I-iliac crest yakha ingxenye ye-ilium noma i-ilium, ithambo elakha ingxenye engaphezulu yethambo le-coxal, noma ithambo le-iliac.

Isikhundla. I-iliac crest ingaphezulu kwethambo le-hip, noma ithambo le-iliac. Njengoba isezingeni lebhande le-pelvic (1), leli lokugcina liyithambo elilinganayo elakhiwe amathambo amathathu ahlanganiswe ndawonye (2):

• I-ilium eyakha ingxenye ephezulu yethambo le-coxal.
• I-pubis echaza ingxenye engaphansi kwe-antero.
• I-ischium ehambisana nengxenye ye-postero-inferior.

Ukwakheka. I-iliac crest yenza unqenqema olungaphezulu olungaphezulu lwe-ilium. Lesi sakamuva siyithambo elikhulu, elivuthayo elakha ingxenye enkulu yethambo lenyonga. Yakhiwe izingxenye ezimbili (1) (2):

• Umzimba we-ilium engxenyeni yawo engezansi.
• Iphiko le-ilium, elinamaphiko, engxenyeni yalo engenhla.

I-iliac crest iqala ezingeni le-anterosuperior iliac spine, i-bony protrusion eyenza ukuphela okuhamba phambili futhi iphetha ezingeni le-postero-superior iliac spine, i-bony protrusion eyenza ukuphela kwe-posterior (1) (3).

Ukufakwa kwemisipha. I-iliac crest isebenza njengendawo yokufaka yemisipha eminingi (4). Ngaphambili, singakwazi ukuhlukanisa imisipha eguquguqukayo yesisu, kanye nemisipha yangaphakathi nengaphandle ye-oblique yesisu. Ngemuva, sithola umsipha wesikwele wemisipha ye-lumbar kanye ne-latissimus dorsi muscle.

Indawo yokufaka imisipha. I-iliac crest isebenza njengendawo yokunamathisela yemisipha ehlukahlukene esiswini.

ukwas. I-ilium, kuhlanganise ne-iliac crest, ingaphuka, kuhlanganise nobuhlungu enqulwini.

Izifo zamathambo. I-pathologies ethile yamathambo ingathinta i-ilium, efana ne-osteoporosis, okuwukulahleka kwamathambo futhi ngokuvamile kutholakala kubantu abaneminyaka engaphezu kwengu-60 (5).

AmaTendinopathies. Bakhetha zonke izifo ezingase zenzeke kumathenda, ikakhulukazi lezo ezihambisana nemisipha enamathele ku-iliac crest. Izimbangela zalezi pathologies zingahlukahluka. Umsuka ungaba ongaphakathi kanye nezakhi zofuzo, njengangaphandle, ngokwesibonelo isikhundla esibi ngesikhathi sokusebenza kwezemidlalo.

• I-Tendinitis: Ukuvuvukala kwamathenda.

Ukwelashwa. Ngokuya ngesifo esitholakele, kungabekwa imishanguzo ethile ukunciphisa izinhlungu.

Ukwelashwa kwamathambo. Ngokuya ngohlobo lokwephuka, ukufakwa kosimende noma i-resin kungenziwa.

Ukwelapha okuhlinzwa. Ngokuya nge-pathology kanye nokuziphendukela kwayo, ukungenelela kokuhlinzwa kungenziwa.

Ukwelashwa ngokomzimba. Ukwelashwa ngokomzimba, ngokusebenzisa izinhlelo ezithile zokuzivocavoca, kungabekwa njenge-physiotherapy noma i-physiotherapy.

Ukuhlolwa komzimba. Okokuqala, kwenziwa ukuhlolwa komtholampilo ukuthola ukunyakaza okubuhlungu.

Ukuhlolwa kwe-imaging yezokwelapha. Ngokuya nge-pathology esolwayo noma efakazelwe, ezinye izivivinyo zingenziwa njenge-X-ray, i-ultrasound, i-CT scan, i-MRI, i-scintigraphy noma i-bone densitometry.

Ukuhlaziywa kwezokwelapha. Ukuze ubone izifo ezithile, ukuhlaziywa kwegazi noma komchamo kungenziwa, ngokwesibonelo, isilinganiso se-phosphorus noma i-calcium.

Ukusebenza kwamathambo omuntu kuveze ushintsho kusayizi nokuma kwamathambo okhalo ngesikhathi sokuvela. Kubukeka sengathi ukuguquka kusuka emathanjeni ayizicaba kuya emathanjeni agobile, kanye nokukhula okude kwavumela ukutholakala kwe-bipedalism. Izitho ezingezansi ngaleyo ndlela zasondelana futhi zasondelana futhi zazizovumela ukuqhuma nokuhamba ngezinyawo (6).