Semimembranosus mesifa serope: lefelo, sebopeho, bolwetse

mesifa ea serope potolohileng femur, ho itšetlehile ka tokisetso ea ba arotsoe ka lihlopha tse 'maloa: anterior, kamorao le medial. Sehlopha se ka morao ke eena ea ikarabellang bakeng sa pryamohozhdnie le ogee mele, noka katoloso ka flexion liqholo le leoto tlaase ka manonyello lengole.

Sehlopha se ka morao e na le mesifa e latelang:

• biceps;

• semitendinosus le semimembranosus mesifa.

sebaka

Semimembranosus mesifa teng tlas'a serope semitendinosus. Qalang muskulus semimembranosus (semimembranous mesifa) le tendon poleiti, e kenyelletsa ditokiseletso kaofela holimo karolo ke attaching karolong e ka holimo ho tuberosity ischial ebe theohang hammoho le medial (hare) bohale ba femur ena. Ho qetela (distal) semimembranosus mesifa tendon bola ka tlaase tendon ikamahanya ka tse tharo toloki eaba ba etsa tebileng lla e maoto a ka 'ngoe ea lirope e.

E mong oa tufts e secured ho fascia eo e akaretsa hamstrings, bobeli - the condyles hare tibial lesapo (tibia) ka maoto ka bobeli, ea boraro hammoho ntse retelehela ho ka morao ea lengole karolo e kopanetsoeng ea serope kamorao oblique ligament.

Moo mesifa tendon e aroha libalaka 'maloa teng Bursa (Bursa muskulus semimembranosi) semimembranosus mesifa.

mesebetsi

Semimembranosus mesifa etsa palo ya mesebetsi bohlokoa ho bebofatsa motsamao oa la konechnochti tlaase ka, hip le lengole manonyeletso:

• Flexes leoto ka manonyello lengole.
• Chenchana (chenchana) ka leoto tlaase le mangole sothoe (mesifa sireletsa lera mokelikeling tloha pinching, hula ka komiki ea lengole).
• Katoloso ea letheka la ka manonyello a liqholo.
• Tonic mesifa.
• Ha tibia a tsitsitseng, e mesifa semimembranosus, hammoho le gluteus maximus ba na le boikarabelo bakeng sa katoloso ea kutu.

Phepo e nepahetseng le innervation

Ho e fa e semimembranosus mesifa mothapo hore encircles serope, popliteal le mothapo perforating.

mesifa innervation tsa methapo ea kutlo tibial e phethahatsoa.

Semimembranosus lefu mesifa

1. Dikotsi - otlolla likhato tse tharo tsa ho tiea, ho akarelletsa le otlile leeme le e feletseng.

2. Tendinopathy - ya bolwetse hore e bontšoa ke sensations bohloko likarolong tse ka posteromedial ea lengole kopanetsoeng, hobe le ho feta ka mora mphahamisetsa ka ramp, qetellong, hammoho le lengole flexion hanyetsa. Bohloko lebetsoeng le e hlalosoa ka insertions tendon holim'a posteromedial tsa tibia le hanyenyane ka tlase le moeli oa kopanetsoeng. Pakeng tsa komiki ea lengole kopanetsoeng, sa medial gastrocnemius mesifa le tendon e teng mokotla, ka hare ho e leng ka 'na ba bursitis foleng. Ho ke ke ho hlokahala hore a phethe differential phumano ya pathologies intra-articular. Semimembranosus mesifa tendinopathy tšoaroa ka tsela e tšoanang ho libaka tse ling tsa tendinopathy.

3. Insertsinit maoto lla o ile a bontša ka ho ntlafatsoa Link chenchana kapa ha u leka ho etsa hore ka hare ka lengole tsepamisitsoeng tibia (gymnastics, bolo ea maoto, ski). Clinical liponahatso: eketseha ho ruruha ea moo, bohloko nakong palpation, tse Amplified ha a leka ho ikhula mete oa hae o qobelloang hare chenchana maemo a. Tšenyo atileng ka ho fetisisa ho ea maotong ka lla ba ho kopantswe le tshenyo likarolo tse ling tsa lengole botsitso. The differential phumano ya lefu lena lokela ho ho phethahatsoa ka hare diso meniscus (the kamorao lenaka) le bursitis ka tsebo.

4. Popliteal fossa cyst (cyst Becker) - ke ruruha ka mucous semimembranosus mokotla le gastrocnemius mesifa (boteng ba mekotla joalo e fumanoa 60% ya batho ba bophelo bo botle le e seng ho kheloha ho tswa tloaelehileng e). Cyst ea bongaka a bontša ka plotnoelastichnoy hlahala ka karolong e ka holimo ea fossa popliteal, ho ruruha, ho hōla ka boholo (ka lebaka la ho compression eo nka sebaka dibopeho potolohileng), boemong bo sa thabiseng, bohloko le moedi wa tshisinyo. Fetisisa cyst ba bobedi hlaha ka lebaka la sa mokotla distension mokelikeli ka ho ruruha foleng ba lengole kopanetsoeng, le etiology fapaneng (rheumatism, lefuba, le mefuta e fapaneng ya likotsi, tabanan le tse ling).