Kuongorora Periscapular Bursitis: Zviratidzo uye Kuongororwa

Kune vanhu vari kunzwa kurwadziwa kwepfudzi nekumusoro kumashure, periscapular bursitis ingave chikonzero chinogoneka here?

Periscapular Bursitis

The scapula/shoulder blade ibhonzo rinoshandura nzvimbo nepamusoro pemuviri uye kufamba kwefudzi. Iyo scapula motion yakakosha kune yakajairika basa repafudzi uye musana. Kana kufamba kusina kujairika kana kungoerekana kwaitika, kuzvimba uye zviratidzo zvinorwadza zvinogona kukura. (Augustine H. Conduah et al., 2010)

Normal Scapula Basa

The scapula ibhonzo retriangular kumusana wepamusoro kunze kwembabvu. Rutivi rwayo rwekunze kana rweparutivi rwune socket yejoinhi / glenoid, nepo rimwe bhonzo rinoshanda semapoinzi ekunamatira kune akasiyana pfudzi uye musana tsandanyama. Iyo scapula inoshanduka pambabvu kana ichifambisa ruoko mberi nekumashure. Sangano iri rinonzi scapulothoracic motion uye yakakosha kune yakajairika basa rekumusoro kwepamusoro uye kubatana kwepafudzi. Kana iyo scapula isingatsvedzeri mukufamba kwakarongeka, basa remuviri nemapfudzi majoini rinogona kuoma uye rinorwadza. (JE Kuhn et al., 1998)

Scapular Bursa

A bursa isaga rinozadzwa nemvura inobvumira kufamba kwakatsetseka, kutsetseka pakati pezvimiro, matishu emuviri, mapfupa, uye tendon. Bursae inowanikwa mumuviri wese, kusanganisira iyo iri pamberi pemabvi, kunze kwehudyu, uye pamapfudzi. Kana bursa ichipisa uye kushatirwa, mafambiro akajairika anogona kurwadza. Kune mabhesi akatenderedza scapula kumusana wepamusoro. Maviri emasaga aya ari pakati pemapfupa uye serratus anterior muscle inodzora kufamba kwe scapular pamadziro echipfuva. Imwe bursa sac iri pakona yepamusoro ye scapula, pedyo nemusana pazasi pemutsipa, uye imwe iri pakona yepasi ye scapula, pedyo nechepakati-kumashure. Chero kana ese mabhegi mabhegi anogona kukanganiswa ne periscapular bursitis. Kune mamwe mabhesi akatenderedza scapula uye matendon akapoteredza, asi masaga maviri emakona anowanzova mabhesi ekutanga anokura periscapular bursitis.

Kupisa

Kana mabursae aya achinge atsva uye ashatirwa, akazvimba, uye akakora, mamiriro anozivikanwa sebursitis mhedzisiro. Kana bursitis ikaitika padhuze ne scapula, tsandanyama, uye mapendekete mafambiro anogona kutungamirira mukusagadzikana uye kurwadziwa. Zviratidzo zvinowanzoonekwa zve periscapular bursitis zvinosanganisira:

• Kukwenya nekufamba
• Kukuya manzwiro kana crepitus
• Pain
• Hunyoro zvakananga pamusoro pe bursa (Augustine H. Conduah et al., 2010)
• Abnormal scapular sensations uye mafambiro

Kuongororwa kwe scapula kunogona kuratidza kufamba kusina kujairika kwebendekete. Izvi zvinogona kutungamirira ku winging, uko blade yepafudzi isina kubatwa zvakanaka kusvika kumbabvu cage uye inobuda zvisiri izvo. Vanhu vane winging ye scapula vanowanzova neabnormal shoulder joint mechanics nokuti kumira kwefudzi kunochinjwa.

Zvinokonzera

Zvikonzero zve periscapular bursitis zvinogona kunge zvakasiyana. Inonyanya kuzivikanwa ndeye overuse syndrome, apo chimwe chiitiko chiri kukonzera kutsamwa kune bursa. Izvi zvinogona kusanganisira:

• Zviitwa zvine chekuita nemitambo zvinokonzerwa nekudzokorora kushandiswa.
• Mabasa ane chekuita nebasa anokonzerwa nekudzokorora kushandiswa.
• Kukuvara kunorwadza kunokonzera kuzvimba kana kutsamwa kune bursa.

Mamwe mamiriro ezvinhu anogona kukonzera abnormal anatomy kana bone protuberances, inotsamwisa bursa. Imwe mamiriro ndeye benign bone kukura inozivikanwa seosteochondroma. (Antônio Marcelo Gonçalves de Souza naRosalvo Zósimo Bispo Júnior 2014) Izvi zvinokura zvinogona kuburitsa kubva pascapula, zvichitungamira mukushatirwa uye kuzvimba.

mabatiro

Kurapa kweperiscapular bursitis kunotanga nekuchengetedza therapies. Mishonga inoparadza haiwanzodikanwa kugadzirisa dambudziko. Kurapa kunogona kusanganisira:

Zorora

• Nhanho yekutanga ndeyekuzorora iyo yakashatirwa bursa uye kugadzirisa kuzvimba.
• Izvi zvinogona kutora mavhiki mashoma uye zvinogona kuitwa nekugadzirisa zvemuviri, mitambo, kana mabasa ane chekuita nebasa.

chando

• Ice inobatsira kuderedza kuzvimba uye kudzora marwadzo.
• Kuziva maitiro ekuita ice kukuvara zvakanaka kunogona kubatsira kubata marwadzo uye kuzvimba.

Therapy Therapy

• Kurapa kwepanyama kunogona kuderedza zviratidzo zvekuzvimba kuburikidza nemitambo yakasiyana-siyana uye kutambanudza.
• Mushonga wacho unogona kuvandudza scapular mechanics kuitira kuti kukuvara kurege kuenderera mberi uye kudzokororwa.
• Kufamba kusina kujairika kwe scapula pane mbabvu hakugoni kutungamirira kukukura kwebursitis, asi kana aya ma mechanics asina kunaka asina kugadziriswa, dambudziko rinogona kudzoka zvakare.

Anti-Inflammatory Mishonga

• Non-steroidal anti-inflammatory mishonga inoshandiswa kudzora kuzvimba munguva pfupi. (Augustine H. Conduah et al., 2010)
• Mishonga inogona kubatsira kudzivirira mhinduro yekuzvimba.
• Vasati vatora chero mushonga, vanhu vanofanirwa kuvimbisa nemupi wehutano wavo kuti wakachengeteka.

Cortisone Majekiseni

• Kubudirira kurapwa ne cortisone kupfura chiratidzo chokuti kuvhiyiwa kuchave kwakabudirira kune vanhu vangada kuvhiyiwa.
• Majekiseni eCortisone anogona kubatsira zvakanyanya mukuunza ine simba rekurwisa-kuzvimba dosi yakananga kunzvimbo yekuzvimba. (Augustine H. Conduah et al., 2010)
• Majekiseni eCortisone anofanirwa kuganhurirwa maererano nekuti majekiseni mangani anopihwa kumunhu, asi mudiki majekiseni anogona kubatsira zvakanyanya.
• Zvisinei, cortisone shots inofanira kuitwa chete kana kuongororwa kwasimbiswa.

Surgery

• Kuvhiya hakuwanzodikanwa asi kunogona kushanda muvanhu vasingakwanise kuwana zororo nemishonga inochengetedza.
• Kuvhiya kunowanzo shandiswa kune vanhu vane abnormal scapular anatomy, sekukura kwebhonzo kana mapundu.

PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinobata kukuvara uye kusingaperi kurwadziwa syndromes nekuvandudza kugona kwemunhu kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa mapoka ese ezera nekuremara. Zvirongwa zvedu zvekuchengetedza chiropractor uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.

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Scapular Winging muKudzika

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References

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Clinical manejimendi ye scapulothoracic bursitis uye iyo snapping scapula. Utano hwemitambo, 2(2), 147–155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Symptomatic scapulothoracic crepitus uye bursitis. The Journal of the American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: kufuratira kana kuongorora? Revista brasileira de ortopedia, 49(6), 555–564. doi.org/10.1016/j.rboe.2013.10.002