Walch G
Rev Prat. 1990 Apr 11;40(11):999-1002.
Based on clinical and radiological findings, four types of acromioclavicular disjunction are described. Stage I and II require nothing more than orthopaedic appliances, whereas surgery is mandatory in stage IV. Treatment of stage III disjunctions varies from on school of orthopaedists to the other. Fractures of the lateral third of the clavicle may lead to diagnostic errors, and tomography is justified at the slightest doubt concerning the integrity of the acromial end of that bone.
根据临床和影像学检查结果,描述了四种类型的肩锁关节脱位。I期和II期仅需使用矫形器械,而IV期则必须进行手术。III期脱位的治疗方法在不同的骨科流派中各不相同。锁骨外侧三分之一骨折可能导致诊断错误,因此,只要对该骨肩峰端的完整性稍有怀疑,就有理由进行断层扫描。