Department of Radiology, IBERORAD, 1893, Carrer Valencia 226, Principal, Primera, 08007, Barcelona, Spain.
Department of Radiology, Diagnóstico Médico Cantabria, Santander, Spain.
Skeletal Radiol. 2024 May;53(5):847-861. doi: 10.1007/s00256-023-04526-x. Epub 2023 Nov 27.
Acromioclavicular joint (ACJ) dislocations are a common cause of pain in patients of any age. Athletes who participate in contact sports, such as hockey, football, rugby, and soccer, are particularly susceptible to such injuries. The ACJ has an important role in the function of the upper limb, and its complexity of movement makes it susceptible to acute injuries and chronic dysfunction with debilitating effects that must be treated appropriately and promptly to preserve function. Recently, ACJ has received increasing attention due to the development of new surgical techniques for the restoration of normal function and stability. There is some agreement about the treatment of ACJ dislocations, but controversy remains about the treatment of Rockwood grade III dislocations, and a new approach to these injuries is suggested by ISAKOS. Overall, the paper summarizes new concepts in the anatomy of the ACJ and reviews the utility of imaging methods in ACJ dislocations as well as their treatment and complications.
肩锁关节（ACJ）脱位是任何年龄段患者疼痛的常见原因。参与接触性运动的运动员，如曲棍球、足球、橄榄球和足球，特别容易受到此类伤害。ACJ 在上肢功能中起着重要作用，其运动的复杂性使其容易受到急性损伤和慢性功能障碍的影响，这些损伤必须得到适当和及时的治疗，以维持功能。最近，由于恢复正常功能和稳定性的新技术的发展，ACJ 受到了越来越多的关注。对于 ACJ 脱位的治疗已经有了一些共识，但对于 Rockwood Ⅲ级脱位的治疗仍存在争议，ISAKOS 对这些损伤提出了一种新的治疗方法。总的来说，本文总结了 ACJ 解剖学的新概念，回顾了影像学方法在 ACJ 脱位中的应用及其治疗和并发症。
