McCluskey G M, Todd J
Hughston Clinic PC, Columbus, GA 31908-9517, USA.
J South Orthop Assoc. 1995 Fall;4(3):206-13.
Acromioclavicular joint injuries, including sprains and dislocations, are common shoulder problems treated by orthopaedic surgeons. The classification of acromioclavicular joint injuries comprises six grades, according to the degree of ligamentous disruption and displacement. Grades I and II are generally treated nonoperatively, whereas types IV, V, and VI are treated surgically. Treatment for grade III injuries remains controversial. Fractures of the distal aspect of the clavicle have been divided into three types. Type I fractures are stable and require brief immobilization. Type II fractures are unstable and require surgical fixation. Type III fractures often require late surgery for acromioclavicular arthritis.
肩锁关节损伤，包括扭伤和脱位，是骨科医生治疗的常见肩部问题。根据韧带断裂和移位的程度，肩锁关节损伤的分类包括六个等级。I级和II级损伤通常采用非手术治疗，而IV级、V级和VI级损伤则采用手术治疗。III级损伤的治疗仍存在争议。锁骨远端骨折已分为三种类型。I型骨折稳定，需要短期固定。II型骨折不稳定，需要手术固定。III型骨折通常需要后期手术治疗肩锁关节炎。
