Roth Sabine, Tsamassiotis Spiros, Karkosch Roman, Horstmann Hauke, Smith Tomas, Jensen Gunnar
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.
Unfallchirurgie (Heidelb). 2024 Nov;127(11):788-795. doi: 10.1007/s00113-024-01464-8. Epub 2024 Aug 14.
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.
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。