Dumontier C, Sautet A, Man M, Apoil A
Department of Orthopaedics, Hôpital Saint-Antoine, Paris, France.
J Shoulder Elbow Surg. 1995 Mar-Apr;4(2):130-4. doi: 10.1016/s1058-2746(05)80067-9.
We did a retrospective review of 32 patients who had undergone acute treatment for acromioclavicular joint dislocation (mean follow-up period 46 months) and 24 patients who had undergone surgery for chronic joint dislocation (mean follow-up period 51 months). All patients had a ligamentoplasty performed using the coracoacromial ligament. With the shoulder functional score described by Patte, we obtained 81% satisfactory results for the patients who underwent acute treatment and 79% satisfactory results for those who underwent late treatment. Because results in both groups were similar, we now treat only the more severe form of acute dislocation with surgery. Delayed surgery is indicated in those patients who have an unsatisfactory result after functional treatment.
我们对32例接受急性肩锁关节脱位治疗的患者（平均随访期46个月）和24例接受慢性关节脱位手术的患者（平均随访期51个月）进行了回顾性研究。所有患者均使用喙肩韧带进行了韧带成形术。根据Patte描述的肩部功能评分，接受急性治疗的患者获得了81%的满意结果，接受后期治疗的患者获得了79%的满意结果。由于两组结果相似，我们现在仅对更严重的急性脱位形式进行手术治疗。对于功能治疗后结果不满意的患者，建议进行延迟手术。
