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锁骨远端切除术后肩锁关节不稳行切开复位内固定的功能预后

Functional outcome of open acromioclavicular joint stabilization for instability following distal clavicle resection.

作者信息

Baxter Jonathan A, Phadnis Joideep, Robinson Paul M, Funk Lennard

机构信息

Upper Limb Unit Wrightington Hospital, Appley Bridge, Wigan, England, WN6 9EP, United Kingdom.

Brighton and Sussex University Hospitals, Eastern Road, Brighton, East Sussex, England, BN2 5BE, United Kingdom.

出版信息

J Orthop. 2018 May 7;15(3):761-764. doi: 10.1016/j.jor.2018.05.013. eCollection 2018 Sep.

Abstract

BACKGROUND

Acromioclavicular joint instability following distal clavicle resection can result in considerable pain and dysfunction.

METHOD

We present a review of 13 patients who underwent ACJ stabilization following one or more distal clavicle resection procedures.

RESULTS

The mean Quick DASH and CM scores were 26(0-57) and 73(46-100) respectively. All but one patient reported an improvement in the pain component of their CM score and in the work component of the Quick DASH score.

DISCUSSION

Open ACJ stabilization to treat instability following distal clavicle resection resulted in improved functional scores, pain scores and facilitated return to work in most patients.Level of evidence IV.

摘要

背景

锁骨远端切除术后肩锁关节不稳定可导致相当程度的疼痛和功能障碍。

方法

我们回顾了13例在进行了一次或多次锁骨远端切除术后接受肩锁关节稳定手术的患者。

结果

Quick DASH和CM评分的平均值分别为26(0 - 57)和73(46 - 100)。除1例患者外,所有患者均报告其CM评分的疼痛部分和Quick DASH评分的工作部分有所改善。

讨论

开放性肩锁关节稳定手术治疗锁骨远端切除术后的不稳定,使大多数患者的功能评分、疼痛评分得到改善,并有助于恢复工作。证据等级为IV级。

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