Sternoclavicular wadajir ah: Qaabkadhismeedka

si wadajir ah Sternoclavicular had iyo jeer ma aha si cad u arki karo. Sida caadiga ah waxaa loo arkaa in dadka miisaankoodu hooseeyo ama astenikov. In jiritaanka xaddi yar oo ah baruurta subcutaneous aad ka arki kartaa. In dadka qaba miisaan caadi ah ama kor u jirka u muuqaal indistinguishable. Taataabasho hanuuniyey by lafaha clavicular, oo u dhexeeya, taas oo, at kulanka of sternum ah, hoos ku godad qoorta jira laba wadajir sternoclavicular symmetrical.

Aqoonsiga iyo meesha ay si wadajir ah u

Sternoclavicular wadajir ah - waa isgoyska leh lafta sternum clavicular ah. Waxay leedahay qaab ah sinnayn, kaas oo kuu ogolaanaya in aad ku buuxin karaan farqiga in cabbirka iyo qaabka dillaac lafta iyo kalxanta, ogolaanayo in ay si fiican u dhigma kasta oo kale. Waxay ku taallaa gudahood disk wadajirka articular oo magdhow ah cadaadiska u dhexeeya lafaha, sida element a xira. Kor xarunta oo dhan qariyeen nudaha cartilaginous u difaacato saamaynta dibadda iyo dhaawac.

si wadajir ah Sternoclavicular. feature

Ujeeddada xarunta wadajirka ah waa xabadka addimada sare by isku lafta iyo garabka suumanka kalxanta jidhka. In ay si wadajir ah asal sternoclavicular - rudiment ah, taas oo ah isku dhafka ah ee lugaha sare oo hore, ma aha oo kaliya in aadanuhu laakiin sidoo kale in xayawaanka laga bilaabo xamaarato. Waa arrin aad u raagaya iyo ku lug leh dhaq-dhaqaaqa ee gacmaha, toobad. Tani waxaa si gaar ah dareemay markii hubka soo gaaray iyo hoos u soo dejiyey. xiriir Tani waxay u ogolaaneysaa in aad u guurto kalxanta saddex faasas ugu weyn, howlan la wadajir ah garabka, oo ay taageerayaan ku ah hay'adaha ligamentous awood badan oo aad u xoog badan.

Qaab-dhismeedka

si wadajir ah Sternoclavicular waxaa qaabeeya sida a koore-wadajir ah. Sida laga soo xigtay dhismeedkooda waxa ay leedahay nooc ka mid ah xidhiidhka, isagoo concavity iyo convexity u dhiganta midba midka kale. Tani dhigoodu la laba faasas iyo xor ah samaynta dhaqdhaqaaq iyaga on, eegaysana ee makaanikada fudud yahay si wadajir ah universal. Its qaab-dhismeedka ka mid ah sida unugyada cartilaginous :

• carjawda daboolaya lafta clavicular;
• carjawda daboolaya murugada sternocostal;
• disc carjawda;
• carjawda laabatooyinku daboolaya.

Sidaas darteed, in qaab dhismeedka wadajir ah waxaa ka mid ah:

• dhamaadka dillaac fudud ee kalxanta si ay dusha sare ee waaweyn;
• xidhmo Sare;
• jilibka jilibka;
• costoclavicular farabadan;
• dambena jilibka;
• ARC concave dusha sternocostal.

Sidoo kale si wadajir ah sternoclavicular waxaa taageersan:

• jilibka Intervertebral fidiyey saabka uruursanayey Annagaana ugsa dhaw dhexeeya dhammaato lafta clavicular sternum.
• seedaha sternoclavicular Complex. By ay booska, ay isugu on hore, meelaha gadaal iyo sare ee wadajirka ah, xoojinta ay xoog.
• The sternum xidhmada ugu awooda badan oo adag - costoclavicular. Waxa ay gaareysaa ka laayeen sare ee feeraha hore iyo kalxanta kacdaa. Gacanta ku xaddido kalxanta qaadista intii ka sii weynayd.

si wadajir ah Sternoclavicular, isagoo qaab-dhismeedka koore-qaabeeya ah, ee yeero spherical in muuqaalada ay dhaqdhaqaaqa.

dhaawac

Sababtoo ah halka ay meesha maqaar saar iyo doorka dhaqdhaqaaqa u dhexeeya lafaha iyo kala goysyada ah ee dhex-xidh garabka iyo jirridda laftiisa lafta qoorta iyo kala goysyada ku lifaaqan ku daraa, oo inta badan ku xiran yihiin in ay jab iyo kala-baxa. Barakacyo dhacaa sabab u ah dhaqdhaqaaqa kadis ah suunka garabka posteriorly ama hoos u oo dib. Sayidka bakhtiistay jilibka jilibka, la xirrira subluxation. Marka saamayn culus wadajir this waa dildillaacsan yihiin oo dhan ay seeduhu, sii daayo uuna nasiina ee fossa ku glenoid, la xirrira bax lagu wada in si fudud loo aqoonsan by muuqashadii. nooc kale oo barakacyo dhacdaa marka saameynta ku nasiina iyo wadajirka ah si toos ah, waa in ay saameyn toos ah ama cadaadis xoog leh marka bakhtiistay jilibka dambe. bax noocan oo kale ah wuxuu dhacaa gudaha thorax ah. Sidaas waxa dhacaya markii loo feydo wadajirka ah by riixo xoogan oo garbaha weerarka iyo uurkooda. Sida caadiga ah, saamaynta, kuwaas oo arkay jabka ugu horreeya ama afarta feeraha sternum ugu horeysay.

cudurka

Ujeedada this, si wadajir ah waxa lagu gartaa cudurada sida ankylosis, taas oo ah natiijo ah oo arthritis gonococcal ama rheumatoid. Ka dib intii afartan sannadood ah da'da u muuqdaa cudurka osteoarthritis, taas oo at qaabkeeda hadda osteophytes yarna uu madaxa ka kalxanta. Caabuqa sababay markii loo feydo ku sternoclavicular wadajir ah, crunching, barar waa in ay munaasabadda for booqasho uu ku osteopath ah.

galleeyda Avascular lifaaqan dhammaadka sternum of kalxanta, kaas oo si fiican u yaqaan Friedrich ayaa syndrome, sidoo kale go'aamisay by taataabasho. Waxay keentaa barar xanuun badan ee nudaha ku hareereysan laabatooyinka ah, barar iyo casaan ah ifafaale ah ee maqaarka. isbedel Giperostoznye xiran lafta clavicular waxaa lagu muujiyey at cudurka marmar ah (cudurka Paget ee). Hyperostosis muujinta caadiga ah ee syphilis lagu dhasho.

Garashada isbeddel ah ee laabatooyinka

Hababka for ogaanshaha cudurrada iyo cudura in si wadajir ah sternoclavicular yihiin kormeerka iyo taataabasho, X-ray lafaha xabadka. waxbarashada walba waxaa laga sameeyay qalliinka dhaawacyada ama osteopath. Leedahay calaamadaha lahayo ama kaqabto, casaan ama xanuun at dhaqdhaqaaqa ee wadajirka ah sternoclavicular, muuqaalka kore ee mooshinka in yiddidiilo a tilmaamaya joogitaanka mid ka mid ah cudurada sheegnay ama magdhow.

Taataabasho, faraha labaad iyo saddexaad ee gacanta midig, iyo dhakhtar ku yaal dhabarka ama dhinac ee bukaanka. Faraha ayaa lagu wadaa dhexe ee sternum iyo hanuuniyey by fasax ku hoos bukaanka qoorta, udag wadajir ah. Waayo wanaagsan helo inuu bukaanka laga codsaday in ay gacmahooda ku kicin in diyaarad siman, taas oo inta badan ka sahlan in la helo.

si wadajir ah Sternoclavicular in qaab dhismeedka waa mid fudud. Laakiin isagu waa arrin xoog leh, ka haya addimada ku lifaaqan jir ah. In case of dhaawac oo ka mid ah dhaqdhaqaaqa gacanta si wadajir ah waa mid aad u kooban, oo ka soo xanuunka.