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关节镜下治疗与肩锁关节脱位相关的喙突骨折:技术说明

Arthroscopic Management of a Coracoid Fracture Associated With Acromioclavicular Dislocation: Technical Note.

作者信息

Passaplan Caroline, Beeler Silvan, Bouaicha Samy, Wieser Karl

机构信息

Department of Orthopaedic Surgery, Balgrist University Hospital, Zurich, Switzerland.

出版信息

Arthrosc Tech. 2020 Nov 20;9(11):e1767-e1771. doi: 10.1016/j.eats.2020.07.019. eCollection 2020 Nov.

DOI:10.1016/j.eats.2020.07.019
PMID:33294338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7695612/
Abstract

Operative management of a coracoid process fracture is indicated in case of painful nonunion, displacement of more than 1 cm, or multiple disruptions of the superior shoulder suspensory complex. Several techniques have been described with open reduction of the fracture and internal fixation using cortical screws with or without additional fixation of the acromioclavicular joint. This Technical Note aims to introduce an alternative safe, minimally invasive method for arthroscopic fixation of a coracoid fracture with simultaneously reduction of the acromioclavicular joint. The described arthroscopic technique might be helpful for shoulder surgeons who want to fix the coracoid process while avoiding the disadvantages of an open approach.

摘要

在出现疼痛性骨不连、移位超过1厘米或肩上部悬吊复合体多处断裂的情况下,需对喙突骨折进行手术治疗。已有多种技术描述了切开复位骨折并使用皮质骨螺钉进行内固定,可加或不加肩锁关节额外固定。本技术说明旨在介绍一种替代的安全、微创方法,用于关节镜下固定喙突骨折并同时复位肩锁关节。所描述的关节镜技术可能对那些想要固定喙突同时避免切开手术缺点的肩部外科医生有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/656b73971d90/gr7.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/f48f4bbf3019/gr3.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/0829ed78dc91/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/bb0403548bef/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/656b73971d90/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/1e30fce9f359/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/59f81e1d1e34/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/f48f4bbf3019/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/1f4a06d60b7d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/0829ed78dc91/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/bb0403548bef/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153a/7695612/656b73971d90/gr7.jpg

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Emerg Radiol. 2019 Aug;26(4):449-458. doi: 10.1007/s10140-019-01683-2. Epub 2019 Mar 25.
2
Biplanar fixation of acromio-clavicular joint dislocation associated with coracoid process fracture: Case report.肩锁关节脱位合并喙突骨折的双平面固定:病例报告
Trauma Case Rep. 2018 Apr 25;15:4-7. doi: 10.1016/j.tcr.2018.04.002. eCollection 2018 Jun.
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Repair of an Isolated Coracoid Fracture With Suture Anchor Fixation.
关节镜下复位空心螺钉内固定治疗 Eyres ⅢA型肩胛喙突骨折:1 例报告。
BMC Musculoskelet Disord. 2024 Aug 15;25(1):645. doi: 10.1186/s12891-024-07767-6.
4
Surgical management of multiple superior shoulder suspensory complex disruptions involving at least a coracoid fracture and an acromioclavicular dislocation: A report of five cases.涉及至少一处喙突骨折和肩锁关节脱位的多例肩上方悬吊复合体损伤的手术治疗:5例报告
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