Güneş Taner, Demirhan Mehmet, Atalar Atacan, Soyhan Okan
Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Gaziosmanpaşa University, Tokat, Turkey.
Acta Orthop Traumatol Turc. 2006;40(4):334-7.
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.
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。