ʻO ka haki o ka clavicle i hui pū ʻia me ka dislocation acromioclavicular ipsilateral he ʻeha kakaikahi i ka hana lapaʻau. Ma hope o ka ʻeha, ua neʻe iki ka ʻāpana distal o ka clavicle, a ʻo ka dislocation acromioclavicular pili ʻaʻole paha e hōʻike i ka neʻe ʻana maopopo, e maʻalahi ai i ka kuhi hewa ʻana.
No kēia ʻano ʻeha, aia kekahi mau ʻano hana ʻoki kino, me kahi pā lou lōʻihi, kahi hui pū ʻana o kahi pā clavicle a me kahi pā lou, a me kahi pā clavicle i hui pū ʻia me ka hoʻopaʻa ʻana o ka wili i ke kaʻina coracoid. Eia nō naʻe, ʻoi aku ka pōkole o ka lōʻihi o nā pā lou, hiki ke alakaʻi i ka hoʻopaʻa pono ʻole ʻana ma ka hopena proximal. ʻO ka hui pū ʻana o kahi pā clavicle a me kahi pā lou e hopena i ka nui o ke kaumaha ma ka hui ʻana, e hoʻonui ana i ka pilikia o ka refracture.
Ka haki o ka clavicle hema i hui pū ʻia me ka dislocation acromioclavicular ipsilateral, i hoʻopaʻa ʻia me ka hoʻohana ʻana i ka hui pū ʻana o kahi pā makau a me kahi pā clavicle.
I ka pane ʻana i kēia, ua hāpai kekahi poʻe akamai i kahi ʻano hana e hoʻohana ai i ka hui pū ʻana o kahi papa clavicle a me nā wili heleuma no ka hoʻopaʻa ʻana. Ua hōʻike ʻia kahi laʻana ma ke kiʻi aʻe, e hōʻike ana i kahi maʻi me ka haki clavicle midshaft i hui pū ʻia me ka dislocation hui acromioclavicular ʻano ipsilateral IV:
ʻO ka mea mua, hoʻohana ʻia kahi papa anatomical clavicular e hoʻopaʻa i ka haki clavicle. Ma hope o ka hōʻemi ʻana i ka hui acromioclavicular i hoʻokaʻawale ʻia, hoʻokomo ʻia ʻelua mau wili heleuma metala i loko o ke kaʻina coracoid. A laila ua wili ʻia nā sutures i hoʻopili ʻia i nā wili heleuma ma o nā lua wili o ka papa clavicle, a ua nakinaki ʻia nā puʻupuʻu e hoʻopaʻa iā lākou ma mua a ma hope o ka clavicle. ʻO ka hope loa, ua humuhumu pololei ʻia nā ligaments acromioclavicular a me coracoclavicular me ka hoʻohana ʻana i nā sutures.
ʻO nā haki clavicle i hoʻokaʻawale ʻia a i ʻole nā dislocations acromioclavicular i hoʻokaʻawale ʻia he mau ʻeha maʻamau loa ia i ka hana lapaʻau. ʻO nā haki clavicle no 2.6%-4% o nā haki āpau, ʻoiai ʻo nā dislocations acromioclavicular e hana ana i 12%-35% o nā ʻeha scapular. Eia nō naʻe, ʻo ka hui pū ʻana o nā ʻeha ʻelua he mea kakaikahi. ʻO ka hapa nui o nā palapala e kū nei he mau hōʻike hihia. ʻO ka hoʻohana ʻana i ka ʻōnaehana TightRope me ka hoʻopaʻa ʻana i ka papa clavicle he ala hou paha ia, akā ʻo ke kau ʻana o ka papa clavicle hiki ke hoʻopilikia i ke kau ʻana o ka graft TightRope, e waiho ana i kahi pilikia e pono e hoʻoponopono ʻia.
Eia kekahi, i nā hihia kahi i hiki ʻole ai ke loiloi ʻia nā ʻeha i hui pū ʻia ma mua o ke ʻoki ʻana, ua ʻōlelo ʻia e loiloi mau i ke kūpaʻa o ka hui acromioclavicular i ka wā o ka loiloi ʻana i nā haki clavicle. Kōkua kēia ʻano hana i ka pale ʻana i ka nānā ʻole ʻana i nā ʻeha dislocation i ka manawa like.
Ka manawa hoʻouna: Aug-17-2023
