I-biceps muscle iyisisindo esikhulu esingaphambi kwesandla esikunika amandla lapho uguqa isigqoko, futhi idlala indima ebalulekile emsebenzini wehlombe. Kunezinkinga eziningana ezingenzeka nge-tendon biceps ezingabangela ekuthuthukiseni ubuhlungu behlombe .
Abantu abaningi bacabanga ukuthi i-biceps iqhubekela phambili phansi ingalo futhi ingene emhlangothini wesigqoko, kodwa empeleni, imisipha, futhi ikakhulukazi i-biceps tendon, nayo inezindima ezibalulekile ekusebenzeni kokuhlanganiswa kwehlombe.
Izinkinga ze-tendon ze-biceps zingabonwa ngokuzihlukanisa, noma njengengxenye yezinkinga ngesikhumba se-rotator ehlombe.
I-Biceps Tendon
I- tendon isakhiwo esithinta imisipha kuya ethambo, futhi i-biceps ixhunywe yi-tendon emaceleni nasemaceleni ehlombe. Ehlangothini lwehlombe, empeleni kunezintambo ezimbili ezixhuma i-biceps ethanjeni, yingakho imisipha ibizwa ngokuthi i-biceps: bi, okusho "okubili," okunamathiselwe ehlombe. Lezi zinamathiselo zibizwa ngokuthi "ikhanda elide" le-biceps kanye "nekhanda elifushane" le-biceps. Ikhanda elide le-biceps cishe liyisikhathi sobuhlungu bezinhlungu ezihlobene ne-biceps ehlombe. Ngokubambisana, lezi zithandane ezimbili zibhekwa ngokuthi yizintambo "ze-biceps" ezihamba phambili.
Kukhona futhi izinkinga ze-biceps ze-tendon ne-attachment ye-muscle ku-elbow, eyaziwa ngokuthi yi-tendon "distal biceps". Emgqeni, kunethononi eyodwa kuphela; idlula ngaphansi kwesigxobo sehlangothini.
Inkinga ejwayelekile ye-biceps ye-tendon ye-distal biceps tendon yi- biceps ye-distal ruptured .
I-Biceps ye-Txton ye-Proximal Izinkinga
Izinkinga eziningi ze-biceps ze-biceps ezihamba phambili zivela ekhanda elide le-biceps. Inhloko emfushane ye-biceps ikude nokuhlanganiswa kwehlombe futhi inamathele okuqinile ethempheni.
Ikhanda elide lezinkambo ze-biceps ngokusebenzisa i-groove esitokisini lesandla, khona-ke ngokusebenzisa inkomishi ye-rotator futhi ifaka emthanjeni oseduze ne- labrum yehlombe . Inhloko ende ye-biceps ingaba nezinkinga kunoma iyiphi yalezi zindawo.
Izinkinga eziningi zekhanda elide le-biceps zibangela ubuhlungu ngaphezu kwehlombe; Ngokuvamile abantu bazizwa bephunga noma bechofoza ukuzwa. Ngaphezu kwalokho, izinkinga ze-biceps tendon zivame ukuhlotshaniswa nezinkinga ze- rotator cuff , ngakho-ke ezimweni eziningi, lezi zinkinga kudingeka ziphathwe ndawonye. Inhloko ejwayelekile yezinkinga ze-biceps tendon ihlanganisa:
- I-Biceps Tendonitis ne-Tears
Isizathu esivame kakhulu sobuhlungu biceps ukuvuvukala kwethenda . Ukuvutha kungabangela ukuvuvukala nobuhlungu nxazonke ze-biceps tendon, futhi ngokuhamba kwesikhathi kungaholela ekuthuthukiseni umonakalo ku-tendon, kuhlanganise nezinyembezi. Izinyembezi ngaphakathi kwe-ticeps tendon zingabangela ubuhlungu obunzima obudinga ukwelashwa okunye. - I-Biceps Tendon Ruptures
Uma kubonakaliswe kakhulu, i-tendon biceps ingasusa ngokuphelele ekunamathiselwe kwayo. Lokhu ukulimala kuvame ukuhlotshaniswa ne -rotator cuff izinyembezi, kanti nanoma ubani onenhloko ende ye-biceps ephukile kufanele asolwe ukuthi abe ne-rotator cuff yezinyembezi. I-tendon igxila engalweni, futhi ingxenye ye-biceps imisipha ihoxisa, ibangele i-bgeps ngaphakathi kwe-biceps. Uma zivumelanisa ama-biceps awo, abantu abanethandane ephukile ngokuvamile babonakala sengathi banesisindo "sePapa" esivela ku-muscle we-balled up, okhishiwe.
- I-SLAP Izinyembezi
Lapho i-tendon biceps ingena ehlombe, ifaka emathanjeni ngepuff of cartilage ejikeleze umxhwele wehlombe obizwa ngokuthi i-labrum. I-biceps tendon ingadonsa i-labrum kude nethambo ebangela isimo esibizwa ngokuthi i-SLAP izinyembezi - uhlobo lwezinyembezi ezinamathele ehlangothini lwehlombe. - I-Biceps Tendon Ukuxoshwa / Ukuhlukaniswa
I-ticeps tendon ifika ngaphambili kwesandla ehlombe. Ngaphambi kwengalo, kune-groove ye-tendon ebizwa ngokuthi i-bicipital groove-umgogodla wethambo ozinzisa i-biceps tendon. Phezu kwe-groove, i-rotator cuff ibambe ithenda emgodini lapho ingalo ijikeleza. Kubantu abanezinhlobo ezithile zezinyembezi ze-rotator, i-tendon ye-biceps kungenzeka ingabanjwa ngokuqinile e-grooves-futhi ingase ibuye iphume emgodini-ibangele ukuzwela okubuhlungu . Lapho ithenda lizinzile, libizwa ngokuthi i- subluxation ; lapho ithethoni iphuma ngokuphelele emgodleni, ibizwa ngokuthi i-dislocation.
Ukwelashwa kwe-Biceps Tendon Problems
Akuzona zonke izinkinga ze-biceps tendon eziphathwa ngendlela efanayo. Ngokuya ngesibalo saleso simo, uhlelo lwakho lwezokwelapha lungashintsha. Imithi elula yezinkinga ze-biceps ye-tendon ihlanganisa ukuphumula, i- ice , imithi elwa nokuvuvukala , ukwelashwa ngokomzimba , nokusetshenziswa kwamahlombe . Uma kukhona ukuvuvukala eduze kwethethoni, umjovo we-cortisone eduze kwethemoni ungacatshangwa.
Ukwelapha okuhlinzekwa kwethenda ye-biceps kungacatshangwa. Imithi ejwayelekile kunazo zonke izinkinga ze-biceps tendon zihlanganisa i- biceps tenotomy kanye ne-biceps tenodesis. I-tenotomy isho ukusika umthambo wekhanda elide le-biceps ukuze ithenda ibuyele emuva engangeni futhi iphume ehlombe lapho ingabangela khona ubuhlungu. Ukuhlinzwa kuyashesha, kulula, futhi kunemiphumela ethembekile. Ezinye iziguli azithandi ukubukeka kwe-biceps yazo ngemva kokuhlinzwa, futhi abanye abantu bakhononda ngokuchoboza ingalo ngemva kokuhlinzwa.
Okunye okuya ku-tenotomy kubizwa ngokuthi i-biceps tenodesis. Lokhu kwenziwa ukuhlinzekwa ukuhambisa okunamathiselwe kwekhanda elide le-biceps ngaphandle kwehlombe, kodwa liphinde lifake ithemponi nasetheni. Ngakho-ke, imisipha igcina umsebenzi wayo, futhi izinkinga zehlombe ezenzeka ngezimo eziningi ze-biceps zivame ukuxazululwa. I-Biceps tenodesis inesikhathi eside sokutakula kepha kaningi ineziphumo ezinhle kakhulu.
Imithombo:
Nho SJ, et al. "Inhloko ende ye-Biceps Tendinopathy: Ukuxilongwa Nokuphathwa" J Am Acad Orthop Surg ngoNovemba 2010; 18: 645-656.
> Ponnappan RK, et al. "Ukuhlukana Kwemitholampilo Yezinhlungu Eziphezulu Ezibuhlungu Eziphezulu" J Am Acad Orthop Surg. 2015 Aug; 23 (8): 492-500.