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本文引用的文献

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Horizontal and Vertical Stabilization of Acute Unstable Acromioclavicular Joint Injuries Arthroscopy-Assisted.关节镜辅助下急性不稳定肩锁关节损伤的水平和垂直稳定术
Arthrosc Tech. 2015 Nov 23;4(6):e721-9. doi: 10.1016/j.eats.2015.07.014. eCollection 2015 Dec.
2
Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction.初次解剖学喙锁韧带重建术后两年的结果
Arthroscopy. 2015 Oct;31(10):1962-73. doi: 10.1016/j.arthro.2015.03.034. Epub 2015 May 19.
3
Complications following arthroscopic fixation of acromioclavicular separations: a systematic review of the literature.肩锁关节分离关节镜固定术后并发症：文献系统综述
Open Access J Sports Med. 2015 Apr 10;6:97-107. doi: 10.2147/OAJSM.S73211. eCollection 2015.
4
Anatomic reconstruction of chronic coracoclavicular ligament tears: arthroscopic-assisted approach with nonrigid mechanical fixation and graft augmentation.慢性喙锁韧带撕裂的解剖重建：关节镜辅助下非刚性机械固定及移植物增强入路
Arthrosc Tech. 2014 Sep 15;3(5):e583-8. doi: 10.1016/j.eats.2014.06.014. eCollection 2014 Oct.
5
ISAKOS upper extremity committee consensus statement on the need for diversification of the Rockwood classification for acromioclavicular joint injuries.ISAKOS 上肢委员会关于需要对肩锁关节损伤的 Rockwood 分类进行多样化的共识声明。
Arthroscopy. 2014 Feb;30(2):271-8. doi: 10.1016/j.arthro.2013.11.005.
6
Associated lesions requiring additional surgical treatment in grade 3 acromioclavicular joint dislocations.3 级肩锁关节脱位中需要额外手术治疗的相关损伤。
Arthroscopy. 2014 Jan;30(1):6-10. doi: 10.1016/j.arthro.2013.10.006.
7
Controversies relating to the management of acromioclavicular joint dislocations.肩锁关节脱位处理相关争议
Bone Joint J. 2013 Dec;95-B(12):1595-602. doi: 10.1302/0301-620X.95B12.31802.
8
Acromio-clavicular repair using two different techniques.采用两种不同技术进行肩锁关节修复。
Eur J Orthop Surg Traumatol. 2014 Feb;24(2):237-42. doi: 10.1007/s00590-013-1186-1. Epub 2013 Feb 13.
9
Current concepts in the treatment of acromioclavicular joint dislocations.当前治疗肩锁关节脱位的理念。
Arthroscopy. 2013 Feb;29(2):387-97. doi: 10.1016/j.arthro.2012.11.023.
10
Acromioclavicular joint separations.肩锁关节分离。
Curr Rev Musculoskelet Med. 2013 Mar;6(1):71-8. doi: 10.1007/s12178-012-9144-9.

不稳定型肩锁关节损伤：急性或慢性情况下的手术治疗真的有区别吗？

Unstable acromioclavicular joint injuries: Is there really a difference between surgical management in the acute or chronic setting?

作者信息

Natera Cisneros Luis, Sarasquete Reiriz Juan

机构信息

Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Street Sant Quintí 89, Postcode: 08026 Barcelona, Spain; Hospital General de Catalunya, Street Pedro i Pons 1, Postcode: 08190, Sant Cugat del Vallés, Barcelona, Spain.

Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Street Sant Quintí 89, Postcode: 08026 Barcelona, Spain; Hospital Quirón Teknon, Street Vilana 12, Postcode: 08022 Barcelona, Spain.

出版信息

J Orthop. 2016 Oct 25;14(1):10-18. doi: 10.1016/j.jor.2016.10.011. eCollection 2017 Mar.

DOI:10.1016/j.jor.2016.10.011
PMID:27821995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5090232/
Abstract

AIM

To compare the outcomes of unstable ACJ injuries managed with an arthroscopy-assisted anatomic reconstruction of the coracoclavicular (CC) ligaments in the acute and chronic setting.

METHODS

A retrospective revision was performed. The SF36, visual analog scale for pain, DASH questionnaire, constant score and the global satisfaction were assessed at the last follow-up visit.

RESULTS

22 patients were included. Results of the questionnaires assessed at the last follow-up visit showed no significant differences between the study groups.

CONCLUSION

Management of ACJ injuries in the acute or chronic setting may involve comparable outcomes if biological and mechanical aspects are considered.

LEVEL OF EVIDENCE

Level III, retrospective cohort study.

摘要

目的

比较在急性和慢性情况下，采用关节镜辅助下喙锁（CC）韧带解剖重建治疗不稳定型肩锁关节（ACJ）损伤的结果。

方法

进行回顾性分析。在末次随访时评估SF36健康调查简表、视觉模拟疼痛评分、上肢功能障碍评分量表（DASH）问卷、Constant评分和总体满意度。

结果

纳入22例患者。末次随访时评估的问卷结果显示，各研究组之间无显著差异。

结论

如果考虑生物学和力学因素，急性或慢性情况下的肩锁关节损伤治疗可能会有相似的结果。

证据级别

三级，回顾性队列研究。