Ukulimala ngokweqile Ngokuvamile kubonakala ku-Weightlifters
I-distal clavicle i-osteolysis yisimo esibangela ubuhlungu obuhlangene ekupheleni kwe-collarbone. Igama lithathwe ngenxa yokuthi ubuhlungu buwumphumela wokulimala kwamathambo ("osteo-" for bone kanye "-sis" for ukuhlakazeka) ekupheleni (distal) ekupheleni collarbone (clavicle).
Kubhekwa ukulimala ngokweqile okubangelwa ama-microfractures aphindaphindiwe umzimba ozama ukulungisa.
Kodwa-ke, nge-microfracture ngayinye, ukulungiswa kwethambo kuyaqhuma kakhulu futhi kungalingani, kufaka ukucindezeleka ekupheleni kwe-clavicle futhi kubangele ukuwohloka kwe-cartilage ekuhlanganyeleni okuhlangene kwe-acromioclavicular (ukujoyina kwe-AC) lapho i-clavicle ihlangana khona nehlombe.
Lesi simo sibonakala ngokujwayelekile kwi-weightlifters kodwa singathinta noma ubani ophakamisa ngokuphindaphindiwe futhi / noma ophethe izinto ezinzima phezulu. Amandla asebenza ngokubambisana kwe-AC angabangela ukulimala okuqhubekayo nokuthuthukiswa ngaphambi kwesikhathi ngaphambi kwe- arthritis .
Izimpawu nokuxilongwa
Uphawu oluvame kakhulu lwe-distal clavicle osteolysis lubuhlungu obunzima ekuhlanganyeleni kokuhlanganiswa kwe-AC ne-collarbone. Nakuba ubuhlungu buvame ukuzwa ngesikhathi somsebenzi, kungase kube nokuthethelela okuqhubekayo phakathi kokujoyina ngesikhathi sokungenzi umsebenzi. Ukuvuvukala nokuvuvukala nakho kuvamile.
Ubuhlungu lapho ufinyelela ngaphesheya kwesifuba yisifo esijwayelekile sezinkinga ezihlangene ze-AC.
Odokotela bangakuqinisekisa lokhu ngokuhlola ukuvikelwa kwesandla somgodi . Noma yibuphi ubuhlungu obangelwa ukucindezela ingalo kamuva ngaphesheya kwesifuba kuthathwa njengomphumela omuhle.
Uhlolo luzobe lulandelwa nge-X-ray yehlombe. Ku-ray-ray, ukulimala kwakuzobonakala njengendawo yokubutheka kabi kwethambo noma ukungasebenzi okwejwayelekile kwamathambo.
Kuzofana nokubonakala kwe- osteoporosis , isimo lapho amanye amathambo afakwa umzimba ngaphandle kokudalwa.
Ngenye indlela, ukuskena kwe- magnetic resonance (MRI) kungalawulwa uma kunenkolelo yokuthi kunezinye izimbangela zokuhlukunyezwa kwehlombe , kungaba ngaphezu kokungafani noma ukuhlukanisa ne-osteolysis ekhonjelwayo ye-distal clavicle.
Ukwelapha
I-distal clavicle i-osteolysis ivame ukuphathwa ngendlela efanele ngokuphumula, ukuvinjelwa kokunyakaza, isicelo seqhwa , nezidakamizwa eziphikisayo . Noma yimuphi umsebenzi ohlotshaniswa nokulimala kuzodingeka ume.
Uma kukhona ubuhlungu obunzima, ihlombe lingase lidingeke ligcinwe esimweni esinqunyiwe ngesigxobo sezinyosi. Uma ihlombe liphulukiswe kahle futhi ukuvuvukala sekuphelile, ukwelashwa ngokomzimba kuzoqalwa ukubuyisela ngokuphepha ububanzi bokunyakaza namandla ehlombe elithintekayo.
Kwezinye izimo, ukuhlinzwa kungase kudingeke uma izinyathelo ezingaphezu kokuzimela zingaphumeleli. Ukuhlinzekwa kwakuyobandakanya ukususwa ekupheleni kwe-clavicle, inqubo odokotela abhekisela kuyo njengenqubo yeMamford . Kuhlinzwa okuvamile okusetshenziselwa ukulungisa ezinye izimo ezithinta ukuhlanganyela kwe-AC, kufaka phakathi i-osteoarthritis enamandla. Kungenziwa nge-incision encane noma i- arthroscopically .
Iningi labantu abahamba ngale nqubo lingabuyekeza imisebenzi evamile ngaphandle kokulahlekelwa umsebenzi. Isikhathi sokuphumula ngokuvamile sizungeze izinyanga ezintathu, nakuba abanye bangabuyela emisebenzini ngokushesha ngekhambi elihlelekile lokwelapha ngokomzimba nokuvuselelwa.
> Umthombo:
> Ha, A .; I-Petscavage-Thomas, J .; kanye noTagoylo, G. "Ukuhlanganiswa Kwama-Acromioclavicular: Omunye Ohlangene Ehlombe." Am J Roentgen . 2014; 202: 375-85. I-DOI: 10.2214 / AJR.13.11460.