No ke aha la he mea he kohu pono dislocation o ka poohiwi. Nā symptoms a me ka hana ana o keia maʻi

A kohu pono dislocation o ka'ūhā mua i kapaia ka instability o ka poohiwi hui, ma ke poo o ka humerus lawa paa ma ka glenoid lua, nolaila, hiki e neʻe i ka mamao nui i oi aku mamua i ka uku, e like me ka hele aku ma kela aoao o ka glenoid lua, a hiki aku i ka dislocation.

Ke alapine (frequency) o keia maʻi mea e pili ana i 22,4%. A kohu pono poʻohiwi dislocation ia lŘlŘ ma compensated a me ka decompensated palapala a me ka pono ke ake lapaʻau, no ka mea, hiki i osteoarthritis.

Nā kumu no kēia make.

Ke instability o ka'ūhā mua ami mea loa pinepine e hoʻomōhala ana i hope loa traumatic dislocation ana, a hiki ma hope o ka hoʻokō lapaau ke kāhea i ka auoiaea o ka humeral poo o na ami fossa.

No nā palapū ma ka'ūhā mua āpana hiki e poino ligaments i a laila insufficiently paa poʻohiwi poo, e kauoha ana ka puana dislocations.

Ua mea waiwai 'ana i kumumanaʻo i kekahi manawa he kohu pono dislocation o ka'ūhā mua e hoʻomōhala ana i like me ka no o ke ahiahi nīnūnē nā palapū. Kona i ka poohiwi mea hōʻikeʻikeʻuʻuku, a ua malama i ikaika excessive neʻeʻana o ke keena lala, kekahi kumu he kohu pono dislocation o ka poohiwi. He pinepine kākau i waena o kekahi pūʻulu o nā 'âlapa (swimmers a me kanaka, ka poe i komo i loko o Pôpaʻipaʻi' ole basketball).

Ua mea no hoi ke kumukuai i haiia ae kekahi aaiaoe pathologies e hana me ka hoomahuahua i loko o ka elasticity o connective'aʻaʻa, e hiki aku ai i kekahi aku o na tendons a me ligaments. Ma keia hihia, a pau na ami o nā mea maʻi me ka loa pliable, a ua lilo i ke kumu o pinepine dislocations, a me ka'ūhā mua ami.

? Ac? O dislocations ma ka'ūhā mua āpana ia i ka poʻea pau e pōʻinoʻia neurovascular pua a fracture o ka maka o ka glenoid lua.

Ke Kalinika keia pathology.

pinepine maʻi poʻohiwi instability me ka nānā 'ana subluxation, a i wehewehe aku ma ka loa eha, crackling paha ke kaomi' ana i ke ami. Loa poohiwi instability hiki aku ai i ka dislocation. E hoomanawanui i hōʻike loa eha. Lima ana i loko o ka hewa kulana, he'ūhā mua mau loli shape. Kekahi ana i loko o ka lima ka hōʻoi 'eha.

Ma na wahi i ke poo o ka poohiwi ae like nō nā aʻalolo, a i kahi kokoke i ka poohiwi hui, e emi i ka pā lonoaʻili o ka forearm a me na pulima oʻu, a me kekahi lima ka neʻe 'ana pilikia.

A kohu pono dislocation o ka'ūhā mua diagnosed ma physical hookolokolo ana o nā mea maʻi, a ma hope o radiography.

A kohu pono dislocation o ka'ūhā mua: i ka iapaau ana.

Ma ka iapaau ana o keia pathology pili makeʻe kulana, aʻoki lāʻau lapaʻau ki ina hana like.

Ma ka loiloi mua kahua o ka hana, e ho'ēmi i ka eha a me ka li nui i loko o ka hoʻohuli ai i nā wahi e e ukali e anu. I hoonoho ia ma ka ole-steroidal Anati-hoʻoʻino ai ', ka blockade o glucocorticoid. A laila lomilomi, physiotherapy a me ka pākōlea hoʻokō hiki ke hoohana. ? Aeiiaiaiaaia e komo kūikawā armbands e malama i ka poohiwi hui, a ua ālai 'hou-dislocation. Me ka ineffectiveness o ka makeʻe kulana ano hanaʻoki lāʻau lapaʻau Inc.

A kohu pono dislocation o ka poʻohiwi. Ka hana komo ai i ka haku o nā mahana i ka iwi a me ligaments mea i paa humeral poo, a me ka hoʻopau o ka Muscle imbalance. Ma hope o kaʻoki kino, e hoomanawanui i undergoing hoʻopulapula, i mau 4-6 mahina.