肩锁关节脱位治疗的研究进展
王登峰;王涛;康汇
【期刊名称】《中华创伤杂志》 【年(卷),期】2018(034)012
【摘要】肩锁关节脱位是肩部的常见损伤,多见于青壮年人群,约占人群中关节脱位的4％～6％,占肩部损伤的12％.其主要致伤机制为上肢内收,肩外部着地后受到强大的直接暴力导致肩锁韧带和喙锁韧带损伤;也见于上肢外展时手先着地后间接暴力导致肩锁韧带损伤.表现为患侧肩关节局部疼痛,患肢外展、上举等活动受限.X线片可见锁骨远端向上移位,喙锁距离增大.随着人们对肩锁关节脱位解剖特点及周围韧带生物力学特征的不断深入研究,治疗方法也在发生变化,治疗方法种类繁多,疗效不一.近年来,材料科学、微创技术的进步为肩锁关节脱位的治疗提供了更多的选择,手术方式趋向于微创化和解剖重建.笔者就肩锁关节解剖特点、脱位分型、诊断及手术治疗方式选择等作一综述,以期为临床治疗提供帮助.%Dislocation of acromioclavicular joint is a common injury of shoulder,which
occurs
often
in
young
and
middle-aged
people,accounting for 4％-6％ of joint dislocation and 12％ of shoulder injury.The main injury mechanism is the adduction of upper limbs due to the acromioclavicular ligament and the sacral ligament injury caused by the strong direct violence against the shoulder.Another mechanism is the acromioclavicular ligament injuries caused by the indirect violence against the hand first when the upper limbs are abducted.The symptoms include local pain of the affected shoulder joint and confined
肩锁关节脱位治疗的研究进展
