Dab tsi yog acromioclavicular joint dislocation?

Dab tsi yog acromioclavicular joint dislocation?

Acromioclavicular joint dislocation yog hais txog ib hom kev raug mob ntawm lub xub pwg nyom uas lub acromioclavicular ligament puas lawm, ua rau muaj kev cuam tshuam ntawm clavicle. Nws yog ib qho dislocation ntawm acromioclavicular sib koom ua ke los ntawm ib qho kev quab yuam sab nraud siv rau qhov kawg ntawm acromion, uas ua rau lub scapula txav mus rau pem hauv ntej los yog downwards (los yog rov qab). Hauv qab no, peb yuav kawm txog hom thiab kev kho mob ntawm acromioclavicular leeg dislocation.

Acromioclavicular joint dislocations (los yog kev sib cais, kev raug mob) muaj ntau dua rau cov neeg uas koom nrog kev ua kis las thiab kev ua haujlwm ntawm lub cev. Ib qho acromioclavicular joint dislocation yog ib qho kev sib cais ntawm clavicle los ntawm scapula, thiab ib qho kev tshwm sim ntawm qhov kev raug mob no yog lub caij nplooj zeeg uas qhov siab tshaj plaws ntawm lub xub pwg nyom tsoo hauv av los yog ib qho kev cuam tshuam ncaj qha ntawm qhov siab tshaj plaws ntawm lub xub pwg nyom. Acromioclavicular joint dislocations feem ntau tshwm sim nyob rau hauv football players thiab cyclists los yog motorcyclists tom qab lub caij nplooj zeeg.

Hom ntawm acromioclavicular leeg dislocation

II° (qib): lub acromioclavicular sib koom ua ke yog me ntsis hloov chaw thiab lub acromioclavicular ligament yuav stretched los yog ib nrab torn; Qhov no yog hom kev raug mob acromioclavicular feem ntau.

II° (qib): ib nrab dislocation ntawm acromioclavicular sib koom, kev hloov pauv yuav tsis pom meej thaum kuaj. Ua kom tiav cov kua muag ntawm acromioclavicular ligament, tsis muaj rupture ntawm rostral clavicular ligament

III ° (qib): ua tiav kev sib cais ntawm acromioclavicular sib koom ua ke nrog kev tsim kua muag ntawm acromioclavicular ligament, rostroclavicular ligament thiab acromioclavicular capsule. Raws li tsis muaj ligament los txhawb lossis rub, lub xub pwg sib koom ua ke yog sagging vim qhov hnyav ntawm sab caj npab, lub clavicle yog li ntawd zoo nkaus li zoo thiab upturned, thiab ib qho tseem ceeb yuav pom nyob rau hauv lub xub pwg nyom.

Qhov hnyav ntawm acromioclavicular joint dislocation kuj tuaj yeem muab faib ua rau hom, nrog rau hom I-III yog qhov ntau tshaj plaws thiab hom IV-VI tsis tshua muaj. Vim tias muaj kev puas tsuaj loj rau cov ligaments uas txhawb nqa thaj tsam acromioclavicular, txhua yam kev raug mob III-VI yuav tsum tau kho phais.

Yuav kho acromioclavicular dislocation li cas?

Rau cov neeg mob uas muaj acromioclavicular leeg dislocation, qhov kev kho mob tsim nyog raug xaiv raws li tus mob. Rau cov neeg mob uas muaj tus kab mob me, kev kho kom zoo yog ua tau. Tshwj xeeb, rau hom I acromioclavicular joint dislocation, so thiab ncua kev kawm nrog ib daim duab peb sab rau 1 mus rau 2 lub lis piam yog txaus; rau hom II dislocation, lub pluaj nraub qaum tuaj yeem siv rau kev tsis sib haum xeeb. Conservative kev kho mob xws li lub xub pwg nyom thiab lub luj tshib fixation thiab braking; Cov neeg mob uas muaj mob hnyav dua, piv txwv li cov neeg mob uas raug mob hom III, vim tias lawv cov tshuaj ntsiav tshuaj sib koom ua ke thiab acromioclavicular ligament thiab rostral clavicular ligament tau tawg, ua rau cov acromioclavicular sib koom ua ke tsis ruaj khov yuav tsum xav txog kev kho phais.

Kev kho phais tuaj yeem muab faib ua plaub pawg: (1) kev kho sab hauv ntawm acromioclavicular leeg; (5) rostral xauv fixation nrog ligament reconstruction; (3) resection ntawm lub distal clavicle; thiab (4) lub zog ntawm cov leeg nqaij.