Pokohiwi whitiki: te maimoatanga o hononga

Pokohiwi whitiki Kei rima hononga e ngā rua ngā rōpū. I roto i te wahi tuatahi o te tahi scapular-humeral ki ngā mata kahui rua e kua kapi katoa ki te puata wheua ngohe. Ko te nui tino tenei tahi. subdeltoid te rua nga mahi tahi i roto i tenei rōpū (saline), e ngā o tetahi ki tetahi papa retireti. Kei te hono reira mihini ki te tahi pokohiwi, whiwhi waka i te muri.

Kei te rōpū tuarua o hononga e toru: scapular-grudnokletochny scapular-rei ranei, e kore he kikokiko, me te whaiaroaro e. Te reira i te mea nui i roto i te rōpū hoki, ahakoa kahore atu e pā ana aunoa, e kore e taea hononga mahi. Next ake he tahi acromioclavicular, kei i te mutunga acromial o te āhei. Pono te hoki takoto te tahi clavicular sternal te i te pito sternal o te āhei.

Ko te tikanga i te hononga no ki te whitiki pokohiwi e taea te whakarōpū i runga i te maha o te papa whenua. Ko te rōpū tuatahi ka ngā te tahi pokohiwi anatomic matua, i subdeltoid mihini hoki e pā ana e pā ana tahi. Ko te rōpū tuarua ngā te scapular whaiaroaro tahi matua rei e mihini hono te tahi e rua e hāngai ana kikokiko - sternal clavicular clavicular me te acromion.

Ko te tinana tino nui i roto i te whitiki pokohiwi, ko te tahi pokohiwi. He he āhua porohita me hanga te upoko o te peke me te mata glenoid o te scapula. Te tahi e te nekeneke tiketike, tuku flexion, kāhakitanga, adduction, toronga, nekehanga porohita me te huringa o te ringa.

karapotia ana te tahi pokohiwi e te putea e haere ana i te kaki o te peke ki te mata o te kōhao rau. capsule tahi haapuai te uaua a tawhio noa, me tuhonohono e mau te tahi i roto i te kōhao tino upoko humeral. I runga i te mata mua o te tahi kahore uaua. Ko te wahi tino maha tenei puta raruraru o te wheua matenga (peke) me he whati te capsule.

Ko te whai ake ko te mate te nuinga noa e pā te whitiki pokohiwi. Tenei pokohiwi whāiti syndrome tahi, wheua upoko iu (peke), pakeke pokohiwi, putunga kotakota, kino e ōrite ana ki te huringa o te uaua pokohiwi soté, arthrosis.

Pokohiwi ngātahi: Treatment

I roto i nga tau tata nei, he whai hua atu mate o te therapy tahi pokohiwi. Mā te hangarau hou o ngā mahi endoscopy kore e e rapua e whakatuwheratanga o te hononga iho. Ko te tikanga hāparapara, kua hanga hoki ngā tino whakarerekētanga i roto i te whanaketanga o taputapu tiketike-tech.

Tino te whakamahi i te tikanga arthroscopic i nei hua te maimoatanga o te tahi pokohiwi. Nā ki te arthroscopy kikokore maramarama tirohia tino te wāhi tahi ā-me te hamani mamae i roto i te pokohiwi, tapepe pokohiwi, herenga o kaupapa, faaore i te putunga o conglomerates pākeho wawahi soté (Rotator soté) rerekē tikanga.

I muri i te wawaotanga hei iti (arthroscopic) mamae. Ka taea e koe te tīmata nui mua ka neke taimaha i runga i te tahi. I tua atu, kaimono tata e kitea. takoto hoki te painga i roto i te whakahaere o te nuinga o ngā mahi tūroro kitenga poto he manawanui i roto i te hōhipera ranei. tikanga Arthroscopic o te maimoatanga o te hononga iho pokohiwi e rapu te wātea o te tākuta tino tohu, me te rota o te wheako, me te te whakamahi o ngā rauemi e tika ana, me te taputapu hauora.

pokohiwi hua maimoatanga tahi, me te whakamahi i nga tikanga rongonui o te kokopi winika, komukumuku te rohe nui o infusions o te pepa wera, baradane pakiaka me te puawai lilac. I muri i te tukanga, kiriweti te pokohiwi, tieing kameta. Heoi, kia mohio ki taua mea e kore te rongoa mate nui i roto i ngā huarahi ka taea.