田旭;郭强;东靖眀;

• 1:天津市天津医院创伤科上肢二病区
• 2:天津市宝坻区人民医院骨一科

摘要(Abstract)：

肩锁关节脱位发病率高,是创伤骨科常见的肩关节疾患,多发生于年轻人,若不及时治疗则会严重影响患者的日常生活。目前随着医疗水平的提高以及人工材料、内置物的发展,同时学者对肩锁关节脱位机制研究的不断深入,治疗方法得到不断改进,取得了突飞猛进的发展,疗效更加令人满意。本文就肩锁关节脱位的治疗进展做一综述。

关键词(KeyWords)： 肩锁关节;脱位;重建术;内固定

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 田旭;郭强;东靖眀;

Email:

DOI:

参考文献(References)：

• [1]Tauber M.Management of acute acromioclavicular joint dislocations:current concepts[J].Arch Orthop Trauma Surg,2013,133(7):985-995.
• [2]敖荣广,陈云丰.肩锁关节脱位的治疗[J].中国矫形外科杂志,2008,16(14):1077-1080.
• [3]Vaisman A,Villalón Montenegro IE,Tuca De Diego MJ,et al.A novel radiographic index for the diagnosis of posterior acromioclavicular joint dislocations[J].Am J Sports Med,2014,42(1):112-116.
• [4]王军,刘晓慧,崔青,等.小切口Dewar手术治疗肩锁关节脱位和锁骨远端骨折的术后康复[J].中国矫形外科杂志,2008,16(10):790-792.
• [5]王旭,韵向东,夏亚一,等.联合应用AO钩状钢板和可吸收缝线治疗Ⅲ型肩锁关节脱位[J].中国矫形外科杂志,2009,17(8):637-638.
• [6]Stucken C,Cohen SB.Management of acromioclavicular joint injuries[J].Orthop Clin North Am,2015,46(1):57-66.
• [7]Alentorn-Geli E,Santana F,Mingo F,et al.Distal clavicle osteolysis after modified weaver-dunn's procedure for chronic acromioclavicular dislocation:a case report and review of complications[J].Case Rep Orthop,2014,2014:953-578.
• [8]Thomas K,Litsky A,Jones G,et al.Biomechanical comparison of coracoclavicular reconstructive techniques[J].Am J Sports Med,2011,39(4):804-810.
• [9]Saccomanno MF,DE Ieso C,Milano G.Acromioclavicular joint instability:anatomy,biomechanics and evaluation[J].Joints,2014,2(2):87-92.
• [10]Saccomanno MF,Fodale M,Capasso L,et al.Reconstruction of the coracoclavicular and acromioclavicular ligaments with semitendinosus tendon graft:a pilot study[J].Joints,2014,2(1):6-14.
• [11]Beitzel K,Cote MP,Apostolakos J,et al.Current concepts in the treatment of acromioclavicular joint dislocations[J].Arthroscopy,2013,29(2):387-397.
• [12]De Carli A,Lanzetti R,Ciompi A,et al.Acromioclavicular third degree dislocation:surgical treatment in acute cases[J].J Orthop Surg Res,2015,10(1):13.
• [13]Li Q,Hsueh PL,Chen YF.Coracoclavicular ligament reconstruction:a systematic review and a biomechanical study of a triple endobutton technique[J].Medicine(Baltimore),2014,93(28):e193.
• [14]Steinbacher G,Sallent A,Seijas R,et al.Clavicular hook plate for grade-Ⅲacromioclavicular dislocation[J].J Orthop Surg(Hong Kong),2014,22(3):329-332.
• [15]冯磊,戴志刚,刘金兰,等.聚酯缝线联合锁骨钩钢板1期治疗肩锁关节脱位疗效分析[J].中国矫形外科杂志,2013,21(12):1244-1246.
• [16]Chen CH,Dong QR,Zhou RK,et al.Effects of hook plate on shoulder function after treatment of acromioclavicular joint dislocation[J].Int J Clin Exp Med,2014,7(9):2564-2570.
• [17]Salzmann GM,Walz L,Buchmann S,et al.Arthroscopically assisted 2-bundle anatomical reduction of acute acromioclavicular joint separations[J].Am J Sports Med,2010,38(6):1179-1187.
• [18]Pan Z,Zhang H,Sun C,et al.Arthroscopy-assisted reconstruction of coracoclavicular ligament by Endobutton fixation for treatment of acromioclavicular joint dislocation[J].Arch Orthop Trauma Surg,2015,135(1):9-116.
• [19]潘昭勋,孙超,曲连军,等.关节镜下治疗RockwoodⅢ型肩锁关节脱位与切开术式临床疗效对比研究[J].中国矫形外科杂志,2014,22(20):1831-1835.
• [20]Pedersen V,Prall WC,Ockert B,et al.Non-operative treatment of a fracture to the coracoid process with acromioclavicular dislocation in an adolescent[J].Orthop Rev(Pavia),2014,6(3):5499.
• [21]Cook JB,Tokish JM.Surgical management of acromioclavicular dislocations[J].Clin Sports Med,2014,33(4):721-737.