New insights in the treatment of acromioclavicular separation  

作　　者：Christiaan J A van Bergen Annelies F van Bemmel Tjarco D W Alta Arthur van Noort 

机构地区：[1]Department of Orthopaedic Surgery,Amphia Hospital [2]Department of Orthopaedic Surgery,Spaarne Gasthuis,Hoofddorp 2134 TM

出　　处：《World Journal of Orthopedics》2017年第12期861-873,共13页世界骨科杂志（英文版）

摘　　要：A direct force on the superior aspect of the shoulder may cause acromioclavicular(AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types Ⅰ?and Ⅱ are treated nonoperatively, while types Ⅳ, Ⅴ and Ⅵ are generally treated operatively. Controversy exists regarding the optimal treatment of type Ⅲ dislocations in the high-demand patient. Recent evidence suggests that these should be treated nonoperatively initially. Classic surgical techniques were associated with high complication rates, including recurrent dislocations and hardware breakage. In recent years, many new techniques have been introduced in order to improve the outcomes. Arthroscopic reconstruction or repair techniques have promising short-term results. This article aims to provide a current concepts review on the treatment of AC dislocations with emphasis on recent developments.A direct force on the superior aspect of the shoulder may cause acromioclavicular(AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types Ⅰ?and Ⅱ are treated nonoperatively, while types Ⅳ, Ⅴ and Ⅵ are generally treated operatively. Controversy exists regarding the optimal treatment of type Ⅲ dislocations in the high-demand patient. Recent evidence suggests that these should be treated nonoperatively initially. Classic surgical techniques were associated with high complication rates, including recurrent dislocations and hardware breakage. In recent years, many new techniques have been introduced in order to improve the outcomes. Arthroscopic reconstruction or repair techniques have promising short-term results. This article aims to provide a current concepts review on the treatment of AC dislocations with emphasis on recent developments.

关 键 词：ACROMIOCLAVICULAR dislocation ROCKWOOD classification Coracoclavicular LIGAMENT RECONSTRUCTION Hookplate Arthroscopically assisted ACROMIOCLAVICULAR RECONSTRUCTION Weaver and Dunn procedure Conoid and TRAPEZOID LIGAMENTS 

分 类 号：R687.4[医药卫生—骨科学]