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1例肩锁关节脱位无喙锁韧带断裂伴喙突骨折

[A case of acromioclavicular dislocation without coracoclavicular ligament rupture accompanied by coracoid process fracture].

作者信息

Güneş Taner, Demirhan Mehmet, Atalar Atacan, Soyhan Okan

机构信息

Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Gaziosmanpaşa University, Tokat, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2006;40(4):334-7.

Abstract

Acromioclavicular joint dislocation with intact coracoclavicular ligaments accompanied by fracture of the coracoid process is a rare injury. The patients are treated with conservative and/or surgical methods. A 30-year-old male patient developed type 3 acromioclavicular dislocation and coracoid process fracture due to a fall in the right shoulder. Both injuries were treated surgically. Following open reduction, the acromioclavicular joint was fixed with a Knowles pin, and the coracoid process was fixed with a 4.0-mm malleolar screw. Active-assisted rehabilitation of the shoulder was initiated a week after surgery. The patient returned to office work with a long arm splint at three weeks. Pain-free, active, and complete shoulder movements were seen in the fifth week. The Knowles pin in the acromioclavicular joint was removed under local anesthesia seven months postoperatively. A year after surgery, he resumed full shoulder functions without pain and there were no signs of complications such as heterotopic ossification.

摘要

肩锁关节脱位合并喙锁韧带完整且伴有喙突骨折是一种罕见的损伤。患者采用保守和/或手术方法治疗。一名30岁男性患者因右肩部跌倒导致3型肩锁关节脱位和喙突骨折。两处损伤均接受了手术治疗。切开复位后,用克氏针固定肩锁关节,用4.0毫米的踝螺钉固定喙突。术后一周开始进行肩部主动辅助康复训练。三周时患者戴着长臂夹板恢复了办公室工作。第五周时肩部活动无痛、主动且完全恢复。术后七个月在局部麻醉下取出肩锁关节内的克氏针。术后一年,他恢复了肩部的全部功能,无疼痛,也没有异位骨化等并发症的迹象。

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