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肩锁关节动态性水平不稳定:病例报告。

Dynamic Horizontal Instability of the Acromioclavicular Joint: A Case Report.

机构信息

Department of Orthopedic Surgery, Hôpital Ambroise Paré, Boulogne-Billancourt, France.

出版信息

JBJS Case Connect. 2023 Aug 9;13(3). doi: 10.2106/JBJS.CC.23.00113. eCollection 2023 Jul 1.

DOI:10.2106/JBJS.CC.23.00113
PMID:37556577
Abstract

CASE

A 19-year-old female patient with a history of shoulder trauma 6 years ago presented with dynamic horizontal instability of the acromioclavicular joint (ACJ). She was treated with open ACJ reconstruction using gracilis allograft and showed a satisfactory clinical result at 1-year follow-up.

CONCLUSION

Dynamic pure horizontal instability of the ACJ is a rare entity with only 6 cases reported in the literature. Till now, all reported patients who necessitated surgical treatment failed because of residual instability and/or pain. We present the seventh case of this type with a successful clinical outcome.

摘要

病例

一位 19 岁女性患者,6 年前有肩部外伤史,表现为肩锁关节(ACJ)动态性水平不稳定。采用阔筋膜同种异体移植物进行开放性 ACJ 重建,1 年随访时临床疗效满意。

结论

ACJ 的动态纯水平不稳定较为罕见,文献中仅报道了 6 例。到目前为止,所有需要手术治疗的报告病例均因残余不稳定和/或疼痛而失败。我们报告了第七例此类成功的临床病例。

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