I-ticeps tendon ixhuma i-biceps muscle kuya ethambo. Ngaphansi kwe-biceps muscle yi-tendon ye-biceps ethintekayo ehlanganisa ithambo emgqeni. Ngaphezulu kwe-biceps muscle yi-tendon ye-biceps ethandwa kakhulu ehlangene ehlombe. I-tendon ye-biceps ehamba phambili inezingxenye ezimbili, ikhanda elide nekhanda elincane - cishe konke ukulimala kwamabiceps okuhamba phambili kukhanda elide lethenda.
Inhloko ende ye-biceps tendon ifaka phakathi kwehlangothini lwehlombe, ngenhla ngaphezu kwesixhumi sehlangothini lwehlombe. I-tendon empeleni ifinyelela emthonjeni we-cartilage ozungeza isikhwama sehlombe esibizwa ngokuthi i -labrum .
Ngaphandle kwe-Tendon ye-Biceps ye-Proximal
Ukuphakama kwekhanda elilandelanayo le-tendon biceps kuhilela enye yekhanda elide le-tendon biceps. Lesi simo ngokuvamile senziwa kubantu abadala futhi sibangelwa izinguquko eziguqukayo ngaphakathi kwe-tendon biceps eholela ekuhlulekeni kwesakhiwo. Iziguli eziningi zandulele ubuhlungu behlombe obuhambisana ne- impingement syndrome noma i- rotator cuff izinyembezi . Ukuqhekeka kwe-biceps ye-biceps ehamba phambili kungase kwenzeke ngesikhathi somsebenzi olula, futhi ngezikhathi ezithile iziguli zingase zithole ukukhululeka kobuhlungu lapho isithononi esonakalisiwe iphela.
I-tendon ye-biceps ehamba phambili ingakwazi ukuhlukana nesiguli esincane ngemisebenzi efana nokuphakamisa isisindo noma ukuphonsa imidlalo, kodwa lokhu akuyona into engavamile.
Ezigulini ezincane, izinyembezi ze-biceps tendon zivame ukuvela lapho ikhanda elide le-biceps lifaka khona ku-labrum. Lezi zingozi zibizwa ngokuthi ' SLAP izinyembezi ,' igama elichaza indawo yezinyembezi ekuhlanganiseni kwethendon kanye ne-labrum yehlombe.
Izimpawu
Iziguli ngokuvamile zizobhekana nobuhlungu obungakazelelwe obuhambisana ne-snap ezwakalayo endaweni yehlombe.
Ubuhlungu ngokuvamile abubalulekile, futhi, njengoba kushiwo ngaphambili, ezinye iziguli zingase zithole ukukhululeka kobuhlungu ngemuva kokuphuka. Ngemuva kokuba i-tendon ephukile ihoxisa, iziguli zingase zibone ukuphakama kwesandla sayo emisipha ye-biceps. Lona imisipha ekhishiwe ehlanganiswe engalweni futhi ngezinye izikhathi ibizwa ngokuthi "i-Popeye Muscle," ngoba umsizi uzwakala ngaphezu kokuvamile. Ezinye izibonakaliso ezivamile ze-biceps tendon rupture ehamba phambili zihlanganisa:
- Ukuvuvukala kwehlombe
- Ukudumala nxazonke ze-biceps muscle
- Ubuthakathaka ngokuphakamisa
Ukwelapha
Iziguli ngokuvamile aziqapheli ukulahlekelwa kwekhono noma umsebenzi wehlombe emva kokuhlukana kwe-biceps ye-biceps eseceleni. I-bulge encane engalweni kanye nesinye isikhala noma ukuchoboza imisipha ehoxisiwe ngokuvamile yizimpawu ezibaluleke kakhulu.
Isizathu sokuthi ukulahlekelwa okuncane okusebenzayo kulandela ukulandela ukuhlukana kwe-biceps ye-tendon ukuthi kukhona ngempela okunamathiselwe kokubili kwe-biceps ekuhlanganyeleni kwehlombe (yingakho imisipha ibizwa ngokuthi "ama-bi-ceps," okusho amakhanda amabili). Uma ukuphuka kwenzeka endlebeni ye-biceps ye-distal ehlangothini, lapho kukhona okunamathiselwe okukodwa, ukulungiswa kokuhlinzwa kuyadingeka kakhulu.
Kukhona izimpawu ezibaluleke kakhulu eziphazamisa umsebenzi wehlombe lapho kuqhuma i-biceps ngokubambisana nezinye ukulimala kwe-tendon ehlombe, ikakhulukazi i- rotator cuff tear .
Uma ukuhlinzeka kucatshangwa nge-tendon biceps, i-procedure evamile yokuhlinzwa eyenziwa ibizwa ngokuthi i- biceps tenodesis . Phakathi nale nqubo yokuhlinzwa, ithethoni ye-biceps ixhunyaniswe nasetheni nje ngaphandle kokuhlangene kwehlombe.
Izwi elivela
I-ticeps tendon ingumthombo wezinhlungu zehlombe. Ngaphakathi ngaphakathi kwehlangothini lwehlombe, elinye lamathonti we-biceps lidlula emgqonyeni we-rotator futhi lifaka emfokothini wehlombe. Abantu abanezinkinga ze-tendon biceps ngokuvamile babe nobuhlungu, ukuvuvukala, nokubamba izinzwa phambi kwehlombe. Kulaba bantu, kokubili ukwelashwa okungavamile nokuhlinzeka kungathathwa njengokunciphisa ubuhlungu.
Imithombo:
Nho SJ, et al. "Inhloko ende ye-Biceps Tendinopathy: Ukuxilongwa Nokuphathwa" J Am Acad Orthop Surg November 2010. vol. 18 cha. 11 645-656.