Schmülling F, Wissing H
Unfallchirurgie. 1980;6(4):213-8. doi: 10.1007/BF02589469.
This paper deals with the biomechanics and the injuries of the acromioclavicular joint, which are graded I-III according to Tossy. Incomplete dislocations of the acromioclavicular joint are treated conservatively by immobilisation of the shoulder with Gilchrist's or Desault's bandage. Complete dislocations of the acromioclavicular joint should be treated operatively with ligament suture or plasty and temporary fixation of acromioclavicular joint by two drill wires combined with tension band. In postoperative treatment the shoulder should be immobilised for two weeks by Gilchrist's or Desault's bandage. After these two weeks all movements should be allowed to 90 degrees. The internal fixation material should be removed six weeks after the first operation. We report the results of 19 complete dislocations of the acromioclavicular joint, treated operatively from 1975-1979. 13 patients could be seen in the follow-up examination. In 10 cases the functional result was good, two patients had little restriction of movement. In one case, where the fixation material had been removed only eight weeks ago, the movements of the shoulder were markedly restricted.
本文探讨肩锁关节的生物力学及损伤情况，根据托西分类法分为I - III级。肩锁关节不完全脱位采用吉尔克里斯特绷带或德索尔绷带固定肩部进行保守治疗。肩锁关节完全脱位应通过韧带缝合或成形术以及用两根钢丝结合张力带对肩锁关节进行临时固定来进行手术治疗。术后治疗中，肩部应使用吉尔克里斯特绷带或德索尔绷带固定两周。两周后，所有活动角度应允许达到90度。内固定材料应在首次手术后六周取出。我们报告了1975年至1979年期间对19例肩锁关节完全脱位进行手术治疗的结果。随访检查中见到了13例患者。10例功能结果良好，2例患者活动受限较小。在1例中，固定材料仅在八周前取出，肩部活动明显受限。
