He aha ka dislocation o ka hui acromioclavicular?

He aha ka dislocation o ka hui acromioclavicular?

ʻO ka dislocation o ka hui acromioclavicular e pili ana i kahi ʻano trauma poʻohiwi kahi i hōʻino ʻia ai ka ligament acromioclavicular, e hopena ana i ka dislocation o ka clavicle. He dislocation ia o ka hui acromioclavicular i hoʻokumu ʻia e kahi ikaika waho i hoʻopili ʻia i ka hopena acromion, ka mea e hoʻoulu ai i ka scapula e neʻe i mua a i lalo paha (a i hope paha). Ma lalo nei, e aʻo mākou e pili ana i nā ʻano a me nā lāʻau lapaʻau o ka dislocation o ka hui acromioclavicular.

ʻOi aku ka maʻamau o nā dislocations hui Acromioclavicular (a i ʻole nā ​​​​​​hoʻokaʻawale ʻana, nā ʻeha) i nā poʻe e komo ana i nā haʻuki a me ka hana kino. ʻO ka dislocation hui acromioclavicular kahi kaʻawale o ka clavicle mai ka scapula, a ʻo kahi hiʻohiʻona maʻamau o kēia ʻeha ka hāʻule ʻana i kahi e paʻi ai ke kiko kiʻekiʻe loa o ka poʻohiwi i ka honua a i ʻole ka hopena pololei o ke kiko kiʻekiʻe loa o ka poʻohiwi. Loaʻa pinepine nā dislocations hui Acromioclavicular i nā mea pāʻani pôpeku a me nā mea holo paikikala a i ʻole nā ​​​​​​mea holo mokokaikala ma hope o ka hāʻule ʻana.

Nā ʻano o ka dislocation hui acromioclavicular

II°(papa): ua neʻe iki ʻia ka hui acromioclavicular a hiki ke kīkoʻo ʻia a haehae ʻia paha ka ligament acromioclavicular; ʻo kēia ke ʻano maʻamau o ka hōʻeha hui acromioclavicular.

II° (papa): ka dislocation hapa o ka hui acromioclavicular, ʻaʻole paha e ʻike ʻia ka neʻe ʻana i ka nānā ʻana. Ka haehae piha ʻana o ka ligament acromioclavicular, ʻaʻohe haki o ka ligament clavicular rostral

III° (papa): ka hoʻokaʻawale piha ʻana o ka hui acromioclavicular me ka haehae piha ʻana o ka ligament acromioclavicular, ka ligament rostroclavicular a me ka capsule acromioclavicular. ʻOiai ʻaʻohe ligament e kākoʻo a huki paha, ke kūlou nei ka hui poʻohiwi ma muli o ke kaumaha o ka lima o luna, no laila ke ʻike ʻia nei ka clavicle i luna a kūlou i luna, a ʻike ʻia kahi kūlou ma ka poʻohiwi.

Hiki ke hoʻokaʻawale ʻia ke koʻikoʻi o ka dislocation hui acromioclavicular i ʻeono ʻano, me nā ʻano I-III ka mea maʻamau a me nā ʻano IV-VI kakaikahi. Ma muli o ka hōʻino nui ʻana i nā ligaments e kākoʻo ana i ka ʻāpana acromioclavicular, pono nā ʻeha ʻano III-VI āpau i ka mālama ʻoki kino.

Pehea e mālama ʻia ai ka dislocation acromioclavicular?

No nā poʻe maʻi me ka dislocation hui acromioclavicular, koho ʻia ke ʻano kūpono e like me ke kūlana. No nā poʻe maʻi me ka maʻi ʻoluʻolu, hiki ke mālama ʻia ka mālama conservative. ʻO ke kikoʻī, no ka dislocation hui acromioclavicular ʻano I, ua lawa ka hoʻomaha a me ke kau ʻana me kahi kāwele triangular no 1 a 2 mau pule; no ka dislocation ʻano II, hiki ke hoʻohana ʻia ke kaula hope no ka hoʻopaʻa ʻana. ʻO ka mālama conservative e like me ka hoʻopaʻa ʻana i ke kaula poʻohiwi a me ke kuʻekuʻe a me ka braking; nā poʻe maʻi me ke kūlana koʻikoʻi, ʻo ia hoʻi nā poʻe maʻi me ka ʻeha ʻano III, no ka mea, ua haki ko lākou capsule hui a me ka ligament acromioclavicular a me ka ligament clavicular rostral, e hana ana i ka hui acromioclavicular paʻa ʻole e pono ai ke noʻonoʻo i ka mālama ʻoki kino.

Hiki ke hoʻokaʻawale ʻia ke ʻoki ʻana i ʻehā mau māhele: (1) ka hoʻopaʻa ʻana i loko o ka hui acromioclavicular; (5) ka hoʻopaʻa ʻana i ka laka rostral me ke kūkulu hou ʻana o ka ligament; (3) ka ʻoki ʻana o ka clavicle distal; a me (4) ka hoʻololi ʻana o nā ʻiʻo mana.