Chan Hz, Ooi Cl, Lim My, Ong Eks, Zulkiflee O
Department of Orthopaedics, Hospital Pulau Pinang, Georgetown, Malaysia.
Malays Orthop J. 2014 Jul;8(2):59-62. doi: 10.5704/MOJ.1407.007.
Shoulder impingement syndrome and acromioclavicular joint osteoarthritis often occur simultaneously and easily missed. Kay et al. reported excellent results with combined arthroscopic subacromial decompression and resection of the distal end of the clavicle in patients with both disorders(1). Arthroscopic treatment of these disorders produces more favourable results than open procedures. We report two patients who were not responding to conservative management and were treated with direct arthroscopic distal clavicle excision and subacromial decompression in single setting. Both patients gained good postoperative outcome in terms of pain score, function and strength improvement assessed objectively with visual analogue score (VAS) and University of California Los Angeles Score (UCLA).
Acromioclavicular joint arthritis, distal clavicle excision, Arthroscopy, Mumford operation.
肩峰撞击综合征和肩锁关节骨关节炎常同时发生且易被漏诊。凯等人报道，对于患有这两种疾病的患者，联合关节镜下肩峰下减压和锁骨远端切除术取得了良好效果（1）。关节镜治疗这些疾病比开放手术产生更有利的结果。我们报告了两名对保守治疗无反应的患者，他们在单次手术中接受了直接关节镜下锁骨远端切除术和肩峰下减压治疗。根据视觉模拟评分法（VAS）和加利福尼亚大学洛杉矶分校评分（UCLA）客观评估，两名患者在疼痛评分、功能和力量改善方面均获得了良好的术后效果。
肩锁关节关节炎；锁骨远端切除术；关节镜检查；芒福德手术
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