Sosana joint: nanjengokwesimo kwaye kwegazi

Sosana joint yingxenye eyodwa ibhrashi joint ezintsonkothileyo. It dvuhostny edibeneyo, ukuma imiphezulu articular - ellipsoid. Movement kunokwenzeka kwi-moya sagittal, okt flexion nokwandiswa, kwi-moya ngokungqalileyo - nokuxhwilwa kunye adduction, setyhula.

Ilunga sosana luquka capsule ebanzi olomileyo, udini eliphezulu yayo iqhotyoshelwe kule ithambo iphiramidi ebonisa unxibelelwano , kunye articular disk, umzantsi - ukuya iindawo articular kumqolo wokuqala amathambo carpal. Philisi evela kumacala onke bya nemisipha.

Kwelivi noqhoqhoqho sosana joint ngumgca arcuate osuka inkqubo styloid ulnar kunye radius.

Phezu palmar komhlaba esihlahleni ngokudibeneyo lobufazi lwamalunga iye imisipha ezimbini flexor iminwe phezu kwazo ngaphezulu komhlaba-ibekwe inyanda flexor retinaculum. Kwicala esahlukileyo extensor imisipha abhijelwe sheaths ezintandathu lwamalunga, kwaye kananjalo ngakumbi umphezulu extensor retinaculum.

Sosana joint yi amahlandinyuka yokwakheka kunye nezobhalo. Ezi ziquka: intloko yalo ulna, tubercle of Lister (imi radius), inkqubo styloid emathanjeni ezimbini, ithambo pisiform snuffbox "zomzimba" kwi inxalenye proximal leyo ise inkqubo styloid le radius, vee ngokudibeneyo (proximal, distal nangesemva).

iinkqubo ezahlukeneyo uyakwazi ukutshintsha ulwalamano eziqhelekileyo yokwakheka yamalungu ezidibeneyo. Esi sifundo kufuneka sinikele ingqalelo yabo ngemeko yesikhumba: umbala kunye nokulondolozwa mzobo bayo, ukulondolozwa ngobukhulu komzimba elidityanelweyo, uqwalaselo, kwi imeko amahlandinyuka yokwakheka kwaye ngesimo senditshilo. Kwakhona ibe ningi uxelele imeko palmar ifascia, imisipha, kwisihlahla kunye yengalo kwizihlunu. Ngelo xesha linye kuyimfuneko ukuhlola zombini entlanganweni.

Amaxesha amaninzi kukho ngezifo ezifana hygroma izihlahla, nto leyo imfundo ithumba kistoobraznym.

Njengoko kubonakala? Le mfundo wakha ulusu ezingalinganiyo ukudumba ubukhulu owawufikelela ubungakanani likhulu kakhulu - besentimitha ezimbalwa. It izaliswe nge ijeli-like mass of hygroma, nto leyo ebangela intlungu elibukhali xa wachukumisa. Hygroma amiliswe ukusuka ngokwayo ehlangeneyo. mandundu zenza yezizathu ezininzi: Umsebenzi ngamandla emzimbeni, ukwenzakala njalo njalo. Hygroma rhoqo kuvela kwicala umva, Noko ke, nako kubonakala phezu izihlunu ngomnwe flexor kunye namalungu kumphezulu yangaphakathi ye brush. Hygroma kuphazamisa ukusebenza okuqhelekileyo entlanganweni, okubangela ubuhlungu, ngoko ke kufuneka ziphathwe. Eyona ndlela isebenzayo kukuba uqhaqho.

ukwaphuka esihlahleni isoloko kuvela ngenxa yokungakhathali. Avamise kakhulu na ukwaphuka wethambo iphiramidi ebonisa unxibelelwano in ekupheleni kwayo distal, ekwabizwa ngokuba Colles zaphuka. Oku kwenzeka xa esiwa kwi ngesandla esolukileyo, umzobo kwelinye icala, kuxhaphakile kakhulu kwabasetyhini ebudaleni.

unyango ukwa lwenziwa njengoko standard: okanye ngendlela elondoloza - kukumiselwa gypsum, okanye yokusebenza - metalosteosynthesis esetyenzisiweyo.

Ukuba ngaba awunayo i uncedo eyiyo ngexesha bakwazi ukuphuhlisa contractures joint, obe ubaqhiphukisa umda koko isindululo entlanganweni, ezinxulumene notshintsho kukuqulungana kwi philisi joint, imisipha kunye nemisipha, kwakunye neentlungu obukhulu. Ngoko ke, nakuphi na ukwenzakala kufuneka siphathwe kwangethuba kangangoko kunokwenzeka. kwimo yangaphambili ngexesha ukuphepha iingxaki.