Nolte Philip C, Lacheta Lucca, Dekker Travis J, Elrick Bryant P, Millett Peter J
Steadman Philippon Research Institute, Vail, CO, USA.
Department of Trauma and Orthopedic Surgery, BG Trauma Center Ludwigshafen, Ludwigshafen, Germany.
Orthop Res Rev. 2020 Mar 5;12:27-44. doi: 10.2147/ORR.S218991. eCollection 2020.
Injuries to the acromioclavicular (AC) joint are common and mostly involve younger, male individuals. Whereas the majority of AC joint dislocations can be treated nonoperatively with a trial of immobilization, pain medication, cryotherapy, and physiotherapy, there are patients that do not respond well to conservative management and may require surgical treatment. Identifying and treating these patients according to the type and chronicity of AC joint dislocation is paramount. To date, a myriad of surgical techniques have been proposed to address unstable AC joint dislocations and are indicative of the uncertainty that exists in optimal management of these injuries. Historically research has focused on the restoration of the coracoclavicular ligament complex. However, recently the importance of the acromioclavicular capsule and ligaments has been emphasized. This review aims to provide the reader with an overview of current treatment strategies and research, as well as future perspectives.
肩锁关节损伤很常见，主要发生在年轻男性身上。虽然大多数肩锁关节脱位可以通过尝试固定、止痛药物、冷冻疗法和物理治疗等非手术方法进行治疗，但仍有一些患者对保守治疗反应不佳，可能需要手术治疗。根据肩锁关节脱位的类型和慢性程度来识别和治疗这些患者至关重要。迄今为止，已经提出了无数种手术技术来处理不稳定的肩锁关节脱位，这表明在这些损伤的最佳治疗方面存在不确定性。从历史上看，研究主要集中在喙锁韧带复合体的修复上。然而，最近肩锁关节囊和韧带的重要性得到了强调。本综述旨在为读者提供当前治疗策略和研究的概述以及未来展望。
