He aha ka acromioclavicular joint dislocation?

He aha ka acromioclavicular joint dislocation?

ʻO ka dislocation hui acromioclavicular e pili ana i kahi ʻano o ka ʻeha poʻohiwi kahi i hōʻino ʻia ai ka ligament acromioclavicular, ka hopena o ka wehe ʻana o ka clavicle. ʻO ia ka wehe ʻana o ka hui acromioclavicular i hana ʻia e ka ikaika o waho i hoʻopili ʻia i ka hopena acromion, kahi e neʻe ai ka scapula i mua a i lalo (a i hope paha). Ma lalo nei, e aʻo mākou e pili ana i nā ʻano a me ka mālama ʻana o ka acromioclavicular joint dislocation.

ʻO nā dislocations hui acromioclavicular (aiʻole ka hoʻokaʻawaleʻana, nāʻeha) he mea maʻamau i nā poʻe i komo i nā haʻuki a me nā hana kino. ʻO ka dislocation hui acromioclavicular ka hoʻokaʻawale ʻana o ka clavicle mai ka scapula, a ʻo kahi hiʻohiʻona maʻamau o kēia ʻeha he hāʻule i kahi kiʻekiʻe o ka poʻohiwi e paʻi i ka honua a i ʻole ka hopena pololei o ka poʻohiwi kiʻekiʻe. Hiki pinepine nā dislocations hui acromioclavicular i nā mea pāʻani pôpeku a me nā kaʻa kaʻa a i ʻole nā ​​​​mea holo kaʻa ma hope o ka hāʻule ʻana.

Nā ʻano o ka hoʻokaʻawale ʻana o ka hui acromioclavicular

II°(grade): ua hoʻoneʻe ʻia ka hui acromioclavicular a hiki ke hoʻopaneʻe ʻia ka ligament acromioclavicular; ʻO kēia ke ʻano maʻamau o ka ʻeha hui acromioclavicular.

II° (grade): wehe hapa o ka hui acromioclavicular, ʻaʻole ʻike ʻia ka neʻe ʻana ma ka nānā ʻana. ʻO ka waimaka piha o ka ligament acromioclavicular, ʻaʻohe haki o ka ligament clavicular rostral.

III ° (papa): ka hoʻokaʻawale piha ʻana o ka hui acromioclavicular me ka waimaka piha o ka ligament acromioclavicular, ligament rostroclavicular a me ka capsule acromioclavicular. No ka mea, ʻaʻohe ligament e kākoʻo a huki paha, ua ʻōleʻa ka ami poʻohiwi ma muli o ke kaumaha o ka lima luna, no laila ua ʻike ʻia ka clavicle a hoʻohuli ʻia i luna, a ʻike ʻia kahi kiʻekiʻe ma ka poʻohiwi.

Hiki ke hoʻokaʻawale ʻia ke koʻikoʻi o ka acromioclavicular joint dislocation i ʻeono mau ʻano, me nā ʻano I-III ka mea maʻamau a me nā ʻano IV-VI kakaikahi. Ma muli o ka pōʻino nui o nā ligaments e kākoʻo ana i ka ʻāina acromioclavicular, pono nā ʻeha ʻano III-VI āpau i ka lāʻau lapaʻau.

Pehea e mālama ʻia ai ka dislocation acromioclavicular?

No nā poʻe maʻi me ka acromioclavicular joint dislocation, koho ʻia ka lāʻau kūpono e like me ke ʻano. No nā poʻe maʻi me ka maʻi maʻalahi, hiki ke mālama i ka mālama conservative. ʻO keʻano kūikawā, no keʻano I acromioclavicular joint dislocation, hoʻomaha a hoʻokuʻuʻia me kahi kāwele triangular no 1 a 2 mau wiki ua lawa; no ka dislocation type II, hiki ke hoʻohana i ke kaula hope no ka immobilization. ʻO ka mālama mālama ʻana e like me ka hoʻopaʻa ʻana i ke kaula a me ke kuʻekuʻe; nā maʻi me ke kūlana koʻikoʻi, ʻo ia hoʻi nā poʻe maʻi me ke ʻano III ʻeha, no ka mea ua haki ʻia kā lākou capsule hui a me acromioclavicular ligament a me rostral clavicular ligament, e hana i ka acromioclavicular joint loa unstable pono e noʻonoʻo i ka lāʻau lapaʻau.

Hiki ke hoʻokaʻawale ʻia ka lāʻau lapaʻau i ʻehā mau ʻāpana: (1) hoʻoponopono kūloko o ka hui acromioclavicular; (5) ka hoʻopaʻa ʻana i ka laka rostral me ke kūkulu hou ʻana i nā ligament; (3) ka wehe ʻana i ka ʻāʻī o ka ʻōpū; a me (4) ka hoʻololi ʻana i ka ʻiʻo mana.