Mulier T, Stuyck J, Fabry G
Department of Orthopedic Surgery, Katholieke Universiteit Leuven, Pellenberg, Belgium.
Acta Orthop Belg. 1993;59(3):255-62.
Fifty-eight patients with acute acromioclavicular dislocations of Type III, IV and V (Rockwood classification) were examined to assess the late results of conservative treatment. The average age of the patients was 31 years, and the interval between injury and final review was 6.3 years. Seventy-nine percent of the patients had excellent or good late results. Surprisingly the age and activity level of the patients did not influence our late results, nor did the radiological appearance of acromioclavicular osteoarthritis or periarticular calcification. The radiological appearance of the acromioclavicular joint improved in 41% of patients. In 10 failed cases, excision of the distal end of the clavicle with reconstruction of the coracoclavicular ligament (Weaver and Dunn procedure) resulted in 90% excellent or good results after a 3-year follow-up. A high percentage of excellent results can be expected after this procedure, as long as it is correctly performed.
对58例Rockwood分类为III型、IV型和V型的急性肩锁关节脱位患者进行检查，以评估保守治疗的远期疗效。患者的平均年龄为31岁，受伤至最终复查的间隔时间为6.3年。79%的患者获得了优良的远期疗效。令人惊讶的是，患者的年龄和活动水平并未影响我们的远期疗效，肩锁关节骨关节炎或关节周围钙化的影像学表现也未产生影响。41%的患者肩锁关节的影像学表现有所改善。在10例治疗失败的病例中，采用锁骨远端切除术并重建喙锁韧带（Weaver和Dunn手术），3年随访后90%的患者获得了优良疗效。只要该手术操作正确，术后有望获得较高比例的优良疗效。
