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Abstract Objective To investigate the influencing factors and causes of subacromial impingement syndrome after acromioclavicular dislocation treated by clavicular hook plate.Methods We conducteda retrospective study of 36 patients with Rockwood type Ⅲ acromioclavicular dislocationtreated by hook plate from June 2014 to October 2016 in Jiangsu province hospital of TCM.This study included two groups.There were 18 patients with subacromial impingement syndrome after clavicular hook plate treatment as experimental group，and 18 patient without syndrome as control group.Joint range of motion，acromion index and acromion were assessed by Constant score measured and by Grasheyview image of shoulder.Results The Constant score of shoulder joint in the control group (90.17±1.73) was much better than that in the experimental group (57.02±1.49) 6 months after operation，with statistical difference.The acromion index of the experimental group was (0.79±0.07)，while that of the control group was (0.56±0.09)(P＜ 0.05)，which suggested there was a positive correlation between the incidence of acromion impingement and the acromion index.The acromion type showed no statistical significance between the two groups(P＞0.05)，but the type Ⅲ accounted for a larger proportion in the experimental group(66.7％).Conclusion The acromion index and the acromion morphology influence the occurrence of subacromial impingement syndrome after acromioclavicular dislocation treatment with hook plate.
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［1］Schindler A，Schmid JP，Heyse C.Temporary fixation with the Balser hook plate in the treatment of a fresh and complete acromioclavicular joint dislocation.Results of the follow-up of 41 patients［J］.Unfallchirurg，1985，88(12)：533-540.
［2］Sim E，Schwarz N，Hocker K，et al.Repair of complete acromioclavicular separations using the acromioclavicular-hookplate［J］.Clin Orthop Relat Res，1995(314)：134-142.
［3］Bostrom WHA，von HJP，Une-Larsson VE，et al.Surgical treatment of chronic acromioclavicular dislocations：A comparative study of Weaver-Dunn augmented with PDS-braid or hook plate［J］.J Shoulder Elbow Surg，2010，19(7)：1040-1048.
［4］Tibone J，Sellers R，Tonino P.Strength testing after third-degree acromioclavicular dislocations［J］.Am J Sports Med，1992，20(3)：328-331.
［5］Post M.Current concepts in the diagnosis and management of acromioclavicular dislocations［J］.Clin Orthop Relat Res，1985(200)：234-247.
［6］Saha AK.Mechanism of shoulder movements and a plea for the recognition of “zero position” of glenohumeral joint［J］.Indian J Surg，1950，12(2)：153-165.
［7］Mulier T，Stuyck J，Fabry G.Conservative treatment of acromioclavicular dislocation.Evaluation of functional and radiological results after six years follow-up［J］.Acta Orthop Belg，1993，59(3)：255-262.
［8］Shamus JL，Shamus EC.A taping technique for the treatment of acromioclavicular joint sprains：a case study［J］.J Orthop Sports Phys Ther，1997，25(6)：390-394.
［9］Rawes ML，Dias JJ.Long-term results of conservative treatment for acromioclavicular dislocation［J］.J Bone Joint Surg (Br)，1996，78(3)：410-412.
［10］Tumbull JR.Acromioclavicular joint disorders［J］.Med Sci Sports Exerc，1998，30(4 Suppl)：26-32.
［11］Sim E，Schwarz N，Hocker K，et al.Repair of complete acromioclavicular separations using the acromioclavicular-hook plate［J］.Clin Orthop Relat Res，1995(314)：134-142.
［12］De Baets T，Truijen J，Driesen R，et al.The treatment of acromioclavicular joint dislocation Tossy grade Ⅲ with aclavicle hook plate［J］.Acta Orthop Belg，2004，70(6)：515-519.
［13］Lee KW，Lee SK，Kim KJ，et al.Arthroscopic-assisted locking compression plate clavicular hook fixation for unstable fractures of the lateral end of the clavicle：a prospective study［J］.Int Orthop，2010，34(6)：839-845.
［14］章大伟，袁西儿，周强，等.锁骨钩钢板治疗Tossy Ⅲ型肩锁关节脱位的随访探讨［J］.浙江创伤外科，2011，16(1)：108-109.
［15］Shih CM，Huang KC，Pan CC，et al.Biomechanical analysis of acromioclavicularjoint dislocation treated with clavicle hook plates in different lengths［J］.Int Orthop，2015，39(11)：2239-2244. |
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