13例浮肩损伤的个性化治疗  

Personalized Treatment of Floating Shoulder Injuries:Report of 13 Cases

作　　者：吴斌[1] 邓洲铭[1] 戢涛[1] 严磊[1] 蔡林[1] 

机构地区：[1]武汉大学中南医院骨外科,湖北武汉430071

出　　处：《武汉大学学报（医学版）》2013年第3期437-440,共4页Medical Journal of Wuhan University

摘　　要：目的:探讨浮肩损伤(FSI)的临床个性化治疗。方法:回顾性分析我院收治的13例FSI患者的临床资料,5例行三角巾固定,其余8例均行手术治疗,其中单纯行锁骨切开复位内固定4例,同时行肩胛骨内固定4例,根据Constant-Murley评分对患者的预后进行评价。结果:11例患者获得随访5-76个月,平均18个月。Constant-Murley评分为67-94分,平均82.4分。结论:浮肩损伤大多由于高能量暴力所致的不稳定性肩关节损伤,常合并多种并发损伤,其治疗选择存在诸多争议,应根据个体差异选择合适的治疗方案。Objective： To investigate the clinical features and therapeutic methods of floating shoulder injuries（FSI）.Methods： Clinical data of 13 patients with FSI admitted to our hospital from Febrary 2006 to May 2012 were retrospectively reviewed.Five cases were treated with triangular bandage immobilization. Of the 8 cases with open reduction,4 cases had internal fixation of only clavicle or acromioclavicular joint,and 4 cases had internal fixation of both clavicle and scapular.Results： Eleven cases were followed up for 5 to 76 months,and the mean follow-up time was 18 months.According to Constant and Murleys evaluation,the scores ranged from 67 to 94,and the average was 82.4.Conclusion： FSI is caused by high energy violence which injuries the shoulder girdle.It’s usually accompanied by various associated injuries.There is sorne dispute about the treatment.The proper treatment should be selected according to individual situation.

关 键 词：肩胛骨 锁骨 浮肩损伤 治疗 

分 类 号：R683[医药卫生—骨科学]