Zhou Qing, Li Kun, Chen Bo, Zhou Yao-Dong, Chen Hao, Wang Zhen, Liu Jin-Lian
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China;
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China.
Zhongguo Gu Shang. 2016 Sep 25;29(9):847-852. doi: 10.3969/j.issn.1003-0034.2016.09.015.
To investigate the clinical curative effects of different methods for the treatment of "floating shoulder injuries".
A total of 56 patients with "floating shoulder injuries" from February 2006 to August 2014 were enrolled in the study, including 12 patients[7 males and 5 females with an average age of(45.08±13.47)years old]treated by non operation (group A), 29 patients[18 males and 11 females with an average age of(37.28±10.43) years old]treated by internal plate fixation of the fracture of the clavicle(group B), 15 patients(11 males, 4 females; average age of 36.20±9.50 years) treated by internal plate fixation of the fracture of the clavicle and the scapular(group C). Functional outcomes of injured shoulder joints were assessed using Herscovici and Constant-Murley Shoulder Outcome score.
There was a significant difference on operative time and intra operative blood loss between group B and group C(=0.000). There were significant differences of functional outcomes among three groups(=0.000). The shoulder joint function of group A and group B, group A and group C were significantly different(=0.000), while there was no significant difference between Group B and Group C.
Operation treatment for "floating shoulder injuries" has obvious advantages for the functional recovery of shoulder joint, and the risk for the single fixation treatment of clavicle is lower.
探讨不同方法治疗“浮肩损伤”的临床疗效。
选取2006年2月至2014年8月间收治的56例“浮肩损伤”患者，其中非手术治疗12例（A组，男7例，女5例，平均年龄(45.08±13.47)岁），锁骨骨折切开复位钢板内固定治疗29例（B组，男18例，女11例，平均年龄(37.28±10.43)岁），锁骨骨折及肩胛骨骨折切开复位钢板内固定治疗15例（C组，男11例，女4例，平均年龄(36.20±9.50)岁）。采用Herscovici和Constant-Murley肩关节功能评分系统对患侧肩关节功能进行评价。
B组与C组手术时间及术中出血量比较差异有统计学意义（=0.000）。三组肩关节功能评分比较差异有统计学意义（=0.000）。A组与B组、A组与C组肩关节功能评分比较差异有统计学意义（=0.000），而B组与C组比较差异无统计学意义。
手术治疗“浮肩损伤”对肩关节功能恢复具有明显优势，单纯锁骨固定手术风险较低。
