Chen Jian-Liang, Zhang Long-Jun, Ye Feng, Zheng Xiao-Dong, Xu Yong, Zhu Shao-Bing
Hospital of Traditional Chinese Medicine of Shangyu, Shangyu 312300, Zhejiang, China.
Zhongguo Gu Shang. 2011 Dec;24(12):1039-42.
To explore operative method for the treatment of double injuries of superior shoulder suspensory complex (SSSC).
From January 2008 to March 2010,11 patients wiht SSSC injuries were treated, including 9 males and 2 females with an average age of 38 years (ranged from 20 to 47 years). The patients were treated with 4 methods as follows: 4 patients with fractures of neck of scapula combined with homolateral fracture of clavicle were treated with reconstituted plates; 2 patients with fractures of coracoid process or disruption of coracoclavicular ligament combined with the fracture of extremitas acromialis claviculae or acromioclavicular dislocation were treated with clavicular hook plates and cannulated compression screws; 3 patients with injuries of basilar part of acromial process combined with the glenoid cavity and acromioclavicular articulation were treated with reconstuction plates and clavicular hook plates; 2 patients with fractures of acromial process combined with acromioclavicular dislocation and the fracture of lateral third of clavicle were treated with small "T" plates and clavicular hook plates.
Among 11 patients, 9 patients were followed up with an average duration of 9.2 months (ranged from 6 to 12 months). All the fractures were healed without bone nonunion or failure of internal fixators. The average union time was 2.6 months. The profile of articulatio capitis humeri was normal and hibateral articulatio capitis humeri was symmetrical without crispation, descensus, adduct and adtorsion of articulatio capitis humeri or other abnormity. According to the Constant-Murley evaluation system, the score ranged from 69 to 100, with an average of 89.7, which included average pain score of 10 to 15, daily activities score of 14 to 20, myodynamia score of 15 to 25, territory score of 34 to 40.
The double injuries of SSSC should be treated by types to recover the integrity and constancy of SSSC.
探讨肩锁关节上方悬吊复合体（SSSC）双重损伤的手术治疗方法。
2008年1月至2010年3月，治疗11例SSSC损伤患者，其中男9例，女2例，平均年龄38岁（20～47岁）。采用以下4种方法治疗：4例肩胛骨颈部骨折合并同侧锁骨骨折患者采用重建钢板治疗；2例喙突骨折或喙锁韧带断裂合并锁骨肩峰端骨折或肩锁关节脱位患者采用锁骨钩钢板和空心加压螺钉治疗；3例肩峰基底部分损伤合并关节盂及肩锁关节损伤患者采用重建钢板和锁骨钩钢板治疗；2例肩峰骨折合并肩锁关节脱位及锁骨外侧1/3骨折患者采用小“T”形钢板和锁骨钩钢板治疗。
11例患者中，9例获随访，平均随访时间9.2个月（6～12个月）。所有骨折均愈合，无骨不连及内固定失败。平均愈合时间2.6个月。患侧肩关节外形正常，双侧肩关节对称，无肱骨头的上举、下沉、内收及旋转等异常。根据Constant-Murley评估系统，评分69～100分，平均89.7分，其中疼痛评分平均10～15分，日常活动评分14～20分，肌力评分15～25分，关节活动度评分34～40分。
SSSC双重损伤应分型治疗，以恢复SSSC的完整性和稳定性。
