肩锁关节劳损的诊断与注射治疗  

Diagnosis and injection treatment of sprain of the acromioclavicular joint

作　　者：余少芝[1] 石岳琴[1] 金绍岐[1] 谢培邦[1] 

机构地区：[1]第四军医大学附属西京医院门诊部,陕西西安710032

出　　处：《局解手术学杂志》2005年第1期9-10,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的　探讨肩锁关节轻度损伤的诊断与强的松龙局部注射疗法。方法　选择门诊确诊为肩锁关节扭伤或劳损的患者 15例 ,采取强的松龙混悬液 2 5mg加 1%普鲁卡因或 2 %利多卡因 5ml注射关节腔及肩锁韧带的方法 ,未用其他治疗。结果　多数病例在注射后 1周左右痊愈。少数病例经 2～ 3次注射 ,每次间隔 1周 ,而后痊愈。个别病例数月或数年后复发 ,以相同方法治愈。结论　对诊断正确的轻度肩锁关节损伤 (劳损或扭伤 ) ,采取局部注射强的松龙的方法 。Objective To explore the diagnosis and injection treatment of mild degree injury of the acromioclavicular joint with prednisolone. Methods Fifteen cases of confirmed sprain or strain of the acromioclavicular joint in out-patient department were selected and treated with 25 mg prednisolone plus 5 ml 1% procaine or 2% lidocaine by way of local injection into the capsular ligament and the articular cavity. Other treatment was not employed. Results Most patients were recovered one week after the injection treatment, but others were recovered after 2-3 injections at one-week interval. Recurrence was found in a few patients several months or years later, but they were cured by the above-mentioned method. Conclusion Local injection of prednisolone for the treatment of mild sprain or strain of the acromioclavicular joint can result in satisfactory therapeutic efficacy.

关 键 词：肩锁关节 损伤 注射治疗 强的松龙 

分 类 号：R684[医药卫生—骨科学]