Menge Travis J, Boykin Robert E, Bushnell Brandon D, Byram Ian R
From the Department of Orthopaedic Surgery, Vanderbilt Medical Center, Nashville, Tennessee, the Blue Ridge Bone and Joint Clinic, Mission Sports Medicine, Asheville, North Carolina, Department of Orthopedics and Sports, Harbin Clinic LLC, Rome, Georgia, and the Department of Orthopaedic Surgery and Sports Medicine, Vanderbilt Bone and Joint, Franklin, Tennessee.
South Med J. 2014 May;107(5):324-9. doi: 10.1097/SMJ.0000000000000101.
Osteoarthritis of the acromioclavicular joint is a frequent cause of shoulder pain and can result in significant debilitation. It is the most common disorder of the acromioclavicular joint and may arise from a number of pathologic processes, including primary (degenerative), posttraumatic, inflammatory, and septic arthritis. Patients often present with nonspecific complaints of pain located in the neck, shoulder, and/or arm, further complicating the clinical picture. A thorough understanding of the pertinent anatomy, disease process, patient history, and physical examination is crucial to making the correct diagnosis and formulating a treatment plan. Initial nonoperative management is aimed at relieving pain and restoring function. Typical treatments include anti-inflammatory medications, physical therapy, and injections. Patients who continue to exhibit symptoms after appropriate nonsurgical treatment may be candidates for operative resection of the distal clavicle through either open or arthroscopic techniques.
肩锁关节骨关节炎是肩部疼痛的常见原因，可导致严重的功能障碍。它是肩锁关节最常见的疾病，可能由多种病理过程引起，包括原发性（退行性）、创伤后、炎症性和感染性关节炎。患者常表现为颈部、肩部和/或手臂疼痛等非特异性症状，这使临床表现更加复杂。全面了解相关解剖结构、疾病过程、患者病史和体格检查对于做出正确诊断和制定治疗计划至关重要。初始非手术治疗旨在缓解疼痛和恢复功能。典型的治疗方法包括抗炎药物、物理治疗和注射。经过适当的非手术治疗后仍有症状的患者可能适合通过开放或关节镜技术进行锁骨远端切除术。
