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运动中的肩锁关节损伤。治疗建议。

Acromioclavicular joint injuries in sport. Recommendations for treatment.

作者信息

Dias J J, Gregg P J

机构信息

Department of Orthopaedic Surgery, Derbyshire Royal Infirmary, England.

出版信息

Sports Med. 1991 Feb;11(2):125-32. doi: 10.2165/00007256-199111020-00004.

DOI:10.2165/00007256-199111020-00004
PMID:2017605
Abstract

Dislocation of the acromioclavicular joint is a common joint injury in sport, especially those in which there is the risk of falling on to the point of the shoulder. There is controversy regarding the early management of such a dislocation but recent literature strongly favours a conservative approach, because no single surgical procedure has produced results which are consistently better than those achieved following conservative management. In addition the few studies which document late results suggest that in most instances the outcome following conservative treatment is very satisfactory with good power and movement of the shoulder.

摘要

肩锁关节脱位是运动中常见的关节损伤,尤其是那些有肩部着地风险的运动。对于这种脱位的早期治疗存在争议,但近期文献强烈支持保守治疗方法,因为没有一种单一的手术方法能产生始终优于保守治疗效果的结果。此外,少数记录晚期结果的研究表明,在大多数情况下,保守治疗后的结果非常令人满意,肩部力量和活动良好。

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本文引用的文献

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Complete dislocations of the acromiclavicular joint; the nature of the traumatic lesion and effective methods of treatment with an analysis of forty-one cases.肩锁关节完全脱位;创伤性损伤的性质及有效的治疗方法——附41例分析
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Comparison of the Results of Hook Plate and Endo-Button Used in the Surgical Treatment of Acromioclavicular Joint Separation.
钩钢板与Endo-Button在肩锁关节分离手术治疗中的结果比较。
Cureus. 2020 Dec 8;12(12):e11987. doi: 10.7759/cureus.11987.
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Arthroscopically Assisted Comprehensive Double Cerclage Suture Fixation Technique for Acute Acromioclavicular Joint Separation.关节镜辅助下急性肩锁关节脱位综合双环扎缝合固定技术
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Modified Weaver-Dunn Procedure Versus The Use of Semitendinosus Autogenous Tendon Graft for Acromioclavicular Joint Reconstruction.改良Weaver-Dunn手术与使用自体半腱肌腱移植进行肩锁关节重建的比较
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Secondary infection of haematoma following closed acromioclavicular joint dislocation.闭合性肩锁关节脱位后血肿的继发感染
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Vascular graft employment in the surgical treatment of acute and chronic acromio-clavicular dislocation.血管移植物在急慢性肩锁关节脱位手术治疗中的应用
Eur J Orthop Surg Traumatol. 2015 Oct;25(7):1205-11. doi: 10.1007/s00590-015-1672-8. Epub 2015 Jul 22.
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Fractures and ligamentous injuries of the clavicle and its articulation.锁骨及其关节的骨折与韧带损伤。
J Bone Joint Surg Am. 1967 Jun;49(4):774-84.
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Acromioclavicular separations: useful and practical classification for treatment.肩锁关节分离:治疗的实用分类法
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Acromioclavicular dislocation treated by transference of the coraco-acromial ligament. A long-term follow-up in a series of 112 cases.
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