Sternoclavicular ami: 'ole

Sternoclavicular ke ami hoi mea pono i nanaia,ʻaʻole e mau ana. IeAUPIIe, IAa IO ka mea, ua ike ia ma kanaka, ka poe i underweight paha astenikov. Ma ke alo o ke dala uuku o subcutaneous momona oe e ike. I kanaka me ka maʻamau a mahuahua kino paona ia visually indistinguishable. Palpation alakaʻi ma clavicular iwi, ma waena o a, ma ka hookui ana o ka sternum, ma lalo o ka'ā'ī lua, he mau symmetrical sternoclavicular ami.

'Ike a me ka wahi o ka ami

Sternoclavicular ami - ia mea he hookui me ka sternum clavicular iwi. Ua loaʻa he asymmetric kinona, a leie aku oe e compensate no ka oko ao ka nui a me ka kinona o ka iwiʻoki a me clavicle, hiki ia lakou e akakaʻi Aʻohe kekahi i kekahi. Aia i loko o ka ami articular pā hōkū i compensates no ka puʻe ma waena o na iwi, e like me ka ai pili aku hehee ai. Ma luna o nā mea a pau i huiia uhi i ka cartilaginous'aʻaʻa hoʻomalu ia e ku e ia mawaho keiki a me ka poho.

Sternoclavicular ami. hiʻona

Ke kumu o na ami i huiia o ka luna lala pahu ma ka hoʻohuiʻia ka clavicle iwi a me ka'ūhā mau hipuu i ke kino. Ma kona Kinohi sternoclavicular ke ami hoi - he kumu, a mea he Aloha o ka keena a me ke alo wāwae,ʻaʻole wale nō i loko o kānaka akā, i loko o na holoholona HEN, mai mea kolo. He loa mau nō, a ua komo i loko o ka neʻeʻana o nā lima, ka Reformation. Keia ua oi loa aku hoi i manao ai ka wā lalau aku la ia i na mea kaua, a kuu iho la i lalo. Kēia pilina apono 'oe e hoʻoneʻe i ke clavicle i loko o ka papa kuhikuhiE lipi ekolu, synchronizing me ka 'ūhā mua hui, kākoʻo ma ka ikaika a me ka loa ikaika ligamentous i hoʻomākaukauʻia.

'ole

Sternoclavicular ke ami hoi ua hoʻokino e like me ka noho lio-ami. E like me kona 'ole ia i keʻano o ka pü, ka concavity a me ka convexity like i kekahi i kekahi. Kēia articulation me nā koʻi lipi, a me ke alalai ole e holo ma luna o lākou, mai ka oiai ua ike o ka poe noonoo ole mechanics mea he ao ami. Kona 'ole nā mea cartilaginous'aʻaʻa :

• cartilage uhi clavicular iwi;
• cartilage uhi sternocostal kaumaha;
• cartilage iwi kuamoʻo;
• cartilage e uhi ana i ka ami.

Ke'ī mai, ma ka ami 'ole ka loaʻa o:

• ka medial pau ana o ka clavicle i kona nui ili;
• Luna laulau;
• anterior ligament;
• pupu costoclavicular;
• posterior ligament;
• concave piʻo sternocostal ili.

I sternoclavicular ke ami hoi ua kākoʻoʻia e:

• Intervertebral ligament ua'ōʻia ma luna o ka jugular notch lua ma waena o ka sternum clavicular iwi a hāʻule pahū wale.
• Complex sternoclavicular ligaments. Ma kona kulana, ka mea, converge ma ke alo, e kūkulu a me ka hoaka o surfaces o ke ami, ka ikaika kona ikaika.
• Ka loa ikaika a me ka waiwai nui laulau sternum - costoclavicular. Ua kŰlń ao mai ka luna kae o ka iwiaoao mua a me ka clavicle ala mai. Kumu hoʻohālikelike a kaupalena keu aku punohu clavicle.

Sternoclavicular hui, me ka noho lio-hoʻokino 'ole, ka spherical ke hoole i ka hiʻona o ko lākou neʻe.

eha

Manawa i kona superficial henua, a kūlana i loko o ka neʻeʻana ma waena o na iwi a me ami o ka'ūhā mua kaei, a ke kumu iho pūliki koa iwi a me ka ami i pili ia, mea pinepine malama i fractures a me dislocations. Dislocation ia lŘlŘ like me ka hopena o abrupt ka neʻe 'ana o ka'ūhā mua kāʻei posteriorly a lalo a me ka hope. Pela i haehaeia anterior ligament, ho okumu i subluxation. A hiki aku i ka ikaika ma luna o kēia ami i haehaeia a pau na ligaments, ka hoʻokuʻu 'ka collarbone o ka glenoid fossa, ho okumu i ka dislocation o ke ami i ka puana' ike ma kā lākou mau helehelena. Kekahiʻano o ka dislocation ia lŘlŘ ka wā o ka hopena ma luna o ka collarbone a me ka olelo kauoha, e mea ma kaipaʻa a ikaika puʻe ka wā haehaeia posterior ligament. Oia dislocation ia lŘlŘ i loko o ka thorax. No laila, i ka hana i ka wa olohelohe ia lakou i ka ami ma ka ikaika mīkini'opihia o nā poʻohiwi i mua, a ma loko. E like me ka rula, mau ole malama fracture o ka mua a me ka mea mua eha iwi aoao sternum.

maʻi

No keia mea, ke ami ua wehewehe aku ma na maʻi like ankylosis, i mea heʻilihune o gonococcal a rheumatoid arthritis. Ma hope o nā makahiki he kanahā o ka makahiki pinepine akaka osteoarthritis maʻi, a ma konaʻikena pepa marginal osteophytes ma luna o ke poʻo o ka clavicle. Soreness kena ae la ka wā olohelohe ia lakou i ka sternoclavicular hui, kamumu, haanou ana e ia i ka manawa maopopo, no ka makaikai ana i ka osteopath.

Avascular necrosis pili i ka sternum pau ana o ka clavicle, a ua maikaʻi ike like Friedrich ka maʻi pale, i kona manao ana palpation. Ua hoʻololi i nā hana ola nani o na nā'aʻaʻa puni ka hui, haanou ana a me ka redness o ka kŰia o ka ili. Giperostoznye loli e pili ana hopena clavicular iwi e hōʻike 'ia nei ma ke kinikini maʻi (Paget ka maʻi). Hyperostosis hoike ana typical o congenital syphilis.

ʻike, o ka loli ma na ami

Ke ki ina hana like no kaʻike, ka maʻi a me kāna hana i loko o ka sternoclavicular hui i nana a me ka palpation, X-Ray o ka pahu iwi. All haʻawina i alakaʻi trauma surgeon paha osteopath. Ua kekahi deformation a asymmetry, redness a me kaʻeha ma ka neʻe 'ana i loko o ka sternoclavicular hui, i ke ano o ke noi i loko o ke kamumu hōʻike i ke alo o kekahi o na hua maʻi a piʻi.

Palpation, i ka lua a me ke kolu manamana o ka lima akau, a me ke kauka ua aia ma luna o ka hoʻi 'oleʻaoʻao o ka hoʻomanawanui. Mau manamana lima i kau ia ma ka waena o ka sternum, a alakaʻiʻia e ka recess ma lalo o ke ahonui o ka'ā'ī, lālama ami. No ka maikaʻi loaa kona hoʻomanawanui, ua noi e hoala mai i ko lakou mau lima i loko o ka papamoe pelane, i ka nui pono o ka loaʻa.

Sternoclavicular ke ami hoi i loko o ka 'ole ka poe noonoo ole. Akā,ʻo ia ka loa ikaika, paa na lala pili i ka torso. I Ina o ka poino o na ami lima neʻe i loa i kaupalena 'ia, a lawe mai i eha.