Liu Xudong, Huangfu Xiaoqiao, Zhao Jinzhong
Sports Medicine Service, Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Xuhui District, Shanghai, 200233, People's Republic of China.
Knee Surg Sports Traumatol Arthrosc. 2015 May;23(5):1460-1466. doi: 10.1007/s00167-013-2800-9. Epub 2013 Dec 10.
Coracoclavicular (CC) ligament augmentation has been a method to treat acromioclavicular (AC) joint dislocation in recent years. The purpose of this paper is to describe our arthroscopic CC ligament augmentation technique in treating type III and V acute AC joint dislocations and to report the early clinical and radiological results.
From 2010 to 2011, twelve patients suffering from acute type III or V AC joint dislocations were arthroscopically treated in our department, by CC ligament augmentation after AC joint reduction. The post-operative outcomes were assessed through physical examination, radiographic examination and the Constant-Murley Shoulder Score.
All patients post-operatively experienced anatomical reduction in their AC joint dislocation. No intraoperative complications occurred. At a mean follow-up at 24 months (ranging from 18 to 32 months), the mean Constant-Murley Shoulder Score significantly improved from 24.3 pre-operatively to 91.1 post-operatively. No neurovascular complications or secondary degenerative changes of the AC joint were detected in any of the patients. In one case, a second dislocation occurred 1 month post-operation because the patient had had another traumatic injury. This patient accepted a revision operation, but his AC joint eventually fixated into a subluxated position after his second injury.
Based on the resultant successful repair in all cases, the arthroscopic CC ligament augmentation method has thus far proven to be a safe and reliable technique for treatment of acute type III or V AC joint dislocation.
The arthroscopic CC ligament augmentation with a flip button/polyethylene belt repair is an efficient method to treat acute type III and V AC joint dislocations which should be popularized.
IV.
喙锁韧带增强术近年来已成为治疗肩锁关节脱位的一种方法。本文旨在描述我们在治疗III型和V型急性肩锁关节脱位时的关节镜下喙锁韧带增强技术，并报告早期临床和影像学结果。
2010年至2011年，我科对12例急性III型或V型肩锁关节脱位患者进行了关节镜治疗，在肩锁关节复位后进行喙锁韧带增强。通过体格检查、影像学检查和Constant-Murley肩关节评分对术后结果进行评估。
所有患者术后肩锁关节脱位均实现解剖复位。术中无并发症发生。平均随访24个月（18至32个月），Constant-Murley肩关节评分均值从术前的24.3显著提高到术后的91.1。所有患者均未检测到神经血管并发症或肩锁关节继发性退变。1例患者术后1个月因再次遭受外伤而发生再次脱位。该患者接受了翻修手术，但第二次受伤后其肩锁关节最终固定在半脱位位置。
基于所有病例均成功修复的结果，关节镜下喙锁韧带增强术已被证明是治疗急性III型或V型肩锁关节脱位的一种安全可靠的技术。
采用翻转纽扣/聚乙烯带修复的关节镜下喙锁韧带增强术是治疗急性III型和V型肩锁关节脱位的一种有效方法，应予以推广。
IV级。
