Maleki Arash, Dibamehr Mohsen, Bisadi Amir, Kouhestani Emad
Department of Orthopedic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Surg Case Rep. 2024 Apr;117:109446. doi: 10.1016/j.ijscr.2024.109446. Epub 2024 Mar 5.
This study delves into the management of acromion fractures and acromioclavicular (AC) joint dislocations-orthopedic injuries with significant implications for shoulder function. Despite their infrequency, these injuries present challenges due to potential persistent pain and functional limitations. Current treatment strategies span from conservative measures to surgical interventions, yet there exists a notable gap in comprehensive data on specific surgical approaches.
We present a compelling case involving a 38-year-old male athlete who sought medical attention following a motor vehicle accident due to severe right shoulder pain. Upon admission to the emergency ward, the patient reported an inability to move the affected shoulder. Radiographic evaluations, comprising X-ray and computerized tomography scans, revealed a displaced fracture at the base of the acromion coupled with an AC dislocation. A novel surgical technique was employed, featuring coracoid fixation with mersilene thread and a 2-hole reconstruction plate-a distinctive approach in the field.
The systematic rehabilitation plan yielded successful healing and the restoration of normal shoulder function, offering promising insights into potential advancements in orthopedic practices.
This case contributes valuable knowledge to the understanding of these complex injuries, paving the way for further exploration and refinement in their management. The innovative surgical approach showcased underscores the importance of continued research and exploration to enhance the overall treatment landscape for acromion fractures and AC joint dislocations.
本研究深入探讨肩峰骨折和肩锁关节脱位的治疗——这些骨科损伤对肩部功能有重大影响。尽管这些损伤并不常见,但由于可能持续存在的疼痛和功能受限,它们带来了挑战。目前的治疗策略涵盖从保守措施到手术干预,但在特定手术方法的全面数据方面存在显著差距。
我们展示了一个引人关注的病例,一名38岁的男性运动员在机动车事故后因右肩部剧痛寻求医疗救治。入院到急诊病房时,患者报告患肩无法活动。包括X射线和计算机断层扫描在内的影像学评估显示,肩峰基部有移位骨折并伴有肩锁关节脱位。采用了一种新颖的手术技术,其特点是用丝裂霉素线进行喙突固定并使用两孔重建钢板——这是该领域一种独特的方法。
系统的康复计划实现了成功愈合和肩部正常功能的恢复,为骨科实践的潜在进展提供了有前景的见解。
该病例为理解这些复杂损伤贡献了宝贵的知识,为其管理的进一步探索和完善铺平了道路。所展示的创新手术方法强调了持续研究和探索的重要性,以改善肩峰骨折和肩锁关节脱位的整体治疗局面。