Ihlangene lehlombe liwuhlanganiso phakathi kwesifuba kanye nomkhawulo ophezulu . Amalungu amabili asehlombe. Umhlanganiso we-glenohumeral yi-ball-and-socket junction ye-top of the bone bone, ne-socket ye-shoulder blade. Ingxenye yesibili ehlombe ihlangothini lesithambo lesikhumba elisehlombe, elibizwa ngokuthi i-acromioclavicular joint.
Iningi lamahlombe ehlombe livela emhlanganisweni we-ball-and-socket glenohumeral, kodwa ukuze kuqhutshwe ngokugcwele kwehlombe, ukuhlanganiswa kwe- acromioclavicular kufanele futhi kusebenze ngokujwayelekile.
Amangqamuzana Emaphethelweni
Amathambo amathathu ehlombe yi-bone arm (humerus), i- shoulder blade (scapula), ne-collarbone (clavicle). I-scapula ineyingxenye eyodwa eyakha isokhethi sokuhlanganiswa kwesigxobo sebhegi ne-socket; lokhu kubizwa ngokuthi i-glenoid. I-glenoid ihlanganiswe ne- cartilage ebushelelezi. Lapho phezulu ohlangothini lwesithambo samathambo (i-humerus) oxhumene ne-shoulder blade kuthiwa uhlangene ne-glenohumeral.
Isihlanganisi sesibili phezulu kwehlombe lapho ingxenye ehlukile yamagxa ehlombe, i-acromion, ixhuma ku-collarbone. Lokhu kubizwa ngokuthi ukuhlanganiswa kwe-acromioclavicular.
I-Rotator Cuff
I- rotator cuff iqoqo lezintambo ezine namathononi azungeze ukuhlanganiswa kwe-glenohumeral. Izinkontileka zemisipha ukuhambisa amathambo; i-tendon yi-attachment ye-muscle kuya ethambo.
Imisipha ye-rotator iyingxenye ebalulekile ekuhambeni kwehlangothini lezinsiza zebhola-ne-socket.
I-rotator cuff ibalulekile emisebenzini eminingi yemizila, futhi uma ukulimala kungabangela ubuhlungu obukhulu. Lapho isikhumba se rotator sishaywa noma sithukuthele, lokhu kubizwa ngokuthi i- rotator cuff tendonitis noma i- bursitis yehlombe .
Lapho izintambo zomkhombe we- Rotator ziqhekekile , lokhu kubizwa ngokuthi i- rotator cuff izinyembezi .
I-capsule ye-Shoulder
I-capsule yehlombe ihaqa ingxenye yebhola ne-socket yehlangothini lwehlombe. I-capsule ihlukanisa ukujoyina kuwo wonke umzimba futhi iqukethe uketshezi oluhlangene. Izigamu eziningana zakha izingxenye ze-capsule ehlangene, futhi lezi zimpawu zibalulekile ekugcineni ukuhlanganiswa kwehlombe endaweni efanele. Lapho ihlombe lidlulile, imigqa ye-capsule yehlombe ingaqedwa.
Ukwehlukana kwe-capsule yehlombe kubalulekile. Uma i-capsule ikhululekile kakhulu, lesi simo sibizwa ngokuthi ukungazinzeki kwe-multidirectional . Lapho i -capsule yehlombe iqinile kakhulu, isimo sibizwa ngokuthi ihlombe elifriziwe .
I-Labrum Yehlombe
I-labrum iyisigubhu se-cartilage esungeze isixhumi sehlangothini lwehlombe. I-socket of the kufanele ihlangane ayijuli, futhi i-labrum inikeza ukujula okujulile ngokwengeziwe, futhi kanjalo nokuzinza okunye. I-labrum iphinde isebenze njenge-attachment ye-tendon enkulu ehlombe, i -biceps tendon .
Izinyembezi zeLabral ehlombe zingabangela ubuhlungu, ukungazinzi kokuhlanganyela, noma kokubili. Izinyembezi zeLabral ngokuvamile zihlukaniswa ngokususelwa endaweni yazo. Izinyembezi ezivame ukwanda kwama-labral yizo ezihlobene nokuxoshwa kwehlombe , okuthiwa i- Bankart izinyembezi , nalabo abahambisana nezinkinga ze-biceps tendon, ezibizwa nge- SLAP izinyembezi .
Imisipha Yehlombe
Ngenkathi abantu abaningi becabanga ngesikhumba se-rotator lapho becabanga ngemisipha ehambisana nohlangothini lwamahlombe, lezi zingama-4 kuphela emisipha engu-17 ewela umhlanganiso wehlombe. Ezinye zalezi zinye imisipha nazo zibucayi ekusebenzeni okujwayelekile.
Enye yamaqembu omzimba okuvame ukubhekwa kubantu abanezinkinga ezihlangene zezinhlanzi yizihlungulu ze-periscapular. Lezi zihluthulelo zisiza ukulawula ukunyakaza kwekhasi lamahlombe (i-scapula), futhi lokhu kuhamba kubalulekile ekusebenzeni kwepaji evamile. Isixhumi sohlangothini lwehlombe siyingxenye ye-scapula, futhi uma ukunyakaza okumangalisayo kungavamile, umsebenzi wehlombe awukwazi ukujwayelekile.
Abantu abaningi abanezinhlungu zehlombe, ubuthakathaka, nokungazinzi ngokuvamile badinga ukugxila ekuthuthukiseni umsebenzi wabo wokusiza ukusiza ukuthuthukisa ama-shoulder mechanics.