Inkqubo yoPhando kunye nezinye iindlela
I-biceps tendon yi-attachment ye-biceps muscle kuya kwithambo. I-biceps muscle ibingelwa ngokuba kukho izikhonkco ezimbini zeetonon (ngoko, "bi" -ceps) ehlombe, kwaye kukho ikhonkco elithandwayo le-muscle ngaphantsi kwesigxina. I-biceps muscle ibalulekile kokubhinqa i-elbow (ibhola) kunye nokuguqula i-frontarm (phezulu).
Iindlebe ze-biceps zezinyembezi zinokunciphisa amandla ezi ntshukumo kwaye zinokubangela ukukhubazeka kwe-biceps muscle.
Iindlebe ze-Biceps Tendon
Uhlobo oluqhelekileyo lwe-biceps tendon izinyembezi yintambo (inxalenye okanye iphelele) enye yee-biceps tendons ngaphakathi kwimixhelo. Kukho izikhonkco ezimbini ze-biceps tendon ehlombe, enye ehlangene kunye nentloko (intloko ende ye-biceps), enye ihamba phambi kwegxina (intloko emfutshane ye-biceps). Ukulimala kwi-tendon biceps i-biceps phantse ihlale iquka intloko ende ye-biceps. Xa intloko ende ye-biceps tendon yonakaliswe, unyango olunokuthi lucatshangelwe lubizwa ngokuba yi-biceps tenodesis.
Iindlebe ze-Biceps iinyembezi ehlombe zixhaphakileyo. I-biceps ibhekwa ngokuba yinto enkulu "ye-generator generator" ehlombe, kunye neinyembezi kwi-biceps zixhaphake ngokuqhelekileyo kwiimeko zokukhupha.
Ukuze kukhululeke ngokupheleleyo intlungu, kufuneka ingxaki ye-biceps ye-tendon ingqwalasela. Kukho iindlela ezahlukeneyo zokujongana neengxaki ze-tendon ze-biceps, zozibini zonyango kunye nezokwelapha. I-biceps tenodesis yenye yeendlela zokugqirha ukulungisa iindlebe ze-biceps.
Biceps Tenodesis
I-biceps tenodesis yinkqubo yokuhlinzwa eyenziwa ukunyangwa kwentloko ende ende ye-biceps tendon.
I-biceps tenodesis inokuthi yenziwe njengenkqubo ekhulile kodwa ngokuqhelekileyo inxalenye yenkqubo yokuhlinzwa ekhudlwana, njengento yokulungisa ikhuphe .
Ngexesha lotyando lwe-biceps tenodesis, ukufakela okuqhelekileyo kwe- biceps tendon kwi-joint joint (kungakhathaliseki ukuba kuqhathaniswa ngokupheleleyo), kunye ne-tendon iphinda ifakwe kwisithambo se-humerus (ithambo lesifuba). Xa i-biceps itheon iphukile ngokupheleleyo, akusoloko kuyimfuneko ukuba idibanise ithenda ephuma ngaphakathi kwiphepha.
Isihluthulelo sokwenza i-biceps tenodesis ishukumisa ithethoni kwisithintelo sayo esifanelekileyo kumxhelo wegxala kwindawo entsha ehla ngaphantsi kwethambo lesandla. Ngokuhambisa isinamathiselo se-biceps tendon, ayisekho kwi-joint joint. Oku kubangela iingxaki ezimbalwa phantsi kwendlela, njengoko i-biceps tendon eyonakalisiweyo ingabangela iingxaki ngaphakathi.
Ngubani ofuna i-Biceps Tenodesis?
I-biceps tenodesis inokwenziwa kwonyango lweemeko ezibandakanya i-tendon biceps, kuquka:
- ukuphuka kwentloko ende ye-biceps
- Iindleko ze SLAP
- biceps tendonitis
- biceps tendinosis
Ngaba kukho ezinye iindlela?
Kukho ukuphikisana okukhulu malunga nendlela efanelekileyo yokuphatha iingxaki ze-biceps kwi-shoulder. Ngokuqhelekileyo, unyango olungcono kakhulu lwe-biceps tendon imeko kuxhomekeke kwiminyaka yesigulane, imisebenzi eyenziwa isigulane, uhlobo lokulimala kwethenda, kunye nezinye izinto.
Ezinye iindidi ze-biceps ze-tendon zokuhlinzwa ezinokucetyiswa ziquka:
- Ukulungiswa kwe-SLAP
- biceps tenotomy
Tenotomy okanye i-Tenodesis?
Iingxoxo eziqhubekayo zijolise ekubhekiselele kule nkqubo yokuphucula, i-biceps tenotomy okanye i-tenodesis. Zombini iinkqubo zineenzuzo kunye nezibi. Zomibini zikhetho ezinokuzikhethela, kwaye enye ingcono ngakumbi kwizigulane ezithile, kunye nezinye izigulane. Ayikho inkqubo engcono okanye embi.
Ngokuqhelekileyo abantu bakhetha i-biceps tenodesis xa besasebenza kakhulu, njengabagijimi okanye abasebenzi bemiqulu, okanye ukuba bakhathazeke ngokubonakala kwe-biceps muscle yabo.
Abantu banokukhetha i-biceps tenotomy ukuba bafuna ukuphulukisa ngokukhawuleza kwaye bafuna ukuphepha iingxaki zokulungisa i-tendon kunye nokuhlinzwa okude.
Ukubuyiswa koBulala
Ukuphinda ukuphanda emva kwe-biceps tenodesis ngokuqhelekileyo malunga neveki ezine ukuya ezintandathu. Nangona kunjalo, njengoko kushiwo ngaphambili, ngokuphindaphindiweyo i-tenodesis iqhutywe kunye nezinye iinkqubo zokuphanda ezinokufuna ukuphucula ixesha elide. Ukuba unesimo se-tenodesis esinqamlekileyo, isigulane sinokulindela ukugqoka isilingi kwiiveki ezimbalwa. Ukuhamba kweengalo kuqala ekuqaleni, kodwa imisebenzi epheleleyo iyanqanda ubuncinane kwiinyanga ezintathu.
Iingxaki zeBiceps Tenodesis
I-biceps tenodesis ingakhokelela kwiinkcenkcesho zokuhlinzwa. Iingxaki eziqhelekileyo ezinokuthi zenzeke nangaluphi na uphando lwegulane lubandakanya ukusuleleka, iingxaki zokuphilisa, ukulimala kwenzwa, kunye nentlungu. I-biceps tenodesis idinga ukuba ithenda ilungiswe kwithambo. Ukuze uphilise ukuba uzalise, ithenda kufuneka ibuye ifakwe kwisithambo. Ukungaphumeleli kwethenda ukuphulukisa, okanye ukungaphumeleli kwezixhobo ezibambe i-tendon ngexesha lokuphilisa, zenzeka kwipesenti yezigulane.
Umthombo:
Nho SJ, et al. INtloko ende ye-Biceps Tendinopathy: I-Diagnosis noLawulo. J Am Acad Orthop Surgery . 2010; 18: 645-656.