Iintlobo zeBlue Blade
I-scapula ukuphuka kukulimala okungavamile. I-scapula, okanye ihlombe, libanzi, ithambo elityebile elihleli emva kwembambo. I-scapula idibanisa kwi-clavicle (ithambo lesithambo) phambi komzimba, kunye ne-humerus (ithambo lesifuba) kwicala. Icandelo le-scapula lihlanganiswe ne-cartilage (i-glenoid) kwaye yenza i-socket ye-ball-and-socket joint joint.
Iingqungquthela ze-Scapular zenzakaliso ezinqabileyo eziqhelekileyo zenzeke ngokubakala okukhulu, ukulimala kwamandla amaninzi njengemoto okanye ukuwa kwiindawo eziphakamileyo. Xa kwenzeka i-scapular fracture, oogqirha kufuneka bajonge ngenyameko ukuba kwenzeke ukulimala kwesifuba. Ngenxa yamandla afanelekileyo okubangela ukuphulwa kwe-scapular, kuyaqhelekileyo ukuba kukho ezinye iintlobo zokulimala kwesifuba kubandakanya ukungqubana kwamapulmonary, i-rib fractures, kunye ne- pneumothorax .
Iintlobo zeeFractures Fractures
- I-Body Scracular Fractures
I-scapular body fractures yindlela eqhelekileyo yokuqhekeka kwe-scapula. Ezi nzakalo zisoloko zifuna naluphina unyango olungakumbi ngaphezu kwesandla esilula. Inyaniso ebalulekileyo kukuba i-scapular body fractures ixhaphakile (80-90%) ehambelana nezinye ukulimala ezifana nokulimala kwamaphaphu kunye nesifuba. - I-Scapular Neck Fractures
Iintlobo zeentambo ezifakwe kwiintambo zenzeke ngokukhawulezileyo kwi-glenoid-inxalenye yentambo. Kwakhona, uninzi lwala maqhekeza lungaphathwa ngaphandle kokuhlinzwa ngaphandle kokuba kukho ukugquma okukhulu kwamathambo aphukile. Kule meko, umxhelo wegxina ungathinteka ukuba utyando alukwenziwanga ukuguqula amathambo.
- I-Glenoid Fractures
I-Glenoid fractures iquka i-cartilage kwiindawo ezihlangeneyo. Lezi ziqhekeza zidinga ukuhlinzwa xa kufuneka ukuba intsebenziswano ibe engaqinisekanga okanye ukuba iziqhezu zide zilungelelaniswa. Izigulane ezinamaqabunga e-glenoid zisengozini yokuhlakulela isifo se-arthritis .
Ukunyangwa kwamaFractures Scapular
Kukho ukuhluka okukhulu ekwenzeni unyango lwe-scapular fractures.
Uphando luvame ukucetyiswa ukuba i-glenoid fractures ngenxa yemiphumo ehlangeneyo. Nangona kunjalo, kukho ukuhluka okuphawulekayo kunyango lwamaqhekeza omzimba. Nangona kukho izikhokelo ezininzi ezipapashiweyo, ezi zinto azivumelani ngaso sonke isikhathi, kwaye abaninzi ababhali bayavuma ukuba iimpawu zesigulane ngasinye zidlalwa indima ekuqaliseni unyango olungcono.
Imithombo:
Cole PA, kunye no-al. "Ulawulo lweeFracture Fractures" J Am Acad Orthop Surg ngoMashi 2012 vol. 20 ayi. 3 130-141.