Dislocation o ka'ūhā mua ami.

Poohiwi ke ami hoi ninoieo o ke poo o ka humerus, scapula a me ka clavicle. Ke poo o ka humerus ka hapa o ka glenoid lua o ka maka, i loko o kona palena i ka mānoanoa cushion o cartilage. Cartilage apono 'articular surfaces kiko'ī a pilipaa lawa e kōkua ai i nā ka neʻeʻana o ke ami. A pau surfaces o na iwi i maikaʻi loa hoʻomākaukau i kekahi i kekahi, ma muli o ia i kekahi kanaka e hana i ka lima kolohe 'ana i loko o ekolu Kekoa. Eia naʻe, ua kiʻekiʻe ka hoʻoneʻe o na ami i kona instability, a laila hiki i dislocations, subluxations a aku o ka ligamentous i hoʻomākaukauʻia.

Ma luna o ka'ūhā mua ami ua uhiia i ke anuanu mea hōʻikeʻikeʻuʻuku, a mea he ka hopuʻana'ōnaehana mea paa a pau i ka articular surfaces o ke ami i ka wahi.

Dislocation o ka poʻohiwi ke ami hoi - 'aʻe' ana o kumupaʻa o ka articular surfaces ka wā paku ole ia i oi aku ka ikaika physical haawe paha hooko o ke kalepa ka poʻe i loko o kekahi Kekoa, a ma ka Hawaii ua laka ami kuleana pili i.

Dislocations o ka'ūhā mua ami i puʻunaueʻia e like me ka pelane ma i ka blockage ia lŘlŘ ma:

- mua - poo höʻike ana me ka pili ana i ka glenoid lua, ma lalo o ka coracoid kaʻina hana o ka maka;

- posterior dislocation wehewehe aku ma ka wedging i ke poo hope;

- lower - pohupani hale poo ma lalo o ka glenoid lua o ka maka.

Dislocation o ka'ūhā mua ami ana imua o ka loa, he pono ole, no ka mea, neʻe i ke poo o keia oihana maʻalahi. No ka laʻana, i loko o ka manaʻo o kekahiʻoi haule i loko o ka nou ana la o ole poʻohiwi ami. Me keia ami trauma pinepine ia lŘlŘ ami mea hōʻikeʻikeʻuʻuku rupture - he loa pilikia, a ola complication o dislocation. Ua hiki no hoi e hiki mai nahā i cartilage Park glenoid lua - ilihune loa PAaIEN o dislocation.

Dislocation o ka'ūhā mua ami hoʻi ka nui rarer, paha no i ka mea i keʻano papa hana o keia ino ka loa hana a me na kumu no kona hanana i hoʻohuiʻia pinepine. I mea e kiʻi hoʻi i ka dislocated poohiwi, e pono e haule iho ma ka lima kākāuha, a me ka manawa lōʻihi, e kau ma luna o ka kekahi lima, a laila, ma lalo o ke kaumaha o ka huina kaumaha e hoi ana dislocation. Ke peculiarity o ka lapaʻau symptoms o ka posterior dislocation mea i ka hoʻomanawanui mea e hiki i lalo loa i kona lima i lalo, no laila, i loko o ka haukapila, ka mea hele mai me ka lima hoalaia.

Ma waho physical hopena, mai ka waho, a hiki i ka dislocation o ka'ūhā mua ami hiki i kekahi maʻi a me pathological keʻano o ka hanaʻana:

- mahuahua ka hoʻoneʻe i loko o ka poohiwi hui, a ua wehewehe aku ma excessive huahelu o ka noi;

- Ka lula ka haunaele ma ka iwi a me ka cartilaginous nā'aʻaʻa, kūpono ma ka iwi ikaika ua nui hoemi, a me keia wahi aku, ka mea, i ka easiest e hoʻololi i pili i kekahi i kekahi;

- pinepine dislocation a me ka subluxation, a ua kapaʻia ka mea, a kohu pono dislocation o ka'ūhā mua ke ami hoi i alakai i ka mea hoʻonāwaliwali maoli nō o ka ami ligament i hoʻomākaukauʻia, ai ka mea hōʻikeʻikeʻuʻuku mea i hiki ke hoopaa i ka articular ili honua i loko o ka makemake kulana.

Dislocation o ka poʻohiwi ami: lapaau.

I ka papa kuhikuhiE tactic i loko o ka hana maikaʻi i dislocation - hana ole ia ia ka poino. First kōkua E e wale he immobilization maikai o ka ami. A laila, e e hospitalized ka hoʻomanawanui i loko o ka haukapila e hōʻoia i kaʻike, a me ka palapala hōʻoia no ka ho'ēmiʻana o ka dislocation.

Hoʻomanawanui iki mai me sprains pono pono e hana i loko o nā nā wānana waiwai X-Ray, e alii ai maluna o mai fracture.

Inā i kaʻike, ua hoʻopaʻa dislocation, na iwi pono e hoʻokomo i loko o wahi, e hoihoi ami ka hoʻoneʻe. Trauma kekahi manawa, hoʻohana 'ia ma lalo o kekahi hohola epekema ami sprains.

Mana no ka sprains mea physiotherapy, ka mea, ua lawe mai, e emi i ka nani a me ka li nui o ka puni nā'aʻaʻa, ho'ēmi i ka eha.