Corso S J, Furie E
Orthopedic and Sports Associates of Long Island, Woodbury, New York, USA.
Orthop Clin North Am. 1995 Oct;26(4):661-70.
For many years the Mumford procedure or open resection of the distal clavicle has been the procedure of choice for the treatment of recalcitrant acromioclavicular joint pain. With advancement in shoulder arthroscopy and bursoscopy, arthroscopic resection of the distal clavicle can reproduce similar excellent results, avoiding some of the risks of the open procedure, including joint instability and muscle weakness. The arthroscopist can select from two approaches, a direct or superior approach or the indirect or subacromial approach. Both approaches are effective if the resection is performed in a systematic fashion and the amount of resection measured post-operatively. The authors have attempted to describe the pertinent anatomy of the acromioclavicular joint, clinical indications, and surgical technique for arthroscopic resection of the distal clavicle.
多年来，Mumford手术或锁骨远端开放切除术一直是治疗顽固性肩锁关节疼痛的首选手术。随着肩关节镜检查和滑囊镜检查技术的进步，关节镜下锁骨远端切除术可取得同样出色的效果，同时避免了开放手术的一些风险，如关节不稳和肌肉无力。关节镜手术医生可选择两种入路，直接或上方入路，或间接或肩峰下入路。如果以系统的方式进行切除并在术后测量切除量，两种入路都是有效的。作者试图描述肩锁关节的相关解剖结构、临床适应症以及关节镜下锁骨远端切除术的手术技术。
