Inqubo Yokuhlinza Nezinye izindlela
I-biceps tendon yi-attachment ye-biceps muscle kuya ethambo. Imisipha ye-biceps ibizwa ngokuthi kunezinamathiselo ezimbili ze-tendon (ngakho-ke, "bi" -ceps) ehlombe, futhi kukhona nokunamathiswa kwesinamathoni kwesisipha ngaphansi kwesigqoko. I-biceps muscle ibalulekile kokubili ukuguqa i-elbow (i-flexion) kanye nokuguqula phezulu.
Izinyembezi ze-biceps izinyembezi zinganciphisa amandla lalezi zintuthuko futhi zingabangela ukubola kwe-biceps muscle.
Izinyembezi ze-Biceps Tendon
Uhlobo oluvame kakhulu lwe-biceps tendon izinyembezi yinkampani (eyingxenye noma ephelele) yeyodwa yezintambo ze-biceps ngaphakathi kokuhlangene kwehlombe. Kunezinamathiselo ezimbili ze-tendon ye-biceps ehlombe, elilodwa elihlangene lehlombe (ikhanda elide le-biceps), elinye libhekene nokuhlangana kwehlombe (ikhanda elifushane le-biceps). Ukulimala ku-tendon biceps ye-biceps cishe ihlale ihlanganisa ikhanda elide le-biceps. Lapho ikhanda elide le-ticeps tendon lilimazekile, ukwelashwa okungase kubhekwe kuthiwa yi-biceps tenodesis.
I-ticeps tendon izinyembezi ehlombe yindlela ejwayelekile yokuhlushwa kwehlombe. I-biceps ivame ukubhekwa njenge "enkulu generator" ehlombe, futhi izinyembezi ku-biceps zivame ukuhlobana nezimo ze-rotator.
Ukuze ukhululeke ngokugcwele ubuhlungu behlombe, inkinga ye-biceps itheon ingadinga ukuxazululwa. Kunezindlela ezehlukene zokubhekana nezinkinga ze-ticeps ze-ticeps, kokubili ukwelapha nokuhlinzekwa okungenasidingo. I-biceps tenodesis ingenye yezindlela zokuhlinzwa zokubhekana nezinyembezi ze-biceps tendon.
Biceps Tenodesis
I-biceps tenodesis yindlela yokwelapha eyenziwa ekwelapheni ikhanda elide elimele elide elibhekene ne-biceps tendon.
I-biceps tenodesis ingenziwa njengenqubo engavamile kodwa kaningi iyingxenye yokuhlinzwa okukhudlwana, njengokwenziwa kwe- cuff rotator .
Phakathi nokuhlinzeka kwe-biceps tenodesis, ukunamathiselwe okujwayelekile kwe- biceps tendon ekuhlanganyeleni kwehlombe kuvaliwe (uma kungenjalo kuqedwe ngokuphelele), futhi i-tendon iphinda ifakwe emthanjeni we-humerus (ithambo lesandla). Uma i-tendon biceps ihlukume ngokuphelele, kusobala ukuthi akudingekile ukufaka ithoni ngaphakathi kwehlombe.
Isihluthulelo sokwenza i-biceps tenodesis ishukumisa ithenda kusukela ekunamathiselwe kwayo okujwayelekile ngaphakathi kokuhlanganyelwa kwehlombe endaweni entsha ngokuya phansi kwethambo lesandla. Ngokuhambisa okunamathiselwe kwethenda ye-biceps, akusekho okunamathiselwe ekuhlanganyeleni kwehlombe. Lokhu kuholela ezinkingeni ezimbalwa phansi komgwaqo, njengoba i-tendon biceps ewonakele ingabangela izinkinga ngaphakathi kokuhlanganyela.
Ubani Okudinga I-Biceps Tenodesis?
I-biceps tenodesis ingenziwa ukwelashwa kwezimo eziningana ezibandakanya i-biceps tendon, kuhlanganise:
- ukuphuka kwekhanda elide le-biceps
- Izinyembezi ze-SLAP
- i-biceps tendonitis
- i-biceps tendinosis
Zikhona Izindlela Ezihlukile?
Kukhona ukungqubuzana okukhulu mayelana nendlela engcono yokuphatha izinkinga ze-biceps ze-tendon ehlombe. Ngokuvamile, ukwelashwa okungcono kwesimo se-tendon biceps kuncike ekuguleni kwesiguli, imisebenzi eyenziwa yisiguli, uhlobo lokulimala kwethenda, kanye nezinye izici.
Ezinye izinhlobo zokuhlinzwa kwe-biceps tendon ezingase zinconywe zifaka:
- Ukulungiswa kwe-SLAP
- biceps tenotomy
I-Tenotomy noma i-Tenodesis?
Ingxabano eqhubekayo igxile kuloluhlelo lwezinhlinzeko lungcono, i-biceps tenotomy noma i-tenodesis. Zombili izinqubo zinezinzuzo nezinkinga. Zomi zombili ziyizinketho ezinengqondo, futhi omunye angase abe ngcono kwezinye iziguli, kanti enye enye iziguli. Ayikho inqubo engcono noma engalungile.
Abantu ngokuvamile bakhetha i-biceps tenodesis uma besebenza kakhulu, njengabagijimi noma izisebenzi zomsebenzi, noma uma bekhathazekile ngokubonakala kwe-biceps muscle yabo.
Abantu bangase bakhethe i-biceps tenotomy uma befuna ukuphulukiswa ngokushesha futhi bafuna ukugwema izinkinga zokulungisa ithenda futhi babe nokuhlinzwa okude.
Ukubuyiswa Okuvela Ekuhlinzeni
Ukuphumula kokuhlinzwa emva kwe-biceps tenodesis kuvame cishe amasonto amane kuya ayisithupha. Kodwa-ke, njengoba kushiwo ngaphambili, ngokuvamile i-tenodesis yenziwa kanye nezinye izinqubo zokuhlinzeka ezingadinga ukubuyisa okungaphezulu. Uma ngabe inqubo ye-tenodesis ehlukanisiwe, isiguli singalindela ukugqoka isigwegwe ngamasonto ambalwa. Ukuhamba kwengalo kuqala ekuqaleni, kodwa imisebenzi egcwele ivinjelwe okungenani kwezinyanga ezintathu.
Izinkinga ze-Biceps Tenodesis
I-biceps tenodesis ingaholela ezinkingeni zokuhlinzwa. Ukucindezeleka okuvamile okungenzeka nanoma yikuphi ukuhlinzwa kwehlombe kubandakanya ukutheleleka, izinkinga zokuphulukisa, ukulimala kwenzwa, nobuhlungu. I-biceps tenodesis idinga ukuba ithenda ilungiswe ithambo. Ukuze uphilise ukuba uqedele, i-tendon kumele ibuyele esitheni. Ukwehluleka kwethenda ukuphulukisa, noma ukwehluleka kwamadivayisi abamba ithenda ngesikhathi sokuphulukisa, kwenzeka emaphesenti amancane weziguli.
Umthombo:
Nho SJ, et al. Inhloko ende ye-Biceps Tendinopathy: Ukuxilongwa nokuPhathwa. J Am Acad Orthop Surg . 2010; 18: 645-656.