上肩胛悬吊带复合体双重损伤治疗方法选择  

Treatment of double disruption of the superior shoulder suspensory complex

作　　者：高宜军 王渊 王洪震 贾正平 吴志强 钱荣勋 

机构地区：[1]江苏省昆山市第一人民医院关节科,215300

出　　处：《国际骨科学杂志》2011年第2期124-126,共3页International Journal of Orthopaedics

摘　　要：目的探讨上肩胛悬吊带复合体(SSSC)双重损伤治疗方法的选择。方法 2004年1月至2008年9月收治SSSC双重损伤患者10例。非手术治疗3例,手术治疗7例(锁骨或肩锁关节内固定,其中4例同时行肩胛骨内固定)。结果全部患者获得随访6～36个月,平均11个月。根据Herscovici标准评定肩关节功能,非手术治疗组优1例,良2例;手术治疗组优4例,良2例,可1例。结论 SSSC双重损伤多为高能量暴力所致不稳定肩胛带损伤,治疗方案上尚有争议,但对锁骨骨折伴同侧肩胛骨外科颈骨折移位均明显的患者进行手术治疗是必要的,以重建肩关节稳定,促进关节功能早期康复。Objective To discuss the effective methods for treatment of double disruption of the superior shoulder suspensory complex（SSSC）.Methods From January 2004 to September 2008,ten cases with double disruption of SSSC were admitted in our hospital.Three cases with no or minimal displacement were treated non-operationly,and 7 cases were treated operatively,the clavicle fractures were reduced and fixed with reconstructive plates,the scapular fractures were treated operatively or non-operationly depending on the stability of clavicle fractures during the surgery.Results All 10 cases were followed up for 6-36 mouths（average 11 mouths）.Herscovici score showed that 1 case excellent,2 cases good among the patients treated nonoperationly,and 4 cases excellent,2 cases good,1 case fair among the patients treated operationly.Conclusions The double disruption of SSSC is an instable injury of the shoulder girdle caused usually by high energy violence.Although the suitable treatment option still remain controversy,it is necessary to reduce the severe displaced clavicle and scapular neck fracture to reconstruct the stability of shoulder and facilitate healing of shoulder joint function.

关 键 词：肩胛骨骨折 锁骨骨折 上肩胛悬吊带复合体 浮肩损伤 

分 类 号：R687.3[医药卫生—骨科学]