浮肩损伤的手术治疗策略

发布时间：2018-01-26 15:24

本文关键词： 肩关节多处创伤骨折固定术内肩胛骨韧带关节　出处：《北京大学学报(医学版)》2013年05期 　论文类型：期刊论文

【摘要】：目的:探讨浮肩损伤的特点和手术治疗策略。方法:2006年1月至2012年1月收治的浮肩损伤患者26例,男15例,女11例;年龄22~60岁,平均35.2岁。按Wong的分型:ⅠA型3例,ⅠB型9例;Ⅱ型4例;ⅢA型6例,ⅢB型4例。26例患者均接受手术治疗,通过X线片观察术后骨折复位及损伤修复情况、骨折愈合情况及内固定牢固程度,并定期按Constant评分和Herscovici疗效评价标准对肩关节功能进行评估。结果:26例患者均获得16.8个月(12~24个月)随访,骨折全部愈合,平均愈合时间为2.4个月。随访结果:Constant评分平均89.4分(60~100分);Herscovici疗效评价标准,优15例,良8例,可3例,优良率达88.5%。结论:切开复位内固定是治疗浮肩损伤的有效方法,但应根据骨折类型及移位程度选择复位顺序与固定方法。
[Abstract]:Objective: To investigate the characteristics and surgical treatment of floating shoulder injury. Methods: 26 patients with floating shoulder injury from January 2006 to January 2012 were patients, 15 were male, 11 were female; aged 22~60 years old, average 35.2 years old. According to Wong typing: 3 cases of type A, 9 cases of B 4 cases of type II; type; 6 cases of type A, B type of 4 cases of.26 patients underwent surgical treatment, by X-ray observation of postoperative fracture reduction and healing, healing and internal fixation of fracture, and regularly according to the Constant score and Herscovici standard of curative effect evaluation of shoulder joint function was evaluated. Results: 26 cases the patients were followed for 16.8 months (12~24 months) follow-up, all fractures healed, the average healing time of 2.4 months of follow-up. Results: the average score of Constant was 89.4 (60~100); curative effect evaluation criterion of Herscovici, 15 cases were excellent, good in 8 cases, 3 cases, the excellent rate was 88.5%. conclusion: cut open reduction internal fixation is the treatment of floating shoulder injury The effective method is to choose the order of reduction and the method of fixation according to the type of fracture and the degree of displacement.

【作者单位】：西安市红会医院创伤骨科;
【基金】：卫生公益性行业科研专项(201002014)资助~~
【分类号】：R687.3
【正文快照】： 肩关节悬吊复合体(superior shoulder suspenso-ry complex,SSSC)是稳定肩关节的重要结构,根据Goss[1]的描述,SSSC是位于锁骨和肩胛骨之间的环形骨韧带结构,包括锁骨远端-肩锁关节-肩峰、锁骨远端-喙锁韧带-喙突、肩胛盂及其周围连接。SSSC中有2个部位(或以上)的损伤,会造成肩

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