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摘要 目的 研究肩关节镜辅助下三束重建技术治疗急性肩锁关节脱位(acute acromioclavicular joint dislocation,ACJD)的中期临床疗效和放射学结果。方法 回顾性分析2016年4月至2021年4月江苏大学附属武进医院骨科收治的30例急性Rockwood Ⅲ~Ⅳ型ACJD患者临床资料,均采用肩关节镜辅助下三束重建肩锁、喙锁韧带治疗,其中男25例,女5例;年龄20~52岁,平均年龄(34.42±8.35)岁;ACJD Ⅲ级23例,Ⅳ级7例。采用Constant、Quick-DASH评分、主观肩关节评分(subjective shoulder value,SSV)和疼痛视觉模拟评分(visual analogue scale,VAS)评价肩关节恢复情况,测量喙锁距离以及患侧与健侧比例评估影像学结果。结果 30例手术患者均获得1年以上随访。术后1年Constant评分平均为(96.23±5.15)分,Quick-DASH评分平均为(0.93±1.62)分,VAS评分平均(0.42±0.84)分,SSV平均(95.33±5.86)分。2例患者脱位复发,Paxinos检测阳性,28例未复发患者Paxinos检测阴性(P=0.004)。3例患者有肩锁关节骨关节炎的表现,其中2例患者伴有肩锁关节脱位复发,1例无复发。结论 使用肩关节镜辅助下三束重建治疗急性ACJD的放射学结果令人满意,临床疗效稳定,肩锁关节脱位复发患者可能会伴有症状性骨关节炎。
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关键词 :
急性肩锁关节脱位,
肩锁韧带,
喙锁韧带,
肩关节镜,
三束重建
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基金资助:武进区2020年科技支撑计划(WS202013) |
通讯作者:
秦万金
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作者简介: 钱臣(1974- ),男,主任医师,江苏大学附属武进医院骨科,qianchen88@126.com |
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