Paci James M, Kanjiya Shrey M
The Orlin & Cohen Orthopedic Group at Northwell Health, Woodbury, New York, U.S.A.
Department of Orthopaedics, Stony Brook University School of Medicine, Stony Brook, New York, U.S.A.
Arthrosc Tech. 2018 Dec 10;8(1):e17-e21. doi: 10.1016/j.eats.2018.08.023. eCollection 2019 Jan.
Distal clavicle fractures and acromioclavicular injuries are common shoulder injuries. Despite the frequency of these injuries, there is no gold standard for treatment. Recent suspensory fixation techniques have minimized the amount of hardware required for surgical treatment of both acromioclavicular separations and distal clavicle fractures. Advantages include reconstruction of ligamentous anatomy, minimal hardware irritation, earlier return to activity, and decreased need for hardware removal. These reconstructions are classically done in the beach chair position in an open fashion. Our preferred technique for treatment of unstable distal clavicle fractures and acromioclavicular injuries is arthroscopy-assisted coracoclavicular ligament reconstruction with or without distal clavicle fixation in the lateral decubitus position.
锁骨远端骨折和肩锁关节损伤是常见的肩部损伤。尽管这些损伤很常见，但目前尚无治疗的金标准。最近的悬吊固定技术已将肩锁关节分离和锁骨远端骨折手术治疗所需的内固定物数量降至最低。其优点包括重建韧带解剖结构、减少内固定物刺激、更早恢复活动以及减少取出内固定物的需求。这些重建通常在沙滩椅位以开放方式进行。我们治疗不稳定锁骨远端骨折和肩锁关节损伤的首选技术是在侧卧位进行关节镜辅助喙锁韧带重建，可选择或不进行锁骨远端固定。
