I kekawrte thlawptu scapula chungchang hi i zir belh ang u.

‘Scapula’ tih hi i hre tawh ngei ang, a dik em? He i hnungzang, i kekawr hnuai lam chiah, triangular bone hi damdawi lam chuan ‘scapula’ kan tih chu a ni. I tan chuan thil tam tak angin a lang lo mai thei, mahse he mi huaisen te tak te hi i kut, i ke leh i hnungzang chetna tam takah chuan a pawimawh hle. Shelf-a thil i kut i phar emaw, cricket ball i thlak emaw, i hnungzang pawh i hrual emaw hian he scapula hi a pawimawh zia hi han ngaihtuah teh.

He scapula hi eng nge ni?

A awlsam zawngin, scapula hi i hnungzang chunglam ruh zau tak, triangular ang maia awm, i kekawrte nena inzawm a ni. Ruh chi khat chauh a ni lo. Kan kut leh hnungzang ruh tam zawk hi he scapula-ah hian an inzawm a, anchor ang maiin an inzawm a ni.

Hei hi ruh pakhat chauh ni mahse, shoulder blade hian kan taksa hnathawhna atana pawimawh tak tak peng engemaw zat a nei a. Eng nge an nih i han thlir teh ang.

Heng hmunte bakah hian hmun pawimawh dang engemaw zat (border, angle, fossas) a awm a, chutah chuan muscle leh tendon te chu shoulder-ah an inzawm a ni.

Khawiah nge a shoulder strap hi a awm tak tak? Engtin nge a thawh?

I shoulder blade hi i hnungzang, i shoulder hnung lamah a awm a. A inzawm ber chu joint pahnih hmanga inzawm a ni .

1. Upper arm bone nen: Shoulder blade-a glenoid cavity chu humerus ball ang maia lu nen a inzawm a. Hei hi glenohumeral joint an ti a. Hei hi ball-and-socket joint a ni . Kan hip joint ang bawkin. Heng joint te avang hian maximum range of motion kan nei a, chu chu kan kut chu eng lam hawi pawhin kan herh thei tihna a ni.

2. Collarbone nen: shoulder blade a ``Acromion'' an tih hmun chu kan collarbone ``(clavicle) nen a inzawm a ni.`` He joint hi ``acromioclavicular joint'' an ti a.`` Hei hi ``gliding joint'' a nih avangin hetah hian movement tlemte chauh a thleng thin.

Shoulder blade hnathawh ber berte chu engte nge ni?

A shoulder blade hi ruh mai a ni lo. Muscle bunch khat lairil ang mai a ni. Kut, hnungzang chunglam leh kekawrte tichaktu ruh lian tam tak chu he shoulder blade nen hian a inzawm tlat a ni. Chutiang taksa ruh lian ber ber thenkhat leh an thil tih te chu han thlir ila.

Natna leh harsatna lo awm thei te chu shoulder blade nena inzawm a ni

Kan kephah leh a kaihhnawih ruhte hian hna a thawk tha chhung chuan harsatna kan nei lo. Mahse eng emaw chhan vanga he system hnathawh a tihbuai chuan kan ke leh kan kut hman harsa kan ti thin.

Heng shoulder movement-a thil dik lo awmte hi scapular dyskinesis tiin kan sawi tlangpui thin. Hetiang dinhmun hi a chhan awm thei engemaw zat a awm.

• Shoulder blade control tu muscle chak lohna, tight emaw, inbalance emaw.
• Chutiang muscle nena inzawm nerve te tihchhiat.
• Shoulder joint emaw shoulder blade emaw ruh a hliam .

Hetiang dinhmun entirnan tlemte

• Shoulder impingement syndrome: Hei hi shoulder-a rotator cuff muscle a inflamed a, acromion a rub a, shoulder chawi sangin natna nasa tak a thlen chuan a thleng thin.
• Subacromial bursitis: Kan ruhte hian tuiin a khat sac te tak te, bursae an tih te a nei a, chu chuan friction tihziaawmna kawngah a pui thin. Chungte chu a inflamed thei a, shoulder na leh infection a thlen thei bawk.

Nang pawhin heng symptoms te hi i nei ve em?

• Shoulder blade vel na emaw, khawih chuan a nghet lo emaw.
• Natna lam hawia kut emaw, kekawrte emaw chak lohna hriatna.
• Thiltih ang chiah tih chhunzawm zel a, a bik takin kut phar chunga hna thawh laia chau vanga inhriatna.
• Kawngkhar kan sawn laiin ‘snapping’ emaw ‘snapping’ emaw ri hriat.
• Natna nei sir lama shoulder chu a tla thla niin a lang .
• Arm leh shoulder-ah hian range of motion a awm lo.
• Taksa atang hian shoulder blade te chu a rawn chhuak a, thla ang maiin a lang.Hei hi ``winged scapula'' an ti bawk.

Diagnosis leh enkawl dan tur

Heng symptoms te hi i neih chuan a tha ber chu doctor pan hi a ni . Doctor in a enfiah ang che. I shoulder range of motion leh muscle chakna an test thei bawk.

A then phei chuan a chhan finfiah nan X-ray emaw MRI scan emaw neih a tha thei bawk.

Enkawl dan tur chu i natna nasat dan leh a chhan a zirin a ni.

• Damdawi: I doctor chuan nonsteroidal anti-inflammatory drugs ( NSAIDs ), ibuprofen , chu a rawn rawt thei a, chu chu a hring leh natna tihziaawmna atan a ni.
• Physical therapy: Hei hi enkawlna pawimawh tak a ni. Physics therapist kaihhruaina hnuaiah exercise i ti thei a, chu chuan shoulder stabilize leh move tu muscle te chu a tichak a, tight muscles te pawh stretch thei bawk.
• Surgery: A tam zawkah chuan heng natna te hi exercise leh damdawi hmanga enkawl theih a ni. Mahse, taksa ruh emaw, taksa peng emaw a chhiatna nasa tak a awm chuan operation neih a ngai mai thei a, a tlem hle.

I kekawr iptea accident i tawk nia i ngaih a nih chuan, emaw, kan sawi tawh ang chi symptoms i neih chuan, chhiatna dang a thlen hmain doctor hmu nghal rawh.