Ukuhlanganiswa kwamapulangwe kwakha lapho amathambo amathathu ehlangana ndawonye: amathambo engalo (i-humerus), i-collarbone (i-clavicle), ne-shoulder blade (i-scapula ku-glenoid). Uma othile eqinisa ukuphuka kwehlombe, noma yiliphi lala mathambo lingalimala. Ukunquma ukwelashwa okungcono kuncike ekulimazeni okuqondile. Lapha ungafunda mayelana nezinhlobo ezahlukene zezinhlanzi zezinhlanzi, nokuthi yini engenziwa ukwelashwa kwalezi zimele.
I-Humerus Fractures ehamba phambili
Iningi labantu elikhuluma ngokuphazamiseka kwehlombe lichaza ukuphuka kwe-humerus eseduze. I-humerus ephazamisekile yokulimala ukulimala ukulimala phezulu kwethambo lesandla (i-humerus), okwenza ibhola lomhlanganiso webheyili ne-ejensi. I-humerus ye-proximal ihlukumezeka ingenzeka ezigulini ezincane ngenxa yokulimala okubuhlungu, futhi futhi kwenzeka kubantu asebekhulile ngenxa ye- osteoporosis .
Ama-humer fractures ahamba phambili afika ezinhlotsheni eziningi, futhi ukwelashwa kungabuka esitelekeni esilula, kuhlinzekwe ukuguqulwa kwamahlombe . Ngakho-ke, kubalulekile ukuxoxisana nodokotela ohlinzayo wamazinyo okulindelekile okuqondene nomsebenzi wehlombe ukuze ukwazi ukuthola ukwelashwa okungcono kakhulu.
I-Clavicle Fractures
I-clavicle fractures yiyona ndlela ejwayelekile kakhulu yokuphuka kwehlombe, futhi ingase ibe khona ebangeni elibanzi leminyaka kusukela kuzalwa kuze kube sekukhulile. Iningi lama-fractures ama-clavicle aphathwa ngokuphumula okulula nokusetshenziswa kwe-sling, kodwa kunezinye izinkinga ezingase zidinge ukwelashwa okunamandla okwedlulele.I-Glenoid Fractures
Ama-fractures we-glenoid ajwayelekile. I-glenoid yakha isikhwama sehlangothini lwehlombe, futhi liyingxenye ye-shoulder blade (scapula). I-fractures ye-glenoid ingase ihlotshaniswe ne- shoulder dislocation , futhi ivame ukuholela ekusimeni kwehlombe okuqhubekayo uma kungashiywanga ukuphulukiswa.
Ama-Fractures ama-Scapular
I-scapula yigama le-shoulder blade. I-shoulder blade iyithambo elibanzi, elincanyana, eliphinde lenze isixhumi senhlanganisela yehlombe nebheksi (ebizwa ngokuthi i-glenoid).
I-blade yehlombe ibaluleke kakhulu ekuqhunyeleni kwamahlombe ajwayelekile, njengoba cishe i-1/3 ye-shoulder shoulder motion isuka ku-scapula ehamba emgodini wezinhlanga, enye i-2/3 ibhola ne-socket.
Ama-fracture ama-scapular ngokuvamile ahlotshaniswa nokuhlukunyezwa okuphawulekayo. Ngenxa yendawo yehlombe, abantu abasebenzisa ukuqubuka kwe-scapular kufanele futhi bahlolwe ngokulimala okufakwe esifubeni .
Ukuhlukana-Ukuhlukaniswa
I-break-dislocation yenzeka uma kukhona kokubili ithambo ephukile kanye nokuhlukaniswa kokuhlanganyela. Uhlobo oluvame kakhulu lokuqhekeka kwe-fracture-dislocations lwenzeka nge- shoulder shoulder dislocations ngokulimala okufanayo ebhola lebhola-ne-socket okuthiwa ukulimala kwe-Hill-Sachs .
Ezinye izinhlobo ze-fracture zingenzeka nge-shoulder dislocation kufaka phakathi ama-humerus ama-fractures ahamba phambili kanye nama-glenoid fractures. Isihloko esivamile kanye nakho konke lokhu kulimala yilokho ukungazinzi kwehlombe kungase kwenzeke uma ukuphuka kuphulukisa endaweni empofu.
Ukwelashwa Kwezinhlanzi Zamahlombe
Noma ubani osolwa ngokulimaza amathambo nxazonke ezihlangene kufanele ahlolwe udokotela. Izimpawu ze-fracture zehlombe zingabandakanya:
- Ukuhamba ngehlombe (kungase kuhambe phansi ingalo ngokuhamba kwesikhathi)
- Ukuvuvukala kwehlombe nengalo
- Ubuhlungu obuhambisana nokunyakaza kwamahlombe
- Ukukhubazeka kokujoyina
Uma unayo lezi zimpawu, kungenzeka ukuthi i-x-ray itholakale ukuze inqume uhlobo nobunzima bokulimala. Uma izinga lokulimala lingacacile, ukuhlolwa okwengeziwe kungasiza ekuhloleni isimo.
Ukwelapha kwamahlombe ehlombe kuyahlukahluka kusukela ekungeneni okulula kuya kwezinqubo zokuhlinzwa eziyinkimbinkimbi. Kumele uxoxe ngezinketho zokwelashwa nodokotela wakho ohlinzayo ongakukwazisa ngezinzuzo nezindleko zezindlela ezahlukene zokwelapha.
Imithombo:
Nho SJ, et al. "Ukuvuselelwa kokuphathwa kwe-Humerus Fractures e-Displaced Proximal Proximal" J Am Acad Orthop Surg January 2007 15 no. 1 12-26
Jeray KJ. "Ukuhlukunyezwa Okuvamile Kwe-Midshaft" J Am Acad Orthop Surg April 2007 vol. 15 no. 4 239-248