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使用双纽扣技术和自体股薄肌加强的急性肩锁关节脱位双固定技术:一名寻求快速恢复体育活动的精英运动员的病例报告

Double Fixation Technique for Acute Acromioclavicular Joint Dislocation Using the Two-Button Technique and Gracilis Autograft Reinforcement: A Case Report of an Elite Athlete Seeking a Rapid Return to Sports Activity.

作者信息

Stefanou Nikolaos, Koskiniotis Alexandros E, Konstantinou Efstathios, Komnos George A, Varitimidis Sokratis

机构信息

Department of Orthopedic Surgery and Musculoskeletal Trauma, University General Hospital of Larissa, Larissa, GRC.

出版信息

Cureus. 2024 Jun 20;16(6):e62802. doi: 10.7759/cureus.62802. eCollection 2024 Jun.

DOI:10.7759/cureus.62802
PMID:39040765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11260633/
Abstract

Acromioclavicular joint dislocation is a relatively common injury in the general population, especially in younger ages. Although acromioclavicular injuries are a well-studied topic, there are many controversies concerning not only the best way to treat them by operative or conservative methods but also determining the most effective fixation methods, providing better functional outcomes, faster rehabilitation protocols, fewer complications, and lower recurrence rates. In this case report, we present a case of type III acromioclavicular dislocation in a young athlete who was treated operatively using a double fixation technique, aiming to address these controversies and offer insights into the optimal management of such injuries.

摘要

肩锁关节脱位在普通人群中是一种相对常见的损伤,尤其是在年轻人中。尽管肩锁关节损伤是一个已得到充分研究的课题,但不仅在通过手术或保守方法治疗它们的最佳方式上存在许多争议,而且在确定最有效的固定方法、提供更好的功能结果、更快的康复方案、更少的并发症以及更低的复发率方面也存在争议。在本病例报告中,我们展示了一名年轻运动员的III型肩锁关节脱位病例,该病例采用双固定技术进行手术治疗,旨在解决这些争议,并为这类损伤的最佳管理提供见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/7547f1d71e38/cureus-0016-00000062802-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/913fef7cdf12/cureus-0016-00000062802-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/0d82b281b4f6/cureus-0016-00000062802-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/eb06b7be5927/cureus-0016-00000062802-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/0dfc3197e10f/cureus-0016-00000062802-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/7547f1d71e38/cureus-0016-00000062802-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/913fef7cdf12/cureus-0016-00000062802-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/0d82b281b4f6/cureus-0016-00000062802-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/eb06b7be5927/cureus-0016-00000062802-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/0dfc3197e10f/cureus-0016-00000062802-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3e8/11260633/7547f1d71e38/cureus-0016-00000062802-i05.jpg

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本文引用的文献

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Arthrosc Tech. 2022 Nov 18;12(3):e433-e440. doi: 10.1016/j.eats.2022.08.049. eCollection 2023 Mar.
2
Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review.急性RockwoodⅢ型肩锁关节脱位的手术治疗:一项系统评价
Cureus. 2022 Sep 1;14(9):e28657. doi: 10.7759/cureus.28657. eCollection 2022 Sep.
3
Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation.
锁骨钩钢板联合喙锁韧带转位治疗肩锁关节脱位。
Orthop Surg. 2022 Mar;14(3):613-620. doi: 10.1111/os.13197. Epub 2022 Feb 9.
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Treatment of acute high-grade acromioclavicular joint dislocation.急性重度肩锁关节脱位的治疗
Clin Shoulder Elb. 2020 Sep 1;23(3):159-165. doi: 10.5397/cise.2020.00150. eCollection 2020 Sep.
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Imaging of the Acromioclavicular Joint: Anatomy, Function, Pathologic Features, and Treatment.肩锁关节影像学:解剖、功能、病变特征及治疗。
Radiographics. 2020 Sep-Oct;40(5):1355-1382. doi: 10.1148/rg.2020200039. Epub 2020 Aug 7.
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Arthroscopic Coracoclavicular Fixation Using Multiple Low-Profile Devices in Acute Acromioclavicular Joint Dislocation.关节镜下使用多个微创装置治疗急性肩锁关节脱位的喙锁固定术。
Arthroscopy. 2019 Jan;35(1):14-21. doi: 10.1016/j.arthro.2018.07.007. Epub 2018 Nov 16.
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The surgical treatment of acromioclavicular joint injuries.肩锁关节损伤的外科治疗
EFORT Open Rev. 2017 Oct 19;2(10):432-437. doi: 10.1302/2058-5241.2.160085. eCollection 2017 Oct.
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