Jakobsen B W
Ugeskr Laeger. 1989 Jan 23;151(4):235-8.
The anatomy of the acromioclavicular joint is described and the mechanism of trauma causing dislocation of the joint is presented. Acromioclavicular dislocation is subdivided according to Allman's classification and special lesions are described. The therapeutic principles are discussed on the basis of the literature. It is concluded that all grade 1 and grade 2 lesions may be treated symptomatically and conservatively with good results. Where grade 3 lesions are concerned, it is concluded that conservative therapy appears to provide better results than operation. The final functional results are the same and the period of convalescence is briefer with conservative therapy. In addition, complications of conservative therapy are less serious and are easy to treat with good results.
本文描述了肩锁关节的解剖结构，并阐述了导致该关节脱位的创伤机制。肩锁关节脱位根据奥尔曼分类法进行细分，并描述了特殊损伤情况。基于文献对治疗原则进行了讨论。得出的结论是，所有Ⅰ级和Ⅱ级损伤均可采用对症和保守治疗，效果良好。对于Ⅲ级损伤，得出的结论是保守治疗似乎比手术治疗效果更好。最终的功能结果相同，保守治疗的康复期更短。此外，保守治疗的并发症不太严重，易于治疗且效果良好。
