achromeoclavicular sandhe

achromeoclavicular sandha kinwa essie sandha haah khandyachya varchya bajula asalela sandha asato. haah achromian (khandyacha sarvoch bindu banavnara scapulacha bhag) aanee clavical yanchyatil sangam aahe. haah eka plain cyanovial joint aahe.
rachana.
asthibandhan.
sandhe teen asthibandhananni sthir kele aaheth
uchch achromeoclavicular ligament
haah asthibandhan haah eka chaturbhuj patt aahe, joou abhivyakticha varcha bhag vyapato aanee kavatichya bajukadil tokacha varcha bhag aanee acromianchya varchya prushthbhagachya shejarchya bhagadarmyan pasarato.
heey samantar tantunni banalele aahe, jeey trapezius aanee deltoidiuschya aponeuroseshi parasparsambandhit aahet; khalee, jevha heey asate tevha teey articular diskchya samparkat asate.
nimnabhru acromyoclavicular ligament
haah asthibandhan aadhichya asthibandhanapeksha kahise patal aahe; too abhivyaktichya khalchya bhagala vyapato aanee done hadanchya shejarchya prushthbhagala jodalela asato.
varr, durmil prakarananmadhye, tee articular discushy sambandhit aahe; khalee, supraspinataschya snayushi sambandhit aahe.
chorachochromial ligament hii eka majboot trikoni patti aahe, jee coracoid prakriya aanee acromian darmyan vistarte.
too tyachya shikharadvare, clavicalsathichya sandhechya prushthbhagachya agadi samore acromianchya shikharala jodalela asato; aanee tyachya rund payane coracoid prakriyechya bajukadil simechya sampoorn lambiparyant jodalela asato.
heey asthibandhan, coracoid prakriya aanee acromians, humouruschya dokyachya sanrakshanasathi eka khajina tayar karate.
heey varchya, clavicalchya aanee deltoidiuschya prushthbhagakhalil sambandhat aahe; khalee, supraspinataschya snayusah, eka barsa prakshepit keela jaat aahe.
tyachi parshva seema ghan laminasah satat asate jee deltoidiuschya khalee supraspinatus aanee infraspinatuschya snayunvar jaate.
asthibandhanache varnan kadhikadhi done kirkol pattya aanee eka patal madhyabhagi asalela bhag asey kele jaate, done pattya anukrame coracoid prakriyechya sheersh aanee payala jodalelya asatat aanee acromianmadhye jodalya jaatat.
jevha kadhikadhi hott asalyasarkhe, pectoralis minor heey coracoid prakriyeaivaji khandyachya-sandhyachya capsulemadhye ghatale jaate, tevha teey yaa done pattyanmadhun jaate aanee nantar asthibandhanachya madhalya bhagachi kamatarata asate.
choracoclavicular ligament heey scapulachya coracoid prakriyeshi clavicala jodanyache kaam karate.
heey acromeoclavicular sandhyanchya uchcharanshi yogyaritya sambandhit nahee, parantu samanyatah tyachyasah varnan kele jaate, kaaran teey acromianchya samparkat asalelya clavicala tikavoon thevanyache sarvat karyaksham sadhan tayar karate. yaat done faciculi asatat, jyanna trapezoid ligament aanee conoid ligament mhanatat.
heey asthibandhan samore, subclavius aanee deltoidiusshi sambandhit aahet; mage, trapezius.
bhinnata.
americi sainikanchya 100 khandyanchya ksh-kiran abhyasat sandhyanchya aakarat aanee aakarat lakshaniy farak aadhalala. sandheche prushthbhag aakar aanee swarupat lakshaniyaritya bhinn hote. kahee jananvar teey varishthala jodalelya meniscusney vegale kele jaatat.
achromeoclavicular ligament. haah meniscus haah tantumay snayucha eka patta asoo shakato joou sandhyat jawaljawal ardhya margavar pasarato kinwa too eka sampoorn disk tayar karoo shakato joou sandhyala done bhaganmadhye vibhajit karato. itar sandhyanmadhye konatahi cyanovial sandha nasato aanee sandhe heey kavchanchya bahya tokala jodalelya tantumay uutinchya padware tayar kele jaatat aanee sandhechi pokali nasate.
karya.
achromeoclavicular sandhe haah haat dokyachya varr uchalanyachi kshamata pradan karatat. heey sandhe pivit point mhanoon karya karatat (jaree tantrikdrushtya teey gliding cyanovial joint asale taree), scapulachya halchalila madat karnyasathi strutsarkhe karya karatat jyamule bahuche adhik pramanat paribhraman hote.
vaidyakeey mahatva.
dukhapat.
essie sandhyala honari eka samanya dukhapat mhanje visthapan, jyala anekada essie pruthakkaran kinwa khanda pruthakkaran mhanatat. heey 'khandyachya visthapan' sarkhe nahee, jeey glenohumeral sandhachya visthapanas sandarbhit karate.
aais hockey, football, judo, rugby aanee aussie niyamansarkhya takkar khelanmadhye acromeoclavicular sandhe visthapan visheshtah samanya aahe aanee jaltaran, ghodeswari, mounton cycling, cycling, snow skiing aanee skateboardingmadhye sahbhagi asalelyansathi dekhil hii eka samasya aahe. dukhapatichi sarvat samanya yantrana mhanje khandyachya tokavar padane kinwa fush (pasarlelya hatavar padane).
achromeoclavicular sandhe visthapan heey i pasoon vi paryant shrenibaddha kele jaatat. shrenikaran heey bahoola lavalelya vajanasah clavicalpasoon acromianchya pruthakkaranavar aadharit asate. grade I mhanje sandhyanche thodese visthapan aanee kharabaritya tanalele kinwa anshatah fatalele essie ligament. tyache samanya vibhajan <4 miimii aahe. grade II mhanje essie sandhyanche aanshik visthapan, jyamadhye essie sandhyanche sampoorn vighatan aanee choracoclavicular ligamentche aanshik vighatan hote. essie antar> 5 miimii aahe. jaree sharirik upcharanchi aavashyakta asoo shakate, taree iyatta pahili aanee dusarila kadhihi shastrakriyechi aanee swatahun barey honyachi aavashyakta nasate. grade III mhanje essie aanee cc asthibandhanancha sampoorn vyatyay. sadhya patalavar, kavchatil khalcha pailu, acromianchya varchya pailupeksha varr asel. emm. aar. aay. scandware dekhil yache moolyankan kele jaau shakate, jeey choracoclavicular ligamentsche vighatan (essie sandhyatil vyatyayachya tivratevar avalambun asalele praman) tasech sandhe capsule fadane dekhil darshavel. tapasani kelyavar sandhe khoop mauu aanee sujalele asateel. grade III chya vibhajanasathi bahutekda shastrakriyechi aavashyakta nasate aanee 16-20 aathvadyannantar khandyache karya samanya jhaale pahije. tathapi, khandyachya visthapanamule lakshat yenyajogi gaath aanee khandyachi kahee sharirik vikrutee hoil. chaturth teey sahavya shreni hii 'manak' visthapanavaril guntagunt aahe jyat clavicalche visthapan samavisht aahe aanee jawaljawal nehmich shastrakriyechi aavashyakta asel. saumya (shreni I) visthapan shodhanyasathi gatishil yu. ess. heey mahatvache aahe, visheshtah kaaran teey sthir pratimanmadhye samanya sandhe mhanoon upasthit asoo shakatat. doppler yu. ess. chaa vapar nidanatmak aatmavishvas vadhavanyasathi qamee darjachya dukhapati shodhanyasathi dekhil keela jaau shakato kaaran tyat jakhami asthibandhanala bharpai denyachi prakriya darshavili jaate.
austeoarthritis.
acromeoclavicular sandhyancha austeoarthritis asamanya nahee. heey purv aaghatamule (duyyam asthishoth) houu shakate kinwa eka dirghakalin apghatan vikar mhanoon udbhavu shakate joou anekada subachromial impements saha-astitvat asato.

