Zarzycki W, Lorczyński A, Ziółkowski W
Katedra i Klinika Ortopedii, Akademia Medyczna w Gdańsku.
Chir Narzadow Ruchu Ortop Pol. 1998;63(4):321-7.
Complete acromioclavicular separation is frequent injury during practice of judo. Fourteen athletes aged 17-33 (mean 23) were treated non-operatively. All patients received cryotherapy and Velpeau bandage for two weeks, intensive rehabilitation of the shoulder followed. The patients were reviewed after mean 4.5 years (range 3-7 years). A 100-point scale designed specifically for this study, inclusive of pain, function, strength, range of motion and return to preinjury level of sports activity was used for clinical assessment. Follow-up radiographs were compared to those taken immediately after injury but no correlation with clinical results has been found. Eight results were rated excellent (90-100 points), 5 results good (80-89 points) and one result was fair (70-79 points). Short period of immobilization and early rehabilitation seems to be efficient management in highly active individuals.
肩锁关节完全分离是柔道训练中常见的损伤。14名年龄在17 - 33岁（平均23岁）的运动员接受了非手术治疗。所有患者均接受了两周的冷冻疗法和三角巾包扎，随后进行了肩部强化康复训练。平均4.5年（范围3 - 7年）后对患者进行复查。使用专门为此研究设计的100分制量表，包括疼痛、功能、力量、活动范围以及恢复到受伤前运动水平等方面，对患者进行临床评估。将随访时的X光片与受伤后立即拍摄的X光片进行比较，但未发现与临床结果存在相关性。8例结果评定为优秀（90 - 100分），5例结果为良好（80 - 89分），1例结果为中等（70 - 79分）。短期固定和早期康复似乎是对高活动量个体的有效治疗方法。
