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使用胸小肌腱和喙肩韧带转移的双平面重建治疗慢性肩锁关节脱位

Biplanar Reconstruction With Pectoralis Minor Tendon and Coracoacromial Ligament Transfer for Chronic Acromioclavicular Joint Dislocations.

作者信息

Cartaya Méndez Marco, Turner Ruiz-Tagle Felipe, Vargas Zúñiga Jorge

机构信息

Clínica las Condes, Santiago, Chile.

Hospital del Trabajador, Santiago, Chile.

出版信息

Arthrosc Tech. 2024 Jul 11;13(11):103104. doi: 10.1016/j.eats.2024.103104. eCollection 2024 Nov.

DOI:10.1016/j.eats.2024.103104
PMID:39711884
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662869/
Abstract

Acromioclavicular joint dislocation is a common pathology, affecting mostly young male patients. High-grade injuries require surgical treatment, but evidence is lacking regarding a gold standard technique. Chronic cases frequently are treated with graft reconstruction, but complications and availability remain as a limitation for autograft and allograft use, respectively. The objective of this Technical Note is to describe the treatment of chronic acromioclavicular dislocations by a reconstruction made with a local tendon graft, the pectoralis minor, in addition to transferring the coracoacromial ligament as a horizontal stabilizer.

摘要

肩锁关节脱位是一种常见的病理状况，主要影响年轻男性患者。严重损伤需要手术治疗，但缺乏关于金标准技术的证据。慢性病例通常采用移植重建治疗，但并发症以及自体移植物和同种异体移植物的可用性分别仍然是自体移植和同种异体移植使用的限制因素。本技术说明的目的是描述通过使用局部肌腱移植物（胸小肌）进行重建，并将喙肩韧带作为水平稳定器进行转移，来治疗慢性肩锁关节脱位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/de0b46b4e2fd/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/3179471cea18/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/36f61569302f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/3bd0a06e2bd0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/8d06a858e364/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/148137d0d66d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/de0b46b4e2fd/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/3179471cea18/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/e3e7653c4444/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/36f61569302f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/3bd0a06e2bd0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/8d06a858e364/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/148137d0d66d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c1/11662869/de0b46b4e2fd/gr7.jpg

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本文引用的文献

1
Use of the pectoralis minor and coracoacromial ligament for a biplanar coracoclavicular and acromioclavicular reconstruction: A cadaveric feasibility study.使用胸小肌和喙肩韧带进行双平面喙锁和肩锁关节重建：一项尸体可行性研究。
J Exp Orthop. 2024 Oct 8;11(4):e70032. doi: 10.1002/jeo2.70032. eCollection 2024 Oct.
2
Combination of Surgical Techniques Restores Multidirectional Biomechanical Stability of Acromioclavicular Joint.手术技术联合应用恢复肩锁关节多方向生物力学稳定性。
Arthroscopy. 2022 Jun;38(6):1774-1783. doi: 10.1016/j.arthro.2021.11.051. Epub 2021 Dec 14.
3
Surgical management of chronic high-grade acromioclavicular joint dislocations: a systematic review.
慢性重度肩锁关节脱位的手术治疗：系统评价。
J Shoulder Elbow Surg. 2019 Oct;28(10):2031-2038. doi: 10.1016/j.jse.2019.03.005. Epub 2019 Jul 23.
4
Biomechanical Comparison of Anatomic and Extra-Anatomic Reconstruction Techniques Using Local Grafts for Chronic Instability of the Acromioclavicular Joint.使用局部移植物治疗肩锁关节慢性不稳定的解剖和非解剖重建技术的生物力学比较。
Am J Sports Med. 2018 Jul;46(8):1927-1935. doi: 10.1177/0363546518770603. Epub 2018 May 10.
5
Triple-bundle anatomical reconstruction using the coracoacromial ligament and the short head of biceps tendon to stabilize chronic acromioclavicular joint dislocations: A cadaver feasibility study.使用喙肩韧带和肱二头肌短头进行三束解剖重建以稳定慢性肩锁关节脱位：一项尸体可行性研究。
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Complications following harvesting of patellar tendon or hamstring tendon grafts for anterior cruciate ligament reconstruction: Systematic review of literature.前交叉韧带重建中髌腱或腘绳肌腱移植物采集的并发症：文献系统回顾。
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Surgical Release of the Pectoralis Minor Tendon for Scapular Dyskinesia and Shoulder Pain.肩胛下肌肌腱手术松解治疗肩胛运动障碍和肩部疼痛
Am J Sports Med. 2017 Jan;45(1):173-178. doi: 10.1177/0363546516664720. Epub 2016 Sep 30.
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Complications after anatomic fixation and reconstruction of the coracoclavicular ligaments.喙锁韧带解剖固定重建术后的并发症。
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Surgical technique affects outcomes in acromioclavicular reconstruction.手术技术会影响肩锁关节重建的效果。
J Surg Orthop Adv. 2013 Spring;22(1):71-6. doi: 10.3113/jsoa.2013.0071.
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Epidemiology of acromioclavicular joint injury in young athletes.青年运动员肩锁关节损伤的流行病学。
Am J Sports Med. 2012 Sep;40(9):2072-7. doi: 10.1177/0363546512450162. Epub 2012 Jun 15.