上肩胛悬吊复合体多重损伤的诊断和手术治疗  

Diagnosis and surgical treatment of multiple disruptions of superior shoulder suspensory complex

作　　者：向杰[1] 阳志军[1] 张浩伟 黄继锋 XIANG Jie;YANG Zhi-jun;ZHANG Hao-wei;HUANG Ji-feng(Department of Orthopaedics and Traumatology,The First Affiliated Hospital of University of South China,Hengyang 421001,China;Department of Orthopedics,Wuhan General Hospital of PLA,Wuhan 430070,China)

机构地区：[1]南华大学附属第一医院创伤骨科,衡阳421001 [2]解放军武汉总医院骨科,武汉430070

出　　处：《中国临床解剖学杂志》2018年第5期582-585,共4页Chinese Journal of Clinical Anatomy

摘　　要：目的探讨上肩胛悬吊复合体（Superior shoulder suspensory complex, SSSC）多重损伤的诊断方法及手术治疗疗效。方法 2012年至2016年我科收集的15例病例,骨折根据两柱单环理论进行诊断,所有骨折均有两柱单环结构中两处以上破裂,并给予两处以上手术固定。结果 15例病人均获得随访,时间6-48个月,平均16个月。根据Herscovici肩关节量表功能评定：优8例,良4例,可2例,差1例,优良率80%。手术患者中末次随访有6例轻度疼痛（VAS评分1-3分）,1例病人中度疼痛（VAS评分4-6分）,1例病人重度疼痛（VAS评分7-9分）。结论通过手术恢复SSSC的两柱一环结构的完整性、双重稳定固定是SSSC多重损伤获得良好预后的治疗关键。Objective The purpose of this study is to demonstrate diagnosis and treatment of patients with multiple disruptions of superior shoulder suspensory complex（SSSC）. Methods Between 2012 and2016, we treated 15 patients with multiple disruptions of the SSSC, which were diagnosed according to the theory of two columns and single rings. All patients had more than two lesions to the SSSC and were treated by double fixation of superior shoulder suspensory complex. Results All the patients were followed up for 6 to 48 months﹙16 months on average﹚. According to Herscovici shoulder scale, the shoulder function was excellent in 8 cases, good in 4 cases, fair in 3 cases, poor in 1 cases, which means excellent and good rate was 80%. Final pain was reported as minimal（6 cases; 1-3 VAS）, moderate（1 case; 4-6 VAS）, and high（1 case; 7-10 VAS）. Conclusions The restoration of the stability and integrity of superior shoulder suspensory complex is the key to achieve satisfactory outcome.

关 键 词：肩胛骨骨折 锁骨骨折 上肩胛悬吊复合体 浮肩损伤 

分 类 号：R681.7[医药卫生—骨科学]