Iintlobo zeSiseko seBhola-kunye-ne-Socket Joint Joint
I-glenoid iyisiseko senxalenye yebhola kunye neenqwelo . I-glenoid iyingxenye yesigapula (umgca wecala), ithambo elincinci, elincinci elihleli emva kwembambo. I-scapula ngokwayo iyiselula (ukutshintshwa kwayo ngokutshintshile kumqolo wakho ngokuhamba), kwaye ukunyakaza okuqhelekileyo okubalulekileyo kubalulekile kumsebenzi wesigxina oqhelekileyo.
I-glenoid ibonakala kwinqanaba langaphandle le-scapula.
Isangqa se-glenoid ayinzulu kakhulu (ngokungafani nesiseko soxhumo lwe-hip), kunoko, i-socket glenoid yinto engacacanga, ecishe ibe yincithakalo yethambo. Ubuso be-glenoid bufakwe ngumbutho we-articular - i-lining egqibeleleyo yamalungu aqhelekileyo. Isiseko se-glenoid sinyanzeliswa ngenye uhlobo lwe-cartilage, ebizwa ngokuba yi- labrum ehlombe , ejikeleza i-glenoid. Ngaphandle kwebhubhile eqhelekileyo, ihlombe lixhomekeke kwizigcawu ze-shoulderability . Oku kuya kwenzeka xa abantu bekrazula i-labrum yamagxa , kwaye banamathele ekugxothweni.
Iintlobo ze-glenoid zihlobo olungaqhelekanga lwehlombe . Iintlobo ze-Glenoid ziqhekeza ngokuphindaphindiweyo xa kukho ukukhathazeka okukhulu kwipaleni, okanye ngenxa yengozi ephezulu yamagalelo ezemidlalo. Iipatheni ezimbini eziqhelekileyo zokuqhaqhawula:
- I-Glenoid Lip Fractures: I- Glenoid lip i-fracture iqhuma xa kukho ukuxulelwa kwamagxa okanye i- subluxation yamagxa , kwaye ibhola iphuma kwisiseko. Njengoko ibhola ihamba, iyakwazi ukutshathisa umtya we-glenoid socket, ibangele iqhekeko lesithambo ukuba liqhekeke.
Ukunyangwa kwe-glenoid rim fracture ijolise ekubuyiseleni umgca oqhelekileyo wesiseko segxala ukukhusela ukungazinzi ngokuphindaphindiweyo (ukuphinda ukutshatyalaliswa) kwendibano yamagxa. Iingonyango zonyango zivame ukucatshangelwa ngenxa yokwenzakala, ingakumbi xa i-fracture ingekho kwindawo okanye ukuba kukho inxalenye enkulu yethambo le-glenoid.
- I-Glenoid Fossa Fractures: I-glenoid fossa yinxalenye yesiphakamiso yesiseko. I-Glenoid fossa fractures iyancipha kakhulu, kwaye idla ngokuxhatshazwa kakhulu. Kukho idatha encinci malunga nokunyanga okufanelekileyo kwezi nzakalo, kuba ziqhelekanga. Nangona kunjalo, abaninzi oogqirha bavuma ukuba izigqibo zokulawulwa kwezicucu kufuneka ziqwalasele zombini uhlobo lokuphuka kunye nesidingo somguli. Izigulane ezisebenzayo ezingaphezulu kwezikhundla ezingekho kwisithuba esifanelekileyo ziya kuxhamla kwi-operesheni ukuze zilungelelanise le nzakala.
Unyango lwe-Glenoid Fracture
Unyango lwee-glenoid fractures lunokuba yimpikiswano njengoko kuye kwaba nezifundo ezimbalwa ukuthelekisa iindlela ezahlukeneyo zonyango. Ngenxa yokuba oku kungonakali ngokungekho ngokuqhelekileyo, kunzima ukwenza iifaniso zokuqhathanisa nje ngokuba oogqirha abakhethekileyo bangaphatha kuphela le ntlobo yokwenzakalisa.
Ngokuqhelekileyo, kuvunyelwene ukuba ukuba kukho umonakalo kummandla we-cartilage we-glenoid, ngoko utyando luyonyango olululo. Injongo yokunyangwa ngonyango kukubuyisela ukulungelelaniswa komgangatho oqhelekileyo wokubambisana. Kuqhelekile ukulungisa ithambo ngamacwecwe amancinci kunye / okanye izilwanyana ukuqinisekisa ukuba amathambo aphilisa kwindawo efanelekileyo.
Ukubuyiselwa emva kokuhlinzwa ukulungisa i-glenoid fracture ijolise ekubuyiseleni ukuhamba okuqhelekileyo kunye namandla kumxhelo. Udokotela wakho ugqirha unokuncoma ixesha elifutshane lokungasebenzi ukuvumela amathambo ukuba aqale ukuphilisa, kodwa ngokukhawuleza, kuya kuqaliswa ukusetyenziswa kweendlela zokuhamba . Njengoko ukuphilisa kuyaqina, uya kuphucula ukuqinisa imizimba yegxala.
Ingozi yokunyangwa ngonyango iquka ukusuleleka, ukuqina komgxa, ukulimala kwentsholongwane, kunye ne- arthritis yamagxa . Isizathu sokuba abantu bahlakulele i-arthritis yesigxina kungenxa yeso sikhwala kwi-cartilage surface yescket.
Nangona utyando luyenziwa ukuze ulungelelanise ithambo elonakalisiweyo, ukulimala kwi-cartilage kwandisa amathuba okuphuhliswa kwe-arthritis. Abantu abahlala benama-glenoid fractures banokufuna ukuba baphinde baphenywe emva koko ebomini.
ILizwi
Iintlobo ze-Glenoid ziyaqhwala ngokuqhelekileyo. Uninzi lwama-glenoid lunobungozi obuncinci obuhambelana nezimo eziphazamisayo, kodwa kukho iimeko apho i-glenoid fracture iyenzeka ngokwahlukana. Ukuba i-glenoid fracture ibandakanya indawo yesikhumba esecaleni lesigxina, ngoko utyando luyaqwalaselwa ngenyango.
Imithombo:
Cole PA, kunye no-al. "Ulawulo lweeFracture Fractures" J Am Acad Orthop Surg ngoMashi 2012 vol. 20 ayi. 3 130-141.