Hack U, Bibow K
Klinik für Chirurgie, Bereichs Medizin der Wilhelm-Pieck-Universität Rostock.
Zentralbl Chir. 1988;113(14):899-910.
Reported in this paper are therapeutic results obtained from 54 hospitalised patients who had been treated for acromioclavicular dislocation. Indications, tactical approaches to treatment, and results are described and discussed in some detail. Good results were obtained from conservative treatment of Tossy-I injuries. However, surgery in the first place is recommended, when it comes to Tossy-II and Tossy-III serverities (ligament suture and temporary arthrodesis of the AC joint), as this has proved to yield results which were superior to secondary plastic ligament repair. Poorest results were recorded from conservative treatment of patients with Tossy-III injuries.
本文报告了54例因肩锁关节脱位住院治疗患者的治疗结果。对治疗指征、治疗策略及结果进行了较为详细的描述与讨论。Tossy-I型损伤保守治疗效果良好。然而，对于Tossy-II型和Tossy-III型损伤（韧带缝合及肩锁关节临时固定术），建议首选手术治疗，因为已证明手术效果优于二期韧带修复整形术。Tossy-III型损伤患者保守治疗效果最差。
