Stucken Charlton, Cohen Steven B
Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA.
Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA.
Orthop Clin North Am. 2015 Jan;46(1):57-66. doi: 10.1016/j.ocl.2014.09.003. Epub 2014 Oct 11.
Although recent advances have been made in the treatment of acromioclavicular (AC) joint injuries, they are still challenging for shoulder surgeons. There is a consensus that type I and II injuries should be treated nonoperatively, whereas acute type IV, V, and VI injuries should be treated surgically. There is no algorithm for correctly diagnosing and treating type III injuries, but the current trend is toward nonoperative treatment except for those with persistent symptoms and functional limitations after a course of conservative management. If surgery is indicated, newer anatomic techniques of reconstructing the coracoclavicular (CC) and AC ligaments are recommended.
尽管近年来在肩锁关节（AC）损伤的治疗方面取得了进展，但对于肩部外科医生来说，这些损伤仍然具有挑战性。目前的共识是，I型和II型损伤应采用非手术治疗，而急性IV型、V型和VI型损伤应采用手术治疗。目前尚无正确诊断和治疗III型损伤的方案，但当前的趋势是，除了那些在经过一个疗程的保守治疗后仍有持续症状和功能受限的患者外，均采用非手术治疗。如果需要手术治疗，建议采用重建喙锁（CC）和肩锁韧带的新型解剖技术。
