肩锁关节脱位：治疗与康复。巴西骨科医生的当前观点与趋势。
Acromioclavicular dislocation: treatment and rehabilitation. Current perspectives and trends among Brazilian orthopedists.
作者信息
Arliani Gustavo Gonçalves, Utino Artur Yudi, Nishimura Eduardo Misao, Terra Bernardo Barcellos, Belangero Paulo Santoro, Astur Diego Costa
机构信息
Centro de Traumatologia do Esporte (Cete), Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
出版信息
Rev Bras Ortop. 2015 Aug 18;50(5):515-22. doi: 10.1016/j.rboe.2015.08.003. eCollection 2015 Sep-Oct.
OBJECTIVE
To evaluate the approaches and procedures used by Brazilian orthopedic surgeons in treatment and rehabilitation of acromioclavicular dislocation of the shoulder.
METHODS
A questionnaire comprising eight closed questions that addressed topics relating to treatment and rehabilitation of acromioclavicular dislocation was applied to Brazilian orthopedic surgeons over the three days of the 45th Brazilian Congress of Orthopedics and Traumatology, in 2013.
RESULTS
A total of 122 surgeons completely filled out the questionnaire and formed part of the sample analyzed. Most of them came from the southeastern region of the country. In this sample, 67% of the participants would choose surgical treatment for patients with grade 3 acromioclavicular dislocation. Regarding the preferred technique for surgical treatment of acute acromioclavicular dislocation, a majority of the surgeons used subcoracoid ligature with acromioclavicular fixation and transfer of the coracoacromial ligament (25.4%). Regarding complications found after surgery had been performed, 43.4% and 32.8% of the participants, respectively, stated that residual deformity of the operated joint and pain were the complications most seen during the postoperative period.
CONCLUSIONS
Although there was no consensus regarding the treatment and rehabilitation of acromioclavicular dislocation, evolution had occurred in some of the topics analyzed in this questionnaire applied to Brazilian orthopedists. However, further controlled prospective studies are needed in order to evaluate the clinical and scientific benefit of these trends.
目的
评估巴西骨科医生在治疗和康复肩锁关节脱位时所采用的方法和步骤。
方法
在2013年第45届巴西骨科学与创伤学大会的三天会议期间，向巴西骨科医生发放了一份包含八个封闭式问题的问卷，这些问题涉及肩锁关节脱位的治疗和康复。
结果
共有122名外科医生完整填写了问卷并成为分析样本的一部分。他们大多来自该国东南部地区。在这个样本中，67%的参与者会选择对3级肩锁关节脱位患者进行手术治疗。关于急性肩锁关节脱位手术治疗的首选技术，大多数外科医生采用喙突下结扎并进行肩锁关节固定以及喙肩韧带转移（25.4%）。关于手术后发现的并发症，分别有43.4%和32.8%的参与者表示，手术关节的残留畸形和疼痛是术后最常见的并发症。
结论
尽管在肩锁关节脱位的治疗和康复方面没有达成共识，但应用于巴西骨科医生的这份问卷所分析的一些主题已经有所发展。然而，需要进一步进行对照前瞻性研究，以评估这些趋势的临床和科学益处。
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