Umba weentlungu zentlungu kwi-athlete
Ukumiswa kwangaphakathi luhlobo oluthile lokulimala kwegxalaba elibonakala ngokukodwa ekuphonsa abadlali. Ukungeniswa kwangaphakathi kubandakanya ukulimala kwezi zakhiwo ezilandelayo:
- I-labrum yangemva
Isibhedlele kwindawo engasemva-ephakamileyo yegxeni idlalwa okanye ihlulwe. Kwiimeko ezinzima kakhulu, iinyembezi zinokunyuka ukuya kwi- attachment ye-biceps tendon , ebizwa ngokuba yi- SLAP .
- Inkompo yokujikeleza
Ingqayi yokujikeleza ihlulwe kwinqanaba layo elingaphantsi. Uhlobo lwentlungu libizwa ngokuba yi -rotary cuff -we-tearer ye-breaker.
Ingxaki ibangelwa ukuxubha kwe-tuberosity (phezulu kwe-humerus) ngokubhekiselele kwi-labrum. Izigulane zokungena ngaphakathi zingabonakali ukujikeleza kwangaphakathi-ukukwazi ukujikeleza ngokupheleleyo igxala ngaphakathi.
Iimpawu zokuPhoswa kwangaphakathi
Imiqondiso eqhelekileyo yale ngxaki iquka:
- Ubuhlungu xa uphonsa okanye uphezulu imidlalo (njengentanethi isebenza)
- Ukunyamezela okuqhelekileyo ngaphambili kwegxala (inkqubo ye-pectoralis encinci / i-coracoid)
- Ukunyamezela nge-scapula kunye ne-capsule ye-shoulder head
Ngokuqhelekileyo xa ezi zi gulane zihlolwe ukuhamba kwazo kwegxala elincinci. Ngokuqhelekileyo aba baqhubi banokujikeleza kwangaphandle kunokuba kulindeleke (okuqhelekileyo ukuphonsa abagijimi) kunye nokunciphisa ukujikeleza kwangaphakathi.
Izigulane ziyakubona oku kunzima ukufikelela kumva njengophakamileyo kwicala labo elichaphazelekayo njengecala labo elingathintekiyo. Ngokuqhelekileyo ezi zi gulane zifumene iziphumo ezintle zokungazinzi kokubambisana. Ukungazinzi kwegalelo kucatshangelwa ukuba liyinxalenye ebalulekileyo ukuba kutheni ukufakwa kwangaphakathi kuqhubeka.
Uvavanyo lunokuquka ukuhlolwa kwe-x-ray eqhelekileyo. I-MRI ngokuqhelekileyo ibonisa ukutyumza amathambo (i-edema) ibhola ye-ball-and-socket joint joint, i-tear-tailed tear of the rotator cuff, kunye nomonakalo kwi-labrum (nangona ingaqhelekanga i-labrum).
Izinyango Zonyango
Uninzi lwezigulane ziqala ngononophelo olungabonakaliyo ukujongana neengxaki kumatshini ombombo. Ngako oko, kugxininiso kunyango ukuphinda kubuye ukujikeleza kwesigxina kunye nokuphucula ukunyakaza kwe-scapula ngexesha lokunyuswa kwegxalaba. I-scapula ibaluleke kakhulu kumatshini oqhelekileyo emigxeni ngenxa yokuba i-scapula iqulethe isiseko sehlangeneyo. Ukuba isiseko asihambeli ngendlela ehambelana nayo yonke ihlombe, ezi zibonakaliso zokungeniswa kwangaphakathi zihlala ziphumo.
Iindaba ezilungileyo kukuba uninzi lwezigulane, nokuba ngabagijimi bezinga eliphezulu, banokufumana ukukhululeka kweempawu kunye nale migudu yokwelapha. Isitshixo sisebenza ngokusondeleyo kunye nomqeqeshi owaziyo okanye umqeqeshi, oqonda injongo yokuphucula umatshini wegxa. Ukuba kugxininiswa kuphela "ekuqiniseni" umxhelo, ngaphandle kokugxininiswa kumatshini afanelekileyo, kufuneka iziphumo zingabi zilungileyo.
Kwizigulane ezingaphumeleli ukuphucula naphezu kwenzame ejoliswe kunyango, kukho inxaxheba ekusebenzisweni kwegulane. Ngokuqhelekileyo, utyando luyenziwa ukujongana nayiphi na umonakalo kwikhofu yokujikeleza okanye i-labrum, kunye nokujongana nokungazinzi kwendibano yegxala elingabangela ukuba yingxaki. Ngethamsanqa, ezininzi izigulane zingasombulula le meko ngonyango olungapheliyo, kodwa abo bangaphumelelanga kunyango, ukuhlinzwa kungenokuba yinto efanelekileyo.
Imithombo:
Drakos MC, et al. "Ukuphoswa kwangaphakathi kweNgxowankulu kwi-Athletic Athletics" I-Bone Bone Surgery I-2009, ngoNovemba 01; 91 (11): 2719 -2728.