Gokora (kubva mururimi rwechiLatin ulna) ijoini remugumbo wepamusoro rinobatanidza ruoko neruoko.

mamiriro. Gokora rinoumba mukaha uripo pakati pe:

• kuguma kwekupedzisira kwehumerus, pfupa chete muruoko;
• iyo migumo yepedyo yeradius uye ulna (kana ulna), iwo maviri mapfupa epamberi.

Magumo epamusoro e ulna anoumba bony protrusion, inonzi olecranon, uye inoumba poindi yegokora.

Hudyu. Gokora rinoumbwa nemajoini matatu (1):

• iyo humero-ulnar joint, inobatanidza humeral trochlea, nenzira yepulley, uye throchlear notch ye ulna (kana ulna). Nzvimbo mbiri idzi dzakafukidzwa neshwashwa;
• iyo humeral-radial joint inobatanidza capitulum yehumerus uye radial dimple;
• iyo proximal radio-ulnar joint inobatanidza migumo miviri yeradius uye ulna nechemberi.

Kuiswa. Nzvimbo yegokora ndiyo nzvimbo yekuisirwa mamhasuru mazhinji nemarunda achibvumira kufamba kwegokora uye kuchengetedza chimiro.

Mafambiro emagokora. Gokora rinogona kuita mafambiro maviri, kuchinjika, kunounza ruoko padyo neruoko, uye kuwedzera, kunoenderana nereverse movement. Aya mafambiro anoitwa zvakanyanya kuburikidza neiyo humero-ulnar joint uye kusvika pamwero mudiki kuburikidza nehumero-radial joint. Iyo yekupedzisira inobatanidzwa mukutungamira kwekufamba uye mune amplitude, iyo inogona kusvika 140 ° paavhareji. (2)

Kufambisa maoko. Majoini egokora, kunyanya redhiyo-ulnar joint uye kusvika pamwero mudiki humero-radial joint, inobatanidzwa mukufamba kwepronosupination yeruoko. Pronosupination inoumbwa nekufamba kuviri kwakasiyana (3):

- The supination movement iyo inobvumira chanza cheruoko kuti chitarise kumusoro

- The pronation movement iyo inobvumira chanza cheruoko kuti chitarise pasi

fractures. Iyo gokora inogona kutambura nekutsemuka, imwe yeanowanzo gara ari iyo ye olecranon, iri padanho reproximal epiphysis ye ulna uye kugadzira poindi yegokora. Kutsemuka kwemusoro we radial zvakare kwakajairika.

osteoporosis. Ichi chirwere chinosanganisira kurasikirwa kwehutano hwemapfupa ayo anowanzo kuwanikwa muvanhu vanopfuura makore makumi matanhatu. Inosimbisa kushaya simba kwemapfupa uye inosimudzira mabhiri (60).

Tendinopathies. Vanosarudza ese pathologies anogona kuitika mumatendon. Zviratidzo zveizvi pathologies zvinonyanya kurwadziwa mu tendon panguva yekuedza. Zvikonzero zveizvi pathologies zvinogona kunge zvakasiyana. Epicondylitis, iyo inonziwo epicondylalgia, inoreva kurwadziwa kunoitika mu epicondyle, nzvimbo yegokora (5).

Tendinitis. Vanotaura nezve tendinopathies inobatanidza nekuputika kwemasumbu.

Kurapwa. Zvichienderana nehutachiona hunoonekwa, kurapa kwakasiyana kunogona kurongerwa kudzora kana kusimbisa mapfupa emapfupa, pamwe nekuderedza marwadzo uye kuzvimba.

Kuvhiya kurapa. Zvichienderana nerudzi rwekutsemuka, kuvhiyiwa kunogona kuitwa pamwe, semuenzaniso, kuiswa kweplate yakakangwa, zvipikiri kana kunyange yekunze fixator.

Arthroscopy. Iyi nzira yekuvhiya inobvumira kuti majoini aonekwe uye ashandiswe.

Kurapa kwepanyama. Kurapa kwepanyama, kuburikidza nemapurogiramu chaiwo ekurovedza muviri, anowanzo kunyorerwa senge physiotherapy kana physiotherapy.

Kuongorora kwepanyama. Kuongororwa kunotanga nekuongororwa kwemarwadzo epamberi kuti uone zvikonzero zvayo.

Chiremba imaging bvunzo. X-ray, CT, MRI, scintigraphy kana bone densitometry bvunzo inogona kushandiswa kusimbisa kana kudzamisa kuongororwa.

External epicondylitis, kana epicondylalgia, yegokora inonziwo "tenisi gokora" kana "gokora remutambi wetenisi" sezvo ichiitika nguva zhinji muvatambi vetenisi. (6) Iwo haana kunyanya kuwanda nhasi nekuda kwehuremu huremu hwemareketi azvino. Kashoma kazhinji, epicondylitis yemukati, kana epicondylalgia, inonzi "gorofu regorofu".