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[锁骨外侧端及肩锁关节的当前治疗理念]

[Current treatment concepts of the lateral clavicle and the acromioclavicular joint].

作者信息

Roth Sabine, Tsamassiotis Spiros, Karkosch Roman, Horstmann Hauke, Smith Tomas, Jensen Gunnar

机构信息

Klinik für Unfallchirurgie, Medizinische Hochschule Hannover (MHH), Hannover, Deutschland.

Department für Schulter‑, Knie- und Sportorthopädie, Klinik für Orthopädie der Medizinischen Hochschule Hannover (MHH) im DIAKOVERE Annastift, Anna-von-Borries-Str. 1-7, 30625, Hannover, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2024 Nov;127(11):788-795. doi: 10.1007/s00113-024-01464-8. Epub 2024 Aug 14.

DOI:10.1007/s00113-024-01464-8
PMID:39143244
Abstract

Injurie to the lateral clavicle and acromioclavicular joint (ACJ) are frequent events which are relevant to everyday life and particularly affect active adults at the age of 20-40 years. The Rockwood classification has been established for the classification of ACJ injuries. Lateral clavicle fractures are classified according to the Neer classification or the Jäger and Breitner classification. A newly established classification is the Cho classification. Depending on the injury pattern and in particular the presence of instability, various conservative and surgical care strategies are used. This article provides an overview of the various treatment concepts.

摘要

锁骨外侧及肩锁关节(ACJ)损伤是常见事件,与日常生活相关,尤其影响20至40岁的活跃成年人。Rockwood分类已被确立用于肩锁关节损伤的分类。锁骨外侧骨折根据Neer分类或Jäger和Breitner分类进行分类。一种新确立的分类是Cho分类。根据损伤类型,特别是是否存在不稳定情况,采用各种保守和手术治疗策略。本文概述了各种治疗理念。

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1
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Unfallchirurgie (Heidelb). 2024 Nov;127(11):788-795. doi: 10.1007/s00113-024-01464-8. Epub 2024 Aug 14.
2
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Prospective Multicenter Randomized Controlled Trial of Surgical Versus Nonsurgical Treatment for Acute Rockwood Type 3 Acromioclavicular Injury.急性Rockwood 3型肩锁关节损伤手术与非手术治疗的前瞻性多中心随机对照试验
Orthop J Sports Med. 2023 Aug 25;11(8):23259671231190411. doi: 10.1177/23259671231190411. eCollection 2023 Aug.
2
Implant-dependent behavior of tunnel widening and clavicular button migration after arthroscopic-assisted treatment of acromioclavicular joint instabilities.关节镜辅助治疗肩锁关节不稳定后隧道增宽和锁骨扣迁移的植入物依赖性行为。
Eur J Orthop Surg Traumatol. 2023 Aug;33(6):2533-2540. doi: 10.1007/s00590-022-03466-x. Epub 2023 Jan 3.
3
Superior clinical results for early arthroscopic treatment of grade IIIb and V acromioclavicular joint instability compared to delayed operative treatment.
与延迟手术治疗相比,早期关节镜治疗 IIIb 级和 V 级肩锁关节不稳定的临床效果更好。
J Shoulder Elbow Surg. 2023 Jun;32(6):1185-1195. doi: 10.1016/j.jse.2022.11.023. Epub 2022 Dec 27.
4
Current concepts in acromioclavicular joint (AC) instability - a proposed treatment algorithm for acute and chronic AC-joint surgery.当前肩锁关节(AC)不稳定的概念——急性和慢性 AC 关节手术的治疗方案建议。
BMC Musculoskelet Disord. 2022 Dec 9;23(1):1078. doi: 10.1186/s12891-022-05935-0.
5
Arthroscopically assisted single tunnel reconstruction for acute high-grade acromioclavicular joint dislocation with an additional acromioclavicular joint cerclage.关节镜辅助下急性重度肩锁关节脱位的单隧道重建术联合肩锁关节环扎术。
Eur J Orthop Surg Traumatol. 2023 May;33(4):1185-1192. doi: 10.1007/s00590-022-03271-6. Epub 2022 May 7.
6
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J Clin Med. 2022 Feb 16;11(4):1026. doi: 10.3390/jcm11041026.
7
No difference in clinical outcome at 2-year follow-up in patients with type III and V acromioclavicular joint dislocation treated with hook plate or physiotherapy: a randomized controlled trial.在接受钩板或物理治疗的 III 型和 V 型肩锁关节脱位患者中,2 年随访时临床结果无差异:一项随机对照试验。
J Shoulder Elbow Surg. 2022 Jun;31(6):1122-1136. doi: 10.1016/j.jse.2021.12.003. Epub 2022 Jan 8.
8
Additional coracoclavicular augmentation reduces revision rates in the treatment of lateral clavicle fractures as compared to angle-stable plate osteosynthesis alone.与单纯使用角度稳定钢板接骨术相比,附加的喙锁韧带增强可降低外侧锁骨骨折的翻修率。
Arch Orthop Trauma Surg. 2022 Jun;142(6):1083-1090. doi: 10.1007/s00402-021-03893-1. Epub 2021 May 4.
9
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Clin Orthop Surg. 2020 Jun;12(2):135-144. doi: 10.4055/cios20010. Epub 2020 May 14.