Jerosch J
Klinik für Orthopädie und Orthopädischer Chirurgie, Johanna-Etienne-Krankenhaus, Am Hasenberg 46, 41462 Neuss.
Orthopade. 2000 Oct;29(10):895-908.
The anatomy and biomechanics of the acromioclavicular (AC) joint have been understood for a long time; however, the importance of this joint in the clinical setting is often underestimated. During clinical examination various sensitive functional tests can document any AC pathology. For X-ray documentation special techniques are necessary. Other imaging techniques are rarely indicated. The Rockwood classification for AC joint separation has increased our understanding of the pathology, which, in turn, leads to a better understanding of conservative and surgical therapy. Within the last few decades surgical treatment has shifted from AC to coracoclavicular stabilization. In patients with clinically relevant degenerative joint disease, resection of the lateral clavicle has proved to be a reproducible procedure. This operation can be performed using the conventional, open technique or with a minimally invasive procedure (arthroscopic resection of the AC joint; ARAC). In unstable joints, resection should be combined with a stabilization procedure.
肩锁关节的解剖结构和生物力学早已为人所知；然而，该关节在临床环境中的重要性常常被低估。在临床检查过程中，各种敏感的功能测试可以记录任何肩锁关节病变。对于X线记录，需要特殊技术。很少需要其他成像技术。肩锁关节分离的Rockwood分类增加了我们对该病理的理解，这反过来又有助于更好地理解保守治疗和手术治疗。在过去几十年中，手术治疗已从肩锁关节固定转向喙锁稳定。在患有临床相关退行性关节病的患者中，锁骨外侧切除术已被证明是一种可重复的手术。该手术可以采用传统的开放技术或微创手术（关节镜下肩锁关节切除术；ARAC）进行。在不稳定的关节中，切除应与稳定手术相结合。
