I scapula chungchanga i hriat tur dik tak chu i zawng chhuak ang u.

Zingah i tho a, thawk i la a, i kut i phar chhuak ngai em? Chutih lai tak chuan i kekawr hnung lamah ruh flat pahnih i nei tih i hre mai thei. Mi tam tak chuan hengte hi "shoulder blades" emaw "scapulas" emaw an ti thin. Damdawi lamah chuan scapula tiin kan sawi thin. Hei hi ruh chi khat chauh a ni lo va, kan kekawrte pawimawh tak a ni. Vawiin hian he shoulder blade chungchanga hriat tur thenkhat kan sawi dawn a ni.

Chuti a nih chuan he scapula hi eng nge ni?

A awlsam zawngin sawi ila, scapula hi i kekawr bul ruh a ni. Kan thusawi hian "shoulder blade" kan ti bawk. I shoulder joint siamtu ruh lian pathum zinga pakhat a ni. Scapula hi i collarbone (clavicle) leh i upper arm bone (humerus) inzawmkhawmtu a ni.

Ngaihtuah teh, i kekawr iptea na i neih chuan, a bik takin hliam hnua lo awm a nih chuan, tlu emaw, inkhelh emaw a nih pawhin, doctor i pan ngei ngei tur a ni. Shoulder injury hi a tlem deuh tlangpui a, mahse shoulder-a hliam eng pawh hian hei pawh hi a nghawng thei a ni.

Shoulder strap hmang hian eng nge tih thin? Engvangin nge a pawimawh em em?

Shoulder blade hian hna pawimawh tak tak engemaw zat a thawk a. He ruh tlemte hian eng chen nge a tih theih tih hi han ngaihtuah teh:

• I kut chunglam ruh (humerus) leh i ke ruh (clavicle) inzawmkhawmna: Hei hi i kut chu i taksa (i.e., i taksa lai tak) nena inzawmna hmun a ni. Bridge ang maiin a che thin.
• I shoulder joint-a hmun siam: I kut chunglam ruh (humerus) luhna hmun, lump ang chi hmun a awm a, chutah chuan i ke ruh chu a siam a ni. A hnunglam, posterior shoulder girdle , chu he shoulder blade hian a siam a ni.
• Shoulder Movement: Hei hi a mak khawp mai! Shoulder hi muscle 17, tendon 12, ligament 6, leh nerve 2 te nen a inzawm tih i hria em ? Heng connection te hian i shoulder chu kawng ruk ah a kal thei a ni. Dik tak chuan kan taksa ruh dang zawng zawng aiin kawng hrang hrangah a kal thei zawk!
• I rilru venhimna: I shoulder blade chu i rilruah shield inbun ang mai a ni. Eng taksa peng mah direct-in a humhim lo nain, ruh chak tak, nghet tak a ni a, inhnawh tawnna avanga nghawng awm chu a hip lut thei a ni.

Kan kut kan phar a, kan hnungzang kan dah a, kan rotate hian shoulder blade hian min puih zia hi han ngaihtuah teh!

Khawiah nge shoulder blade hi a awm?

I shoulder blades te hi i axial skeleton ah hian a tel ve a ni . Chu chu i taksa lairil lama ruhro (skeletal system) a ni. I shoulder blade pahnih i nei a, i rilru sir lehlamah pakhat. Chungte chu i ruh hnung lamah, pawn lamah a awm a ni.

Hnute hi engtin nge a awm? Chu chu engtin nge a lo insiam tihna a ni?

A shoulder blade hi a flat, triangular a nih avangin "scapula" an ti a. Chemte zungbun ang mai a ni. Ruh pakhat ni mahse, a kekawrte hian a chunglam pathum a nei a:

1. Costal emaw hmalam emaw

2. Lateral surface a awm

3. Hnunglam emaw hnuai lam emaw

Tunah chuan heng surface tinte hi chipchiar deuhin han thlir ila.

Costal emaw hmalam emaw a ni

Shoulder blade costal surface chu a hmalam a ni a, a sir chu i rib cage lam hawi a ni. He lei chung lam a bulpui ber hian cup ang chi hmun te tak te (`subscapular fossa`) a siam a. Hei hian i ke ruh pakhat `rotator cuff` tih chu a pui a ni. I collarbone hnuai lama hook ang chi protrusion te tak te (`coracoid process`) hian muscle pathum a thlunzawm a.

Lateral surface a ni

Shoulder blade lateral surface chu a pawn lam kil a ni a, chu chu i kut chunglam ruh (the `humerus`) lam hawi a ni. Hetah hian a hnuaia thil awmte hi hmuh tur a awm a ni:

• Glenoid fossa: Hei hi i shoulder joint ball hnunglam siamtu hollow space a ni.
• Superglenoid tubercle: Hei hi i biceps muscle inzawmna hmun a ni.
• Infraglenoid tubercle: Hei hi i triceps ruh inzawmna hmun a ni.

Hei hi damdawi lam thil a ni deuh a, mahse a awlsam zawngin, heng hmun hrang hrangte hian an tih theih awmchhun chu ke ruh leh a peng dangte inzawmkhawmna tur hmun siamsak a ni a, chutiang chuan ke ruh chu a thawk tha thei ang.

Posterior (a hnuai lam chunglam) 1.1.

I hnunglam (posterior surface of the shoulder) chu i hnungzang lam hawi a ni. A chhungah hian:

• Spine (apex): I shoulder blade chunglam a tip hrual tlem.
• Acromion: Hei hi ruh khata tel a ni. I shoulder i tihchet hian i clavicle nen a che thin.
• Supraspinous fossa: Ruhro chunglam, taksa peng hrang hrangte inzawmkhawmna hmun. Hei hi a round deuh deuh a ni.
• Infraspinous fossa: Ruh hnuai lam chiah, taksa ruh inzawmkhawmna hmun. A chunga kan sawi tak supraspinous fossa aiin a lian zawk a, a pianzia chu a hring deuh a ni.

Engte nge hliam emaw, natna emaw, kekawrte chunga thleng thei?

Kawngkhar hliam hi a tam hle. Hei hi a chhan chu shoulder hi a complex structure a nih avangin nitin hna leh activity tam takah kan hmang thin. Kawngkhar chauh hliam hi a tlem hle. Mahse, kekawrte hliam hian kekawrte a tichhe thei bawk. Entir nan:

• Kawngkhar (shoulder sprains) a awm.
• A kekawrte chu a dislocated.
• A kekawrte inthen.

Shoulder fracture hian shoulder blade pawh a huam thei a, mahse hei hi a tlem hle . Shoulder blade hi hliam na tak, car accident emaw, mi pakhat ladder atanga a tlak emaw chauhvin a chhe tlangpui.

I kekawrte (i kekawrte pawh tel) tichhe thei hriselna lama harsatna thenkhat chu:

• Shoulder impingement syndrome tih hi a ni.
• Shoulder arthritis a awm bawk.
• Shoulder bursitis a ni.
• Scapular winging (a shoulder blades atanga rawn chhuak pangngai lo).

A kekawrte hliam hi engte nge ni?

A kekawr bul dang a nghawng loh chuan a ke ruh (shoulder blade) chauh a hliam hi a tlem hle. A kekawrte hliam a lan chhuah dan tlangpui chu:

• Shoulder pain: Hei hi a pawimawh ber a ni.
• Swelling: Hliamna hmun chu a hring thei.
• Reduced range of motion: Hei hian i kephah chu eng lam hawi emaw, eng lam hawi emaw pawha i kal thei lo tihna a ni.
• Stiffness/Stiffness: A kekawrte chet a harsa thei a, a tang ang maiin a lang thei bawk.
• Bruising emaw discoloration: A chang chuan blue emaw purple emaw a lang thei.

Heng symptoms zinga pakhat emaw pahnih emaw i nei a nih pawhin doctor lam pan a tha ber a, a bik takin ni engemaw zat hnuah a natna a reh loh chuan.

Eng test nge tih thin, shoulder problems hriatchhuah nan?

Doctor chuan i kephah leh a chhehvel enfiah nan diagnostic emaw imaging test hrang hrang engemaw zat a hmang thei a ni. Chung zinga ṭhenkhat chu:

• A kekawrte X-ray hmangin.
• CT scan (`Computed tomography (CT) scan`) hmanga tih a ni.
• MRI scan (Magnetic resonance imaging (MRI)) hmanga tih a ni.
• EMG (electromyography) test - Hei hian taksa ruh leh nerve hnathawh dan a test thin.

Heng test te hian shoulder joint emaw a chhehvel tissue emaw ah chhiatna, fracture, tear, emaw harsatna dang emaw a awm leh awm loh dik takin a hre thei a ni.

Shoulder problems enkawlna hman tlanglawn tak takte chu engte nge ni?

Enkawlna i mamawh chi chu i hliam emaw, i hriselna dinhmun emaw a zirin a innghat ang. Mi zawng zawng tan enkawlna pakhat chauh a awm lo.

Hetiang hian enkawlna i mamawh mai thei:

• Immobilization: Hei hian a che thei lo turin plaster of Paris (cast), brace, emaw sling ang chi thil pakhat chu a kekawr ipteah dah tihna a ni.
• Kawngkhar chawlh emaw, hliam thlentu thiltih loh emaw: A chang chuan damdawi tha ber chu chawlh hahdam hi a ni.
• Taksa lam enkawlna: 1.1.Hei hi taksa ruh tichak tur leh range of motion tihchangtlun nan a pawimawh hle a, a bik takin ke ruh hliam hnuah a pawimawh hle.
• Shoulder surgery: Hliam na tak tak thenkhat emaw, enkawlna dang dawng lo dinhmun emaw tan chuan operation neih a ngai thei.

Engtin nge ka kekawrte hrisel taka ka vawn theih ang?

Dik tak chuan i kekawrte hrisel taka awm theih nan thil bik tih a ngai lo. A pawimawh ber chu ei leh in tha tak ei leh exercise neih fo hi a ni .

Chu bakah, hliam laka inven nan heng himna atana thurawn tlangpui te hi zawm la:

• Lirthei i chuan dawnin seat belt vuah fo ang che.
• Infiamna emaw, thil dang emaw tih laiin himna hmanraw \ha tak tak bun tur a ni.
• I in leh hnathawhna hmun chu felfai takin vawng la, thil tul lo tak tak awm lovin dah rawh. Hei hian tlu leh tlu theihna a ti tlem ang.
• When picking up something from above , hmanraw emaw hmanraw dik tak hmang fo ang che. Chair, dawhkan leh counter-ah chuan chho ngai suh.
• Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan kekawrte emaw, kea kalna emaw hmang ang che.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Zing i thawh hunah chauh i kekawrte i ngaihtuah mai thei a, mahse hengte hi ruh pawimawh tak tak pahnih i hman fo thin a ni. I kekawrte chu an thlawp a, i che thei a, taksa ruh leh tissue dang tam tak chu a hmunah an vawng tlat bawk.

A tlangpuiin i kekawrte hi enkawlna bik emaw, checkup neih reng emaw a ngai lo. Mahse, kekawrte na i neih chuan, a bik takin kar khat aia rei a nih chuan ngaihthah suh. I thil tih dan pangngai tih harsa ti na, i khauh emaw, natna dang emaw i neih chuan doctor pan ngei ngei tur a ni. An enfiah ang che a, i mamawh thurawn leh enkawlna tha ber ber an pe ang che. I kekawrte hrisel taka vawn chu i kutah a awm!

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