Ala Hōʻikeʻike o ka Clavicle Anterior

· Anatomy i hoʻopili ʻia

ʻO ka lōʻihi holoʻokoʻa o ka clavicle he subcutaneous a maʻalahi ke ʻike maka. ʻO ka hopena medial a i ʻole ka hopena sternal o ka clavicle he coarse, me kona ʻili articular e kū pono ana i loko a i lalo, e hana ana i ka hui sternoclavicular me ka clavicular notch o ka sternal handle; ʻo ka hopena lateral a i ʻole ka hopena acromion he coarse a pālahalaha a ākea, me kona ʻili articular acromion ovoid a i waho a i lalo, e hana ana i ka hui acromioclavicular me ka acromion. He pālahalaha ka clavicle ma luna a puni ma waenakonu o ka palena mua. Aia kahi indentation ʻino o ka ligament costoclavicular ma ka ʻaoʻao medial ma lalo, kahi e hoʻopili ai ka ligament costoclavicular. Ma ka ʻaoʻao o lalo aia kahi node conical a me ka laina oblique me ka ligament conical o ka ligament rostroclavicular a me ka hoʻopili ligament oblique, kēlā me kēia.

· Nā hōʻailona

1. Ka haki ʻana o ka clavicle e pono ai ke ʻoki ʻia a me ka hoʻemi ʻana i ka hoʻopaʻa kūloko.

2. Pono ka wehe ʻana i ka iwi make no ka osteomyelitis mau a i ʻole ka maʻi puʻupuʻu o ka clavicle.

3. Pono e ʻoki ʻia ka puʻupuʻu clavicle.

· Kūlana kino

Kūlana moe, me nā poʻohiwi i hoʻokiʻekiʻe iki ʻia.

Nā ʻanuʻu

1. E hana i kahi ʻoki ma ke ʻano S o ka clavicle, a e hoʻolōʻihi i ka ʻoki ma ka lihi o luna o ka clavicle i nā ʻaoʻao o loko a me waho me ke kūlana o ka lesion ma ke ʻano he hōʻailona, ​​a e hoʻoholo ʻia ke kahua a me ka lōʻihi o ka ʻoki e like me ka lesion a me nā koi ʻoki (Kiʻi 7-1-1(1)).

Kiʻi 7-1-1 Ala Hōʻike Clavicular Anterior

2. E ʻoki i ka ʻili, ka ʻiʻo subcutaneous a me ka fascia hohonu ma ke ʻoki a hoʻokuʻu i ka ʻili i luna a i lalo e like me ke kūpono (Kiʻi 7-1-1(2)).

3. E ʻoki i ka ʻiʻo vastus cervicis i ka ʻili o luna o ka clavicle, ua nui nā kīʻaha koko i loko o ka ʻiʻo, e hoʻolohe i ka electrocoagulation. Ua ʻoki ʻia ka periosteum ma ka ʻili o ka iwi no ka dissection subperiosteal, me ka clavicle sternocleidomastoid ma ka ʻaoʻao o luna o loko, ka pectoralis major clavicle ma ka ʻaoʻao o lalo o loko, ka ʻiʻo trapezius ma ka ʻaoʻao o luna o waho, a me ka ʻiʻo deltoid ma ka ʻaoʻao o lalo o waho. I ka wehe ʻana i ka subclavian hope, pono e hana paʻa ʻia ka wehe ʻana i ka ʻili o ka iwi, a pono e paʻa ka mea wehe mana i ʻole e hōʻino i nā kīʻaha koko, nā aʻalolo, a me ka pleura o ka clavicle hope (Kiʻi 7-1-2). Inā manaʻo ʻia e hoʻopili i ka hoʻopaʻa ʻana o ka wili o ka pā, e pale mua ʻia nā ʻiʻo palupalu a puni ka clavicle me ka mea wehe periosteal, a pono e kuhikuhi ʻia ka lua wili i mua i lalo, ʻaʻole i hope i lalo, i ʻole e hōʻeha i ka pleura a me ka aʻa subclavian.

 Kiʻi 7-1-2 Ke hōʻike nei i ka Clavicle