ʻO ka haʻihaʻi ʻana o ka clavicle i hui pū ʻia me ka ipsilateral acromioclavicular dislocation he mea ʻeha loa i ka hana lapaʻau.Ma hope o ka hōʻeha ʻana, ʻoi aku ka neʻe o ka ʻāpana mamao o ka clavicle, a ʻaʻole hiki ke hōʻike ʻia ka dislocation acromioclavicular e pili ana i ka neʻe ʻana, hiki ke maʻalahi i ka misdiagnosis.
No kēia ʻano ʻeha, maʻamau ka nui o nā ala ʻokiʻoki, ʻo ia hoʻi kahi pā lou lōʻihi, kahi hui ʻana o kahi pā clavicle a me kahi pā lou, a me kahi pā clavicle i hui pū ʻia me ka hoʻopaʻa ʻana i ka screw i ke kaʻina coracoid.Eia nō naʻe, ʻano pōkole ka lōʻihi holoʻokoʻa o nā pā lou, hiki ke alakaʻi i ka hoʻopaʻa pono ʻole ma ka hopena kokoke.ʻO ka hui pū ʻana o kahi pā clavicle a me kahi pā makau hiki ke hopena i ke koʻikoʻi koʻikoʻi ma ka hui, e hoʻonui ai i ka pilikia o ka refracture.
ʻO ka haʻihaʻi o ka clavicle hema i hui pū ʻia me ka ipsilateral acromioclavicular dislocation, hoʻopaʻa ʻia me ka hoʻohana ʻana i ka hui ʻana o kahi pā makau a me kahi pā clavicle.
I ka pane ʻana i kēia, ua manaʻo kekahi poʻe loea i ke ʻano o ka hoʻohana ʻana i ka hui pū ʻana o kahi pā clavicle a me nā wili heleuma no ka hoʻopaʻa ʻana.Hōʻike ʻia kekahi laʻana ma ke kiʻi aʻe, e hōʻike ana i kahi mea maʻi me kahi haʻihaʻi waena waena i hui pū ʻia me ka ipsilateral type IV acromioclavicular joint dislocation:
ʻO ka mea mua, hoʻohana ʻia kahi papa anatomical clavicular no ka hoʻoponopono ʻana i ka haki ʻana o ka clavicle.Ma hope o ka ho'ēmiʻana i ka hui acromioclavicular dislocated, ua hoʻokomoʻiaʻelua mau heleuma metala i loko o ke kaʻina coracoid.Hoʻopili ʻia nā humuhumu i hoʻopaʻa ʻia i nā wili heleuma i loko o nā puka wili o ka pā clavicle, a nakinaki ʻia nā puʻupuʻu i mea e hoʻopaʻa ai i mua a ma hope o ka clavicle.ʻO ka hope, ua hoʻopaʻa pololei ʻia nā ligaments acromioclavicular a me coracoclavicular me ka hoʻohana ʻana i nā hiku.
ʻO nā haʻihaʻi clavicle i hoʻokaʻawale ʻia a i ʻole nā acromioclavicular dislocations i hoʻokaʻawale ʻia he mau hōʻeha maʻamau i ka hana lapaʻau.ʻO nā haʻihaʻi Clavicle he 2.6% -4% o nā haʻihaʻi āpau, ʻoiai ʻo ka acromioclavicular dislocations ka 12% -35% o nā ʻeha scapular.Eia naʻe, kakaikahi ka hui ʻana o nā ʻeha ʻelua.ʻO ka hapa nui o nā palapala e kū nei he hōʻike hihia.ʻO ka hoʻohana ʻana i ka ʻōnaehana TightRope me ka hoʻopaʻa ʻana i ka pā clavicle he ala hou ia, akā hiki i ka hoʻokomo ʻana o ka pā clavicle ke hiki ke hoʻopilikia i ka hoʻokomo ʻana o ka TightRope graft, e kau ana i kahi paʻakikī e pono e hoʻoponopono ʻia.
Eia kekahi, i nā hihia i hiki ʻole ke loiloi ʻia nā ʻeha i hui ʻia ma mua o ka hana ʻana, ua ʻōlelo ʻia e loiloi mau i ka paʻa o ka hui acromioclavicular i ka wā o ka loiloi ʻana i nā haʻihaʻi clavicle.Kōkua kēia ala i ka pale ʻana i nā ʻeha dislocation i ka manawa like.
Ka manawa hoʻouna: ʻAukake-17-2023
