Ithambo elidibanisa i-scapula kunye ne-sternum libizwa ngokuba yi-clavicle. Ufumana amandla amakhulu kuneminyaka engama-20, ngoko ke, ukulimala kule ndawo kuyimpawu, ngokukodwa kubantwana abasandul 'ukuzalwa (ngenxa yesigxina sokungena kwinqanaba lokuzalwa) kunye nabadlali abancinci. Kodwa abantu bahlala befuna uncedo ngokuxilongwa njenge-clavicle ephulekileyo ngenxa yokuwa kweengalo okanye ingozi yemoto.
Ukutshintshwa kweqhekeza ye-clavicle ngokufuduka
Ukongeza kwi-classification yendawo yokuqhekeka (i-diaphysis, isiphelo okanye isigxina esingaphandle sethambo), ukulimala kuyahlula kwiindidi ezilandelayo:
- zi tshintshiwe;
- i-lobed multi;
- kunye nomgca wefracture line;
- kunye ne-oblique fracture line.
Kuxhomekeke kuloluhlu, i-regimen yonyango efanelekileyo ikhethwe.
Ukuqhekeka kwe-clavicle kunye nokunyuswa kwonyango
Indlela yokongamela iqulethe ukukhutshwa ngokupheleleyo kwethambo elonakalisiweyo ngoncedo lwe-gypsum, i-bandage bandage okanye i-Delbe izindandatho. Injongo yalo msebenzi kukukhubaza igalelo kunye nengalo ixesha elide - ukususela kwiiveki ezi-3 ukuya kwezi-8. Ngeli thuba ithambo likhula ndawonye ngokuzimela kunye nokubuyiselwa ubude balo obuqhelekileyo.
Ukuvalwa kwe-clavicle ephuhliweyo ekhutshweyo ngokufudukayo akunakwenzeka rhoqo ukunyanga ngokuchanekileyo. Kwiziko lesithambo elichithwa ngqolowa livela: ukubonakala okubonakalayo kwindawo yokulimala. Ukongezelela, kukho i-deformation ye-clavicle ngenxa yendawo engafanelekanga yeziqhekeza kunye neziqhekeza, nangona zizenzo zogqirha. Kwiimeko ezinjalo, ukungenelela kokutyalwa kuyaphakanyiswa.
Ukwaphulwa kwe-clavicle kunye nokusebenza ngokufuduka
Le nqubo ibizwa ngokuba yi-osteosynthesis, iqulethwe ekuphelisweni ngokupheleleyo kwe-bone deformation kunye ne-displacement of fragments, emva koko i-clavicle igqityiwe kwisakhiwo esenziwe sisakhiwo esikhethekileyo. Ngokuxhomekeka kwimeko kunye nobukhulu bomonakalo, amacwecwe ahlanganiswe nezikhonkwane zisetyenziswe, okanye
Ukuqhekeka kwe-clavicle kunye nemiphumo ye-displacement
Ukuba, emva kokulimala, amaqhekeza amathambo awakwazi ukufumaneka ngokufanelekileyo kwaye ukufutha kwenzeka nge-reposition ye-2 okanye ngaphezulu kwamentimitha, ukuguqulwa okunamandla kwegxala kubonwa. Kule meko, ingalo yembonakalo ibonakala ingaphezu kwesinye, amaqonga atholakala kwiindawo eziphakamileyo. Ukongeza kwiziphene zokuziqhenqa, ezi zigulo zibangelwa kakubi xa zishukunyiswa kwaye zenza umsebenzi olula nsuku zonke.