摘要
肩锁关节脱位是一种常见的肩关节损伤,好发于年轻男性,严重影响患者的生活质量。对于肩锁关节脱位的患者,准确的诊断和分型是选择合适治疗方法的关键。目前关于RockwoodⅢ型肩锁关节脱位是否选择手术治疗仍存在争议。此外对于严重脱位需要手术治疗的患者,目前虽有众多手术方式,但最佳的手术治疗方式仍是争议的焦点。由于传统刚性固定物复位法限制患者正常活动,需二次手术取出等缺点,寻找更好的手术方式一直是研究的重点。目前已有Endobutton钢板、肌腱移植修复等新技术已被证实具有较好的疗效,但新技术在医源性骨折以及肌腱来源等方面仍需进一步研究。对于肩锁关节脱位的患者应根据其损伤程度、损伤时间及患者的功能需求进行合理选择,提高临床疗效。
Acromioclavicular dislocation is a sizeable portion of shoulder injuries.Acromioclavicular dislocation is more common in young men,which seriously affects the quality of life of patients.Accurate diagnosis and classification of these patients are the keys to choosing an appropriate treatment method.At present,there is still a controversy whether to choose surgery for Rockwood typeⅢpatients.For patients who need surgical treatment,although there are many surgical treatments for acromioclavicular dislocation,the best surgical treatment is still unclear.Because the traditional rigid fixations restricts the patient’s normal activities and requires a second operation to remove the fixation,finding a better surgical method has always been the focus of research.At present,there are some new technologies such as Endobutton and tendon transplantation repair,which have been proved to have good clinical effects.However,the new technology still needs further research on reducing iatrogenic fractures and resolve the sources of tendon transplantation.To improve clinical efficacy,a reasonable treatment should be chosen according to the degree of injury,injury time and the patient’s functional needs.
作者
徐科腾
梁远
王静成
XU Keteng;LIANG Yuan;WANG Jingcheng(Department of Orthopedics,Northern Jiangsu People’s Hospital of Yangzhou University,Yangzhou 225001,China)
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2020年第10期1565-1570,共6页
Journal of Nanjing Medical University(Natural Sciences)
基金
国家自然科学基金(81772332)
江苏省医学创新团队项目(CXTDB2017004)
关键词
肩锁关节脱位
分型
重建
治疗
acromioclavicular dislocation
classification
reconstruction
therapy
作者简介
通信作者:王静成,E⁃mail:wangjcyangzhou@163.com
