I-Fractures ye-Socket ye-Ball-and-Socket Joint Joint
I-glenoid iyisixhumi sehlangothini lwebhegi ne-socket . I-glenoid iyingxenye ye-scapula (i-shoulder blade), ithambo elincanyana, elincane elihlezi ngemuva komhlanga. I-scapula ngokwayo iyiselula (ukuhamba kwayo okuhambayo ngemuva kwakho nokunyakaza), futhi ukunyakaza okujwayelekile kwe-scapular kubalulekile ekusebenzeni okujwayelekile kwehlombe.
I-glenoid iwuphawu lokungaphandle kwe-scapula.
Isitokisi se-glenoid asijule kakhulu (ngokungafani nesixhumi se-hip joint), kunalokho, isikhwama se-glenoid singxenyeni esingajulile, esicishe sibe sithemba lesithambo. I-glenoid surface ihlanganiswe i-articular cartilage - ibhande elibushelelezi lamalungu ajwayelekile. I-socket ye-glenoid iyanconywa olunye uhlobo lwe-cartilage, olubizwa ngokuthi i- labrum ehlombe , elizungeze i-glenoid. Ngaphandle kwe-labrum evamile, ihlombe lijwayele iziqephu zokungazinzi kwehlombe . Lokhu kuvame ukuvela lapho abantu bephumula i-labrum yehlombe , futhi bahlehliswa ngokweqile.
I-fractures ye-glenoid yindlela ejwayelekile kakhulu yokuphuka kwehlombe . I-glenoid ihlukana kakhulu lapho kunesifo esibucayi esikhwameni, noma ngenxa yokulimala kwezemidlalo ephezulu. Amaphetheni amabili avamile kakhulu e-fracture:
- I-Glenoid Lip Fractures: I- Glenoid lip fracture ivela lapho kune- subluxation ye- shoulder dislocation noma ihlombe , futhi ibhola liphuma ekhoneni. Njengoba ibhola liphazamisa, lingakwazi ukumelana nomsila we-socket glenoid, okwenza ukuba i-fragment ye-fracture ihlukane.
Ukwelashwa kwesifo se-glenoid ukuqhuma komgogodla kugxile ekubuyiseleni umjikelezo ojwayelekile wesikhwama sehlombe ukuvimbela ukungazinzi okuphindaphindiwe (ukuphindaphinda ukuhlukaniswa) kokuhlanganiswa kwehlombe. Ukwelashwa okuvame ukuvame ukubhekwa ngalezi zingozi, ikakhulukazi uma ukuphuka kuphelelwe yisikhundla noma uma kukhona i-fragment enkulu yethambo le-glenoid.
- I-Glenoid Fossa Fractures: I-fenosa ye-glenoid iyinxenye engaphakathi yedokodo . I-Glenoid fossa fractures ayilimale kakhulu, futhi ihlotshaniswa nokuhlukunyezwa okukhulu. Kukhona idatha encane ekwelapheni okuhle kwalokhu kulimala, ngoba akuvamile. Kodwa-ke, odokotela abaningi abahlinzayo bavuma ukuthi izinqumo zokulawulwa kwezinkinga kufanele zicabangele uhlobo lokwehlukana nesidingo sesiguli. Iziguli ezisebenzayo ezengeziwe ezingenayo isikhundla esifanele zizozuza kakhulu ekuhlinzekeni ukuze zilungise lezi zimo ezilimazayo.
Ukwelashwa kwe-Glenoid Fracture
Ukwelashwa kwama-glenoid fractures kungaba impikiswano njengoba kube khona izifundo ezimbalwa kakhulu zokuqhathanisa izindlela ezahlukene zokwelashwa. Ngenxa yokuthi lokhu kulimala okungavamile, kunzima ukwenza izifundo zokuqhathanisa njengoba ngisho nabahlinzayo abahlinzayo bangaphatha kuphela lezi zinhlobo zokulimala ngezikhathi ezithile.
Ngokuvamile, kuvunyelwene ukuthi uma kunomonakalo ebusweni be-cartilage ye-glenoid, ukuhlinzwa manje kuyindlela yokwelapha efanele. Umgomo wokwelapha ukwelashwa ukubuyisela ukulungiswa komzimba ojwayelekile ohlangene. Kuyinto evamile ukulungisa ithambo ngamacwecwe amancane kanye / noma izikulufa ukuqinisekisa ukuthi amathambo aphulukisa ngendlela efanele.
Ukuvuselelwa ngemuva kokuhlinzwa ukulungisa ukuhlukana kwe-glenoid kugxile ekubuyiseleni ukuhamba okuvamile kanye namandla kuya ekuhlanganyeleni kwehlombe. Udokotela wakho ohlinzayo angase ancoma isikhathi esifushane sokuvimbela amathambo ukuba aqale ukuphulukisa, kodwa ngokushesha ngangokunokwenzeka uzoqala ukuzivocavoca okuhamba phambili . Njengoba ukuphulukisa kuqina, uzoqhubeka nokuqinisa umzimba wehlombe.
Izingozi zokwelapha okuhlinzekwa zibandakanya ukutheleleka, ukuqina komgogodla, ukulimala kwesibindi, kanye ne- arthritis yehlombe . Isizathu sokuthi abantu bangase bahlakulele isifo samathambo esivumelwaneni kungenxa yokuhlukunyezwa kwendawo yokuqothulwa kwesikhumba.
Ngisho noma ukuhlinzeka kwenziwa ukubuyisela ithambo elonakalisiwe, ukulimala ku-cartilage kwandisa ithuba lokuthuthukiswa kwe-arthritis. Abantu abasebenzisa ama-glenoid fractures kungenzeka ukuthi badinga ukuhlinzwa ekuhambeni kwesikhathi ekuphileni.
Izwi elivela
I-Glenoid fractures yizolimala ezingavamile. Iningi le-glenoid lilimala amancane elihambisana nezimo ezibucayi kakhulu, kodwa kunezimo ezithile lapho ukuqubuka kwe-glenoid kungenzeka khona. Uma ukuqubuka kwe-glenoid kuhilela indawo ye-cartilage yesikhwama sehlombe, khona-ke ukuhlinzeka ukucutshungulwa ngendlela efanele.
Imithombo:
Cole PA, et al. "Ukuphathwa Kwezingcingo Eziningi" J Am Acad Orthop Surg March 2012 vol. 20 cha. 3 130-141.