Ama-Fractures we-Shoulder Blade
Ukulimala kwe-scapula ukulimala okungavamile. I-scapula, noma ihlombe lehlombe, liyi-wide, lithemba elihle elihlezi ngemuva komgqa wokudoba. I-scapula ixhuma ku-clavicle (i-collar bone) phambi komzimba, naku-humerus (isifuba lesandla) ohlangothini. Ingxenye ye-scapula ihlanganiswe ne-cartilage (i-glenoid) futhi yakha isikhwama sombuthano wegoli ne-ekhanda.
Ama-fracture ama-scapular kukhona ukulimala okungavamile okuvame ukuvela ngokulimala okuphawulekayo, okulimazayo okukhulu okufana nokushayisana kwemoto noma ukuwa endaweni ephakeme. Lapho kwenzeka ukuqhuma okukodwa, odokotela kudingeka babheke ngokucophelela ukulimala kwamanye amathumba. Ngenxa yamandla adingekayo okubangela ukuqubuka kwe-scapular, kuvamile ukuba kube nezinye izinhlobo zokulimala esifubeni kubandakanya ukuphikisana kwamapulmonary, umcibisholo wezintambo kanye ne- pneumothorax .
Izinhlobo ze-Fractures e-Scapular
- I-Scapular Body Fractures
I-scapular body fractures yilona uhlobo oluvame kakhulu lwe-scapula ukuhlukana. Lokhu kulimala akudingi ukwelashwa okwedlula okungaphezu kwesigxobo sezingalo ezilula. Okubalulekile ukuthi ukuvutha komzimba okwejwayelekile kujwayelekile (80-90%) okuhlobene nezinye ukulimala njengokulimala kwamaphaphu nesifuba. - I-Scapular Meck Fractures
I-scapular fracture fractures yenzeke eduze nje kwe-glenoid - ingxenye yengxenye yehlombe. Futhi, iningi lalezi ziphuka zingelashwa ngaphandle kokuhlinzwa ngaphandle kokuba kuvezwe ngokuphawulekayo amathambo aphukile. Kulezi zimo, ukuhlanganiswa kwehlombe kungathinteka uma ukuhlinzwa kungenziwa ukulungisa amathambo.
- I-Glenoid Fractures
I-glenoid fractures ihilela izindawo eziqhamukayo ezinxenyeni zamapulangwe. Lezi fracture zidinga ukuhlinzeka lapho kufanele ukujoyina kungahlali khona noma uma izingcezu zingekho ukuvumelanisa. Iziguli ezinezinkinga ze-glenoid zisengozini yokuthuthukisa i- arthritis ye-shoulder .
Ukwelashwa kwama-Fractures ama-Scapular
Kukhona ukuhlukahluka okukhulu ekwelapheni kwezinhlanzi ezinama-scapular.
Ngokuvamile ukwelashwa kunconywa ukulimala kwe-glenoid ngenxa yemiphumela ekuhlanganyeleni kwehlombe. Kodwa-ke, kukhona ukuhlukahluka okuphawulekayo ekwelapheni ukuhlukana komzimba okwe-scapular. Yize kunezinkombandlela eziningi ezishicilelwe, lezi zivumi azivumelani ngaso sonke isikhathi, futhi abalobi abaningi bayavuma ukuthi izici zesiguli ngabanye zidlala indima ekwenzeni ukwelashwa okungcono kakhulu.
Imithombo:
Cole PA, et al. "Ukuphathwa Kwezingcingo Eziningi" J Am Acad Orthop Surg March 2012 vol. 20 cha. 3 130-141.