho fetisisa ba ka mahetla kopanetsoeng ho lokolloa matetetso. Khoneha sprains kopanetsoeng le e otlile ka leeme kapa ka ho feletseng, kapa ntle le eona. Dislocation kopanetsoeng, intra kapa e eketsehileng-articular avulsion fracture likhechana (ka ligaments kamano) ke har'a likotsi le tebileng ka ho fetisisa.

Lisosa tsa sehlooho tsa tshenyo e kopanetsweng ka mahetla e le phello e tobileng kapa e sa tobang ka sebopeho lona phetha molao feela. Sena se ka ba le thutsoe tobileng le o otlolohileng letsoho pele. Sharp feteletseng mesifa tsitsipano, susumelletsa kopanetsoeng, kapa mokhatlo oa tšohanyetso la meqolo kgolo ka etsa hore ka sprain kapa dislocation tsa kopanetsoeng. Hangata a tsamaea le ligaments bona tsekolotsoeng a kopanetsoeng ka mahetla (setšoantšong bontšitsoeng tlaase mona), ho hloka e seng feela ho tšoara likotsi tse ngata, empa hape tsosolosa botšepehi ba sethusathuto le ligament.

Lipontšo tsa ligament otlile

Mo ntša kotsi ka 'na la hlaha ha ho na le ke ho oa ka e abetsoeng atoloswa pele kapa ho letsoho lehlakoreng. Hape, hoa khoneha ligament otlile ka lebaka la ho mokhatlo oa e bohale ka palo e kahodimodimo lumeletsoe fihlela moo kapa leketlile kapa letsoho la, ka mohlala ha ba akhetse ho tloha bophahamo ka.

tšenyo e tsamaeang le otlile ea komiki ea matšoao a mahetla kopanetsoeng ligaments ba tšoauoa ka bohloko hlabang ka nako ea kotsi, le hore ke ea bohlokoa haholo-holo bakeng sa discontinuity, kaha mekhatlo pheta mochine ea bobe. Ho ekelletsa moo ho ntshetsa pele edema sebakeng senya hore fetola le ka ntle e kopanetsoeng phetolo. Ho phaella ho edema, ho ruruha ka sebopeho sa ba ka kenya letsoho phalletseng tloha methapo ea mali senyehileng haufi le tendons, mesifa kapa mali.

mekhoa tlatsetso ea lekola le ho tiea ea bobe

Har'a mekhoa e litleleniki tsa ho etsa lipatlisiso, e le hore traumatologist ho bona hore na ho na le leeme otlile ea ligaments ea lenonyello la mahetla kapa tshenyo palo yohle, e emela galena tepelletse maikutlong le gomoso litšoantšo a khoheli a. mekhoa bobeli se ke ua beha radial mojaro, empa ho ba le e kholo haholo ho etsa qeto. Ka ho khetheha, MRI o dumella ho tšepahala lebetsoeng le ho fumana hore na tepelletse maikutlong le ho etsa khetho ea phekolo.

Radiography kapa ea computed tomography ba atlehe e le ho qoba lesapo diso: fractures (ho akarelletsa le vouchers), dislocations, conjugated le fracture le dislocation ea lenonyello la mahetla. Atisa ho sebelisa arthrocentesis. Lenonyeletso etsoa ka belaela liphetoho holofatsang mehaho connective dinama tse nyenyane tse ea kopanetsoeng kapa taboha ea komiki ena. Maemong a mang, o ile a sebelisa arthrography.

Tekanyo ea ho tiea ea bobe

The karohano classic ea bonolo, e leka-lekaneng ho mo ntša kotsi haholo, 'me a sebelisa khahlanong le ligaments tsekolotsoeng. Ke mo ntša kotsi hanyenyane ea lenonyello la mahetla, batlang e le ligaments, li akarelletsa ho ikotlolla le tšenyo e leeme ho ligaments tsa likhoele, ha ba lula ba botšepehi ba methapo ea mali, methapo ea kutlo le mesifa. Tšoauoa ka tsela e itseng a leeme karolelano ea faeba eohle ea tendons e, mesifa potolohileng karolo lemetseng ameha ho etsa joalo, ho komiki e kopanetsoeng ka senyehile. Pele amana tekanyo sprain, bobeli - stretchability leeme discontinuity.

tšenyo e matla tsamaea le ka ho feletseng boo tendon Botšepehi ba sebopeho (ligament) - discontinuity mahetla kopanetsoeng ligaments vascular ea moo senya, le ho kenya letsoho methapo ea kutlo ea kholofalo ka komiki e kopanetsoeng. Ho fihlela moo ho ka khonehang 'me intraarticular avulsion ena fractures, kopanetsoeng hemorrhage (hemarthrosis).

Tsamaiso e kalafo

Ho itšetlehile ka boemo ba tiea senya ho ka mahetla kopanetsoeng ligament sethusathuto, mekhoa ea phekolo e khomaretse mekhoa e tloaetsoeng kapa sebetsa ka sebelisoa. Haeba ho na le ke otlile a leeme ya ligaments ea lenonyello la mahetla, kalafo e felle feela mekhoa mekhoa e tloaetsoeng. Dirisega analgesia le immobilization (immobilization). Mohlomong u ka behela ngoana bintovoy kapa samente liheloe, ho itšetlehile ka ho tiea, ho sebopeho sa mo ntša kotsi 'me molumo oa mehaho e sa ameha. Bintovuyu kapa samente immobilisation orthesis ka nka sebaka (lihlopha) tsa mahetla kopanetsoeng kapa ba sa tenyetseheng fixation mahareng.

A khefu ka ho feletseng, haholo-holo a senyeheloa mesifa le capsules kopanetsoeng, sebediswa ho buoa. Lehlatsipa hloka bookelong sithabela profil 'me ka ho eketsehileng ka nako e telele tsosoloso ka mor'a ho tebelwa mosebetsing ho tloha sepetlele.

Tshebetso molato hlaphoheloa motataisi

Kapele ka khalemelo lekhalo la mahetla kopanetsoeng ligaments tshebetso tla sebelisoa, ho molemo ho menyetla ya ho hlaphoheloa e tletseng ea mosebetsi e kopanetsoeng 'me theola Peresente la mathata a kotsi. Ho buoa ho lokisa tsa ligament senyehileng (tendon) mesifa haufi, 'me ho felisoa ha senyehile vascular sekoli komiki fokotsa ho crosslinking bona.

Tlas'a thethebatso kakaretso (narcosis) fihlella ka ho toba o entsoe ka lebaka la ho senyehileng locus layerwise dissection le karohano ya dinama tse nyenyane tse. Likoli fumana sutured. leqeba e koaloa ka le dikarolo. Mathoasong a nako postoperative sebelisa samente e hahiloeng immobilization ka fensetere tsa suture postoperative.

Matlha a samente immobilization le kalafo sepetlele ikemiselitse ke molumo oa mehaho e amehang. Ntlha ea bohlokoa bakeng sa palo ea bethe-matsatsi a se a le lilemo li mokuli, sebōpeho sa mosebetsi oa hae, 'me sebedisana morbidities.

Tshenyo ho ligaments tsa litsoeng

Ke ka seoelo haholo ka maemo a lelapa, ntsa kotsi ke ho feta e tloaelehileng ea baatlelete litsebi, ha u sebelisa mafolofolo le bohale tsokoang letsoho, ikemiselitse ho litsoeng. Kotsi sehlopheng se akarelletsa, pele ho tsohle, libapali tenese, golfers, mabala a handball, baseball, 'me, polo metsi.

Hangata ka ho fetisisa lemetseng annular ligament tsa radius, ulna peeletso ligament, kapa radial. Ke pontšo ea senya bohloko, ho eketsa nako ya mokhatlo oa. Tšoauoa ka edema, hemorrhage ka dinama tse nyenyane tse e potolohileng. Monyetla oa hemarthrosis. Haeba ho na le ke otlile feletseng tsa ligaments, ka hanyenyane koala masapo forearm ka kopanetsoeng.

Radiography lumella ho phapang e fracture tsa dislocation. MRI tla bontša moo localized otlile ea ligaments tsa litsoeng. Phekolo ea otlile leeme le fella ea mekhoa e tloaetsoeng ea. E sebetsa immobilization libeke tse 'maloa. A khefu ka ho feletseng e entsoe ka polasetiki ligaments buoa senyehile.

Brief human anatomy ba wrist kopanetsoeng

Rarahaneng ka sebopeho thehoa kopanetsoeng articular lefufuru holim 'a poleiti mahlaseli le ulna ke forearm le boatshaped, lunate le likhutlo li tharo lehlakoreng borashe. Pisiform lesapo e teng ka hare-hare tsa tendon le ho kopanela ka ho toba ka ho sebopeho sa e kopanetsoeng le ha e amohele.

Matlafatsa kopanetsoeng ligaments tse hlano. Seatleng ke litsoeng le wrist ligament holim morao - morao e tetemang ea borashe. Ka mahlakoreng ke lateral palmar (ka lehlakoreng la o motona) le ulnar (monoana lehlakoreng hanyane) ligaments.

Tshenyo ho ligaments tsa wrist ke fumanehe ka seoelo haholo ho feta ligaments tsekolotsoeng a kopanetsoeng ka mahetla. Empa ho feta ho feta ligaments litsoeng.

Roba wrist ligaments

The mochine oa ketsahalo ya dikotsi tse amanang le ho oa ka pele o ile a pepesa letsoho kapa bohloko ho sothoe kapa otlolloa borashe. Boemo ba letsoho la ka nako ea bobe e ka kotloloho ama akanya hore ba ligament e ka senyeha. Ho fetisisa ho tsohle lemetseng connective bo fapaneng ho sebopeho lemenong la borashe le.

Top litšobotsi tsa tshenyo ligament: bohloko, edema, phytoteratology mosebetsi kopanetsoeng le dinama tse nyenyane tse bonolo hematoma. Haeba ho na le bohloko ba ka mokhatlo oa ka menoana kapa letsoho ho eketsa sharply mathoasong a kopanetsoeng, e ka 'na ea ho belaela ligaments tsekolotsoeng tsa wrist kopanetsoeng. Matšoao a di go tlaleletswa ke ho etsa lipatlisiso ka phumano ya hardware: X-ray - ho qhelela ka thōko fractures lesapo, tsa ultrasound le / kapa MRI. Ba hlokahala ho fumana hore na mofuta wa tshenyo ya ligaments le lisele tse ling tse bonolo potolohileng kopanetsoeng.

Joaloka tabeng ea tse ling tse leha e le efe, haeba ho na le lekhalo ligaments tsa wrist kopanetsoeng, kalafo e tla itšetleha ka ho tiea ea bobe. Ka bonolo le e leka-lekaneng ho tiea e sebetsa mekhoa e tloaetsoeng tlas'a boima - tshebetso leqheka.

Ho sa tsotellehe hore mofuta ofe tshenyo e hlahile, seo mofuta wa tlōla botšepehi ba mehaho e kopanetsoeng, e kopanetsoeng le e lemetseng, wrist, litsoeng, kapa ho na le leeme kapa ka ho feletseng otlile ea ligaments ea lenonyello la mahetla, kalafo lokela ho kamehla ho laolwa ke setsebi sa. E tlamang rerisana ka profil lekareche (fracture Tleliniki na ho sithabela ka Tleliniki kapa ka lefapha bozongisela tsa traumatological sepetlele). Sena ke 'nete haholo-holo oa ho sithabela bongoaneng, e le bakuli ba bacha, ho na le a' maloa a makgetha a ho lilemo tsa bona-amanang tse ka pata ka mo ntša kotsi e tebileng. Le lieha batla thuso ea lingaka le bokgoni ho ka etsa hore liphello tse mpe tsa nako e telele.