Lozman P R, Hechtman K S, Uribe J W
Department of Orthopaedics and Rehabilitation, University of Miami School of Medicine, Coral Gables, Fla, USA.
J South Orthop Assoc. 1995 Fall;4(3):177-81.
Impingement syndrome and osteoarthritis of the acromioclavicular joint often coexist. Failure to address acromioclavicular joint disease can be a common cause of failure in the surgical treatment of impingement syndrome. Arthroscopic treatment of each of these disorders independently yields more favorable results than open procedures. In a patient with both disorders, combined arthroscopic subacromial decompression and resection of the distal end of the clavicle can be accomplished in one procedure. We evaluated the results of combined arthroscopic subacromial decompression and distal clavicle resection in 18 patients who were available for a minimum of 2 years' follow-up (average 32 months). Evaluations both before and after surgery were done using the UCLA Shoulder Rating Scale. Results were good or excellent in 89% of the patients and poor in 11%. The average UCLA pain score improved postoperatively for 16 of the 18 patients, while the scores for function, strength, and flexion improved for all patients.
肩峰下撞击综合征与肩锁关节骨关节炎常并存。未能处理肩锁关节疾病可能是撞击综合征手术治疗失败的常见原因。与开放手术相比，分别对这两种疾病进行关节镜治疗能取得更理想的效果。对于同时患有这两种疾病的患者，可在一次手术中联合进行关节镜下肩峰下减压和锁骨远端切除术。我们评估了18例至少随访2年（平均32个月）的患者接受联合关节镜下肩峰下减压和锁骨远端切除术的结果。术前和术后均使用加州大学洛杉矶分校（UCLA）肩部评分量表进行评估。89%的患者结果为良好或优秀，11%的患者结果较差。18例患者中有16例术后UCLA疼痛评分有所改善，所有患者的功能、力量和屈曲评分均有所提高。
