García-García R, Mercado-Colín J M
Servicio de Ortopedia y Traumatología del Hospital General «Dr. Aurelio Valdivieso» de la Secretaría de Salud en Oaxaca, Oax. México.
Ortopedia y Traumatología en Instituto de Salud del Estado de México (ISEM) Atlacomulco. Estado de México. México.
Acta Ortop Mex. 2019 Mar-Apr;33(2):88-95.
In the dislocation acromioclavicular unstable vertically, the surgical treatment is elementary by the plasty of the ligaments coracoclaviculares, with the purpose of recovering its stability and normal function. There are techniques of a single tunnel in the clavicle or two tunnels (anatomical), with biological or synthetic material.
It is a longitudinal prospective experimental study; we included 33 patients between 20 and 50 years of age with diagnosis of complete acromioclavicular dislocation with vertical instability. Reconstruction was performed only of the coracoclavicular ligaments with Mazzocas technique of using autologous tendon graft of the short lateral peroneus. The evaluation of results was with the PENN test.
100% of patients are painless and with an arch of normal shoulder mobility one year after surgery. Radiographically, the coracoclavicular distance compared to the healthy side had an average difference of 1.0 mm at rest and 0.9 mm under load.
The reconstruction of the coracoclavicular ligaments with anatomical technique by autologous tendon graft of the short lateral peroneus, allows to recover the acromioclavicular stability and the normal function of the shoulder.
在垂直不稳定的肩锁关节脱位中，通过喙锁韧带成形术进行手术治疗是基本方法，目的是恢复其稳定性和正常功能。有在锁骨上做单隧道或双隧道（解剖学）的技术，使用生物或合成材料。
这是一项纵向前瞻性实验研究；我们纳入了33例年龄在20至50岁之间、诊断为垂直不稳定的完全性肩锁关节脱位的患者。仅采用马佐卡斯技术，使用腓骨短肌自体肌腱移植物对喙锁韧带进行重建。采用佩恩试验对结果进行评估。
术后一年，100%的患者无痛，肩部活动弧度正常。影像学检查显示，与健侧相比，喙锁间距在静息时平均相差1.0毫米，负重时相差0.9毫米。
采用腓骨短肌自体肌腱移植物通过解剖学技术重建喙锁韧带，能够恢复肩锁关节的稳定性和肩部的正常功能。
