Kwon Young W, Iannotti Joseph P
Department of Orthopaedic Surgery, A-41, Cleveland Clinic Foundation, 9500 Euclid Avenue Cleveland, OH 44195, USA.
Clin Sports Med. 2003 Apr;22(2):291-300, vi. doi: 10.1016/s0278-5919(03)00005-x.
A variety of pathological conditions affect the acromioclavicular joint and the surrounding structures. For each of these, different procedures have been described with varying degrees of success. This article focuses on contemporary procedures. The acromioclavicular joint can be reapproximated using one of three stabilization techniques: (1) primary fixation across the acromioclavicular joint, (2) secondary stabilization of the joint by recreating the anatomic linkage between the distal clavicle and the coracoid process, or (3) dynamic stabilization of the joint by creating an inferiorly directed force on the distal clavicle. These methods are not mutually exclusive and may be combined in a single operative setting to produce a final construct with superior mechanical stability.
多种病理状况会影响肩锁关节及周围结构。针对其中每一种状况，都描述了不同的手术方法，且成功率各异。本文重点关注当代的手术方法。肩锁关节可通过以下三种稳定技术之一进行重新对合：（1）经肩锁关节的一期固定；（2）通过重建锁骨远端与喙突之间的解剖连接来对关节进行二期稳定；或（3）通过在锁骨远端施加向下的力来对关节进行动态稳定。这些方法并非相互排斥，可在单一手术中联合使用，以形成具有更高机械稳定性的最终结构。
