Lemos Mark J, Tolo Eric T
Department of Orthopaedic Surgery, Lahey Clinic, 41 Mall Road, Burlington, Burlington, MA 01805, USA.
Clin Sports Med. 2003 Apr;22(2):371-85. doi: 10.1016/s0278-5919(02)00102-3.
Treatment of AC joint injuries and SC joint injuries continues to evolve. The risk of complications of both the operative and nonoperative management of these injuries can be minimized by the treating physician if the physician thoroughly evaluates and understands the problem. Making an accurate diagnosis of the underlying pathology and then selecting the appropriate treatment for this will minimize the risk of an associated complication. Paying attention to detail and using the appropriate technique before any operative intervention is chosen will decrease the risk of failure and complication. Close follow-up and early detection of complications will lead to less severe sequelae. AC joint injuries are more common and operative management is accepted for specific indications. Most Orthopaedic Surgeons are comfortable treating these. SC joint injuries are less common and nonoperative treatment is the mainstay. As our approach to these complex problems evolves, we must keep a wary eye towards avoiding and minimizing the complications of the new techniques.
肩锁关节损伤和胸锁关节损伤的治疗方法不断发展。如果治疗医生能全面评估并理解问题所在，那么这些损伤的手术和非手术治疗的并发症风险都可降至最低。准确诊断潜在病理状况并据此选择合适的治疗方法，将使相关并发症的风险降至最低。在选择任何手术干预之前，注重细节并采用适当的技术将降低失败和并发症的风险。密切随访以及早期发现并发症将减少后遗症的严重程度。肩锁关节损伤更为常见，对于特定指征可接受手术治疗。大多数骨科医生对治疗此类损伤得心应手。胸锁关节损伤较少见，非手术治疗是主要方法。随着我们处理这些复杂问题的方法不断演变，我们必须密切留意避免和减少新技术带来的并发症。
