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肩锁关节钩钢板治疗胸锁关节前脱位

Treatment of Anterior Sternoclavicular Joint Dislocation with Acromioclavicular Joint Hook Plate.

作者信息

Qu Yan-Zhen, Xia Tian, Liu Guo-Hui, Zhou Wu, Mi Bo-Bin, Liu Jing, Guo Xiao-Dong

机构信息

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Orthop Surg. 2019 Feb;11(1):91-96. doi: 10.1111/os.12422. Epub 2019 Feb 6.

Abstract

OBJECTIVE

To evaluate the safety and efficacy of using acromioclavicular joint hook plates for the treatment of anterior sternoclavicular joint dislocation.

METHODS

Ten patients who suffered anterior sternoclavicular joint dislocation were retrospectively analyzed, and underwent acromioclavicular joint hook plate surgeries from January 2015 to May 2017. There were 7 male and 3 female patients, with a mean age of 43.6 years. According to the American Shoulder and Elbow Society (ASES) scoring system, the preoperative physical function had a mean of 83.5.

RESULTS

Reduction and fixation were performed with hook plates in all 10 patients. All patients were followed up, with a mean duration of 16.9 months. There were no complications, no wound infections, and no plate or screw breakages. Movement of the shoulder girdle was improved in all patients. According to the ASES scoring system, the postoperative physical function had a mean of 94.8.

CONCLUSION

The acromioclavicular joint hook plate demonstrates safety and efficacy for the treatment of anterior sternoclavicular joint dislocation. However, there are still some deficiencies that need to be improved.

摘要

目的

评估肩锁关节钩钢板治疗胸锁关节前脱位的安全性和有效性。

方法

回顾性分析2015年1月至2017年5月间接受肩锁关节钩钢板手术的10例胸锁关节前脱位患者。其中男性7例,女性3例,平均年龄43.6岁。根据美国肩肘协会(ASES)评分系统,术前平均身体功能评分为83.5分。

结果

10例患者均采用钩钢板进行复位固定。所有患者均获随访,平均随访时间16.9个月。无并发症发生,无伤口感染,无钢板或螺钉断裂。所有患者肩带活动均有改善。根据ASES评分系统,术后平均身体功能评分为94.8分。

结论

肩锁关节钩钢板治疗胸锁关节前脱位具有安全性和有效性。然而,仍存在一些不足之处需要改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bcc/6430452/bb2aeee80932/OS-11-91-g001.jpg

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