Department of Shoulder and Sports Injuries, Deenanath Mangeshkar Hospital, Erandwane, Pune, Maharashtra, India, 411 004,
Curr Rev Musculoskelet Med. 2014 Mar;7(1):33-9. doi: 10.1007/s12178-013-9199-2.
Acromioclavicular (AC) dislocation is a common injury especially among sportsmen. There is still a lack of consensus on whether to conserve or operate type III AC joint dislocations. Even among surgeons inclined to operate AC joint dislocations there is no unanimity on which surgical technique. There are a plethora of choices between mechanical fixation or synthetic materials or biologic anatomic reconstructions. Even among surgeons, there is a choice between open repairs and the latest-arthroscopic reconstructions. This review of AC joint dislocations intends to analyze the available surgical options, a critical analysis of existing literature, actual technique of anatomic repair, and also accompanying complications.
肩锁关节(AC)脱位是一种常见的损伤,尤其多见于运动员。对于 III 型肩锁关节脱位是否需要保守治疗还是手术治疗,目前仍缺乏共识。即使对于倾向于手术治疗的外科医生,也没有关于哪种手术技术的一致意见。在机械固定或合成材料与生物解剖重建之间有很多选择。即使在外科医生中,也有开放修复与最新的关节镜重建之间的选择。本综述旨在分析肩锁关节脱位的现有手术选择,对现有文献进行批判性分析,介绍解剖修复的实际技术,以及伴随的并发症。