重视肩关节功能的修复与重建  

Key points of the reconstruction of the shoulder joint

作　　者：吴克俭[1] 黄鑫[1] WU Keojian HUANG xin.(Orthopaedic Institute, the first Affiliate Hospital of PLA General Hospital, Beijing, 100048, PRC)

机构地区：[1]解放军总医院第一附属医院骨科,北京100048

出　　处：《中国骨与关节杂志》2016年第9期641-646,共6页Chinese Journal of Bone and Joint

摘　　要：肩关节是上肢的功能重要组成部分,因为上肢功能是进行日常的细微、复杂动作,为人们日常生活、劳动的主要器官,损伤机会较多。上肢任何部位的损伤都会给患者造成生活、工作困难和精神负担,双侧上肢或优势侧损伤者尤甚。肩关节周围损伤需倍加认真处理。Proper functions of the shoulder joint contribute greatly to the good quality of life of patients, therefore, the treatment is very important. In this paper, we will discuss four different kinds of shoulder joint injury and the treatment methods.（ 1） the proximal humeral fracture. Neer proposed a classification of proximal humeral fracture on the basis of Codman＇s work. For different types of fracture, conservative treatment and surgical treatment both have their own indications. However, inappropriate conservative treatment is more likely to lead to a decline in limb functions.（ 2） the acromioclavicular joint injury. Rockwood classification system has been commonly used. Conservative treatment is suitable for type I or II injuries, but surgical treatment is more suitable for type IV.（ 3） huge rotator cuff injury.It can cause severe shoulder dysfunction and demandsindividualized treatment.（ 4） Poland syndrome. It is characterized by unilateral breast congenital dysplasia or absence（ rare bilateral） and ipsilateral syndactyly. A comprehensive evaluation of Poland syndrome is beneficial to guide the treatment and predict the prognosis.

关 键 词：肱骨骨折 肩锁关节 肩骨折 骨折 创伤和损伤 

分 类 号：R687.4[医药卫生—骨科学]