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肩锁关节和胸锁关节损伤。

Acromioclavicular and sternoclavicular joint injuries.

作者信息

Macdonald Peter B, Lapointe Pierre

机构信息

Section of Orthopaedic Surgery, PanAm Clinic, University of Manitoba, 75 Poseidon Bay, Winnipeg, Manitoba, R3M 3E4, Canada.

出版信息

Orthop Clin North Am. 2008 Oct;39(4):535-45, viii. doi: 10.1016/j.ocl.2008.05.003.

Abstract

Acromioclavicular (AC) joint injuries are a frequent diagnosis following an acute shoulder injury. The literature on AC joint dislocation is extensive, reflecting the intense debate surrounding the topic. The choice of treatment is influenced by factors including the type of injury, the patient's occupation, the patient's past medical history, the acuity of the injury, and patient expectations. Sternoclavicular (SC) joint dislocation is an uncommon injury. The treatment of acute anterior SC joint dislocations is controversial. It is difficult to study with a well-designed prospective study because of the low frequency of this injury. Posterior dislocations are much less common than anterior dislocations. Posterior dislocations, however, are more serious; they are associated with significant complications and require prompt attention.

摘要

肩锁关节(AC)损伤是急性肩部损伤后常见的诊断结果。关于肩锁关节脱位的文献浩如烟海,反映出围绕该主题的激烈争论。治疗方法的选择受到多种因素影响,包括损伤类型、患者职业、患者既往病史、损伤的严重程度以及患者期望。胸锁关节(SC)脱位是一种罕见的损伤。急性前侧胸锁关节脱位的治疗存在争议。由于这种损伤的发生率较低,很难通过精心设计的前瞻性研究进行研究。后侧脱位比前侧脱位少见得多。然而,后侧脱位更为严重;它们会引发严重并发症,需要及时关注。

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