Yin Shan-Qing, Pan Jun, Guo Xiao-Shan, Wu Shao-Kun
Department of Orthopaedics, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, Zhejiang, China.
Zhongguo Gu Shang. 2012 Feb;25(2):170-2.
To discuss efficacy of the surgical treatment strategy of double disruption of the superior shoulder suspensor complex (SSSC).
The data of 15 patients with double disruption of the SSSC were retrospectively analyzed from January 2008 to December 2009. There were 11 males and 4 females, with an average age of 45.1 years (ranged, 19 to 60). Of them, 8 patients were treated with surgery and 7 patients with conservative treatment. The short-term effectiveness was evaluated according to Constant-Murley scoring system.
All patients were followed up for 7 to 24 months with an average of 14.4 months. All fractures healed with a mean time of 12.3 weeks (ranged, 9 to 12). At final follow-up, the Constant-Murley scores with patients of surgical treatment was (92.37 +/- 1.99), and patients of conservative treatment was (55.52 +/- 1.29).
Surgical treatment can restore the integrality of SSSC, in favour of stability between upper limb and trunk.
探讨肩胛上悬吊复合体(SSSC)双处损伤的手术治疗策略的疗效。
回顾性分析2008年1月至2009年12月间15例SSSC双处损伤患者的数据。其中男性11例,女性4例,平均年龄45.1岁(范围19至60岁)。其中8例患者接受手术治疗,7例患者接受保守治疗。根据Constant-Murley评分系统评估短期疗效。
所有患者均随访7至24个月,平均14.4个月。所有骨折均愈合,平均愈合时间为12.3周(范围9至12周)。末次随访时,手术治疗患者的Constant-Murley评分为(92.37±1.99),保守治疗患者为(55.52±1.29)。
手术治疗可恢复SSSC的完整性,有利于上肢与躯干之间的稳定性。