Anatomy. Elbow vadyi: mamiriro, nemarunda, tsandanyama uye mabasa

Marongerwo kushanda dzakasiyana-siyana dzomuviri, kusanganisira mapfupa mapfundo, kudzidza anatomi. Elbow vagari chokuita yeimwe ari pfupa vakasununguka yokumusoro muzvidimbu achiumbwa payakabatanidzwa napo zvikamu 3 mapfupa: yacho humerus, ulna uye nharaunda.

Zvinoumba pejoinhi

Kugokora vagari - kujairika mhou mubatanidzwa, izvo unounza pamwe papfudzi uye honokono.

Zvakakurukurwa sechivako zvinogona kunzi kunzwisisa pamwe uye zvakabatanidzwa nekunyatsotsanangura.

Complex vagari inonzi zvakadai pakugadzirwa raisanganisira articular hukawanika anopfuura maviri. Kugokora matatu:

• articular penyika distal humerus epiphysis (musoro chikwata uye condyle);
• articular pose ulna (trochlear notch uye nemwaranzi);
• musoro uye glenoid denderedzwa nharaunda.

Combined vagari zvinoreva avo yeimwe umo akawanda akazvimirira majoini zvabatanidzwa zvakarekodhwa articular Kamudzira. Kugokora rimwe Kamudzira kwakasangana matatu akazvimirira.

Anatomy of kugokora kwevanhu pamwe ndiyo kujairika, vakabatana imwe remubatanidzwa vane 3 akasiyana siyana mapfundo:

• humeroulnar - uniaxial, ginglymoid;
• brachioradialis - idenderedzwa, asi sangano rinoitwa anenge maviri namatemo (frontal uye mira);
• radioulnar - cylindrical (majana pamusoro wehunyambiri akabatana).

Possible fambisa kugokora

kwemajoini mamiriro zvinoita kuti tikwanise kuita yakananga vanochengeta nemafambiro. Izvi flexion, uyewo, kutenderera (pronation uye supination).

joini Kamudzira

Joint Kamudzira runopoteredza vagari 3. Zvinonzi wakaiswa pamberi uye kumativi.

Front uye shure rakanyatsojeka mutete, zvishoma akatambanudza, asi panhivi kuti aidzivirire kugokora shwashwa. Anatomy of synovial Kamudzira zvinosanganisira mapfupa, izvo zvisina yakafukidzwa shwashwa, asi vari vagari.

Shwashwa of kugokora muhudyu

Mumwe remubatanidzwa mapfupa - iri kunzwisisa uye zvakanaka pfungwa anatomi. Akazadzisa gokora nemarunda, izvo kudzivirira uye sangano iri ndege siyana.

Ulnar rubatso shwashwa rinotanga kubva mujinga humerus (the medial condyle) apedzerana pamusoro ulna (trochlear rakanga rine).

The TOUR rubatso shwashwa rinotanga kubva humerus (lateral epicondyle) rakakamurwa matanda maviri izvo diverge uye tenderedza musoro nharaunda, vari richengetwe kusvikira ulna (TOUR rakanga).

Mhete uye mativi tsapo ose wakaiswa nharaunda uye ulna.

Knobby dzakawanda dzakabatana mudzira pakati kugokora. Anatomy of mukomboni anotaurwa so "musoro ulna." Zvakanga iye uyo kazhinji vanotambura pakukuvara uye kukuvadza.

Kuwedzera huru shwashwa mu pfupa Kuda kutamba basa dzinobatanidzwa uye interosseous Kamudzira yacho honokono. It chakaumbwa dzakasimba matanda kuti kubatanidza nharaunda uye ulna. Mumwe matanda aya ari negwara kubva mhiri, inonzi oblique nevaya. It ane buri kuburikidza iyo midziyo ropa uye utano hwake. Kutsvetera Chord ndiko kutanga nokuda nhamba honokono netsandanyama.

Tsandanyama pakati kugokora muhudyu, anatomi uye mashandiro

Kune akawanda kujairika mapfupa majoini ari mumuviri womunhu. Vari zvose kudzidza anatomi. Kugokora vagari iri kujairika yazvo nenzira. It runochengetedzwa yakanaka tsandanyama puranga. basa kwakarongeka vose tsandanyama kunovimbisa risina kumiswa mudzimu mafupa rwakashodoka.

All tsandanyama kukanganisa kugokora vadyi inogona kukamurwa 3 mapoka: extensors, flexors, rotators (akatakurwa pronation uye supination).

vagari extensors - triceps tsandanyama (triceps), tensor fascia pamusoro honokono uye kugokora tsandanyama.

vagari flexors - the biceps (biceps), brachioradialis nepfudzi tsandanyama.

Pronator - brachioradialis tsandanyama, pronator teres tsandanyama, mativi pronator kuita rotational kufamba nokubuda.

Insoles - biceps, supinator, brachioradialis tsandanyama tenderera ari honokono kubva mukati.

Kuita muviri kuti kusimbisa tsandanyama vakanyorwa, zvakakosha kurangarira kuchengeteka. Kugokora joinhi kazhinji kukuvara vatambi.

Ropa wedzerai kugokora vadyi, anatomi

Zvakakosha chaizvo kuti nenguva yokutsiva kundotora zvinovaka muviri kuti vauye kwaari neropa. Zvose mapfundo tsandanyama kunobva boka arteries. Zvinosanganisira 8 matavi, izvo akaronga pamusoro mekamudzira aka.

richikurukura arteries kuti kupa ropa kuti vadyi, rine midziyo pamwe zita "anastomosis".

Topographic anatomi of kugokora muhudyu - iri yakaoma chaizvo zano vascular kubatana. Pamusana zano iri rinoitwa pasina dzongonyedzo ropa kuyerera kusvika pejoinhi. Water drainage rinoitwa kuburikidza mutsinga.

innervation kuti tsandanyama

Chii chinoita kuti muitiro kufamba vari vagari? Kune chaiyo tsinga masangano achiunza tsandanyama innervation. TOUR ichi uye evaMedhia tsinga. Vari pamberi kugokora.

Zvakakurukurwa kugokora muhudyu, tsvakurudzo nzira

Kugokora vagari iri nyore chaizvo, sezvo iri kugara pachena mumuviri kushushikana.

Kakawanda, kunzwisisa chikonzero marwadzo, chiremba prescribes zvokuwedzera. Zvinogona kuva X-ray, MRI, Ultrasound kuri, arthroscopy, kugokora ponji.

kuongorora izvi zvinoratidza mamiriro mapfupa nemarunda ari pamwe nzvimbo. In mufananidzo kudzidza zvose yakaitwa ake vachaitwa yairatidza. Elbow - kunzwisisa vadyi, izvo zvinoda kungwarira uye hwakadzama kudzidza achibatsirwa okuwedzera michina.

Nzira huru diagnosing zvirwere kugokora - radiography. Tora mifananidzo pamaberere maviri. Vanobvumira here kuona zvose kuchinja mapfupa.

Kuti tizive zvirwere nyoro kugokora zvinoriumba vanachiremba kushandisa dzimwe nzira.

Kukuvara uye zvirwere

kurwadziwa kugokora nzvimbo dzose anogona kutaura kuti pane zvimwe kutyorwa. Mushure kuongororwa, kupfuura kugara zvokuongorora - ndiko arthrosis. Zvinoitika, uye hosha yemajoini, uye zvakawanda.

arthrosis

It kunoitika ndoda kakawanda kupfuura ibvi kana hudyu majoini. Pangozi muri vanhu vane basa wakabatana vawedzere mutoro pamusoro kugokora vadyi ane nhoroondo mupfungwa kana pakuvhiya kugokora, pamwe kwemakemikari anobudiswa kana metabolic zvinetso, pamwe chearthritis.

Huru Zviratidzo ndiwo: kugara vachirwadziwa marwadzo kuti kunoitika pashure kurovedza muviri. It anoenda shure zororo. Nekudzvanya kana crunching kugokora. Kuderedza kuwanda inofamba.

chirwere chemumajoini

Anogumbura joini chirwere. Possible zvikonzero zvakawanda. Vangave zvirwere, neutachiona, yakakwirira mutoro pamusoro vadyi, kushaya zvokudya zvinovaka muviri.

A chimiro yemajoini inogona chakasimba kana chirwere.

Main zviratidzo: Kuramba marwadzo, ganda akatsvuka, kuzvimba, kukamurwa kwemajoini mufambo.

dzinonzi rheumatoid arthritis

Kazhinji, kugokora anouraya dzinonzi rheumatoid arthritis. Zviratidzo zvacho: kuomarara mangwanani, zvakafanana, ichibata arthritis (zvose zvomoto majoini), marwadzo, kubatanidzwa mune chirwere kwacho zvikuru diki majoini (maoko, neketani, chiningoningo, ibvi).

epicondylitis

Kazhinji chirwere vanhu vane basa kwakabatana yakakwirira mitoro pamusoro kugokora (tenesi, gorofu, mutsimba).

Kune 2 mhando: lateral, medial.

Huru Zviratidzo: marwadzo munzvimbo yacho hunenge epicondyle, izvo runosvika kune honokono tsandanyama (kumberi kana shure). Pakutanga marwadzo chirwere kuitika mushure muviri. Mune ramangwana, kurwadziwa zvikuru kunyange usingashandi kufamba.

bursitis

Kuzvimba kwemajoini Kamudzira. Kakawanda richiwanika munyika vanhu vane basa rinosanganisira ne kugara kukuvara posterior pechiso kugokora.

Huru Zviratidzo: kuzvimba, throbbing marwadzo, kuzvimba panguva rwemberi kugokora, varambidzwe kudya inofamba amplitude. Kazhinji huru zviratidzo nefivhiri, mamiriro ezvinhu vakawanda simba, zvakawanda zvive, nomusoro anotanga.

kukuvara

Vasingadiwi chaiko rokuchinja kugokora kunogona kukonzera kukuvara. dislocation ichi, mapfupa nokutyora, kuminyuka, ropa vadyi (hemarthrosis), kukuvara tsandanyama, articular Kamudzira atsamwira.

Kukuvara izvi uye zvirwere inonyanyoshandiswa vasangana muupenyu hwezuva nezuva. Kuti uzvidzivirire kwavari, unofanira kuita matanho: kudzivisa vanyanye kushushikana, zvipe nenguva zororo, zvakakosha kudzivirira dzechimwe ezvinhu kubasa, kuomerera zvokudya, mwero wenyama kurovedza zvinodiwa uye articular jimunasitikisi.