上肩胛悬吊复合体多重损伤的诊断和手术治疗

向杰,阳志军,张浩伟,黄继锋

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (5) : 582-585.

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (5) : 582-585. DOI: 10.13418/j.issn.1001-165x.2018.05.020
临床研究

上肩胛悬吊复合体多重损伤的诊断和手术治疗

  • 向杰1, 阳志军1, 张浩伟1, 黄继锋2
作者信息 +

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

  • XIANG Jie1,  YANG Zhi-jun1, ZHANG Hao-wei1, HUANG Ji-feng2
Author information +
文章历史 +

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。

Abstract

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 and 2016, 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; 7-10VAS). 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

Key words

Scapular fracture / Clavicle fracture / Superior Shoulder Suspensory Complex / Floating shoulder injury

引用本文

导出引用
向杰,阳志军,张浩伟,黄继锋. 上肩胛悬吊复合体多重损伤的诊断和手术治疗[J]. 中国临床解剖学杂志. 2018, 36(5): 582-585 https://doi.org/10.13418/j.issn.1001-165x.2018.05.020
XIANG Jie, YANG Zhi-jun, ZHANG Hao-wei, HUANG Ji-feng. Diagnosis and surgical treatment of multiple disruptions of superior shoulder suspensory complex[J]. Chinese Journal of Clinical Anatomy. 2018, 36(5): 582-585 https://doi.org/10.13418/j.issn.1001-165x.2018.05.020

参考文献

[1] Goss TP, Double disruptions of the superior shoulder suspensory complex. [J]. J Orthop Trauma, 1993,7(2):99-106.
[2]  Yadav V, Khare GN, Singh S, et al. A prospective study comparing conservative with operative treatment in patients with a 'floating shoulder' including assessment of the prognostic value of the glenopolar angle[J]. Bone Joint J, 2013,95-B(6):815-819.
[3]  Oh CW, Jeon IH, Kyung HS, et al. The treatment of double disruption of the superior shoulder suspensory complex. [J]. Int Orthop 2002, 26(3):145-149.
[4]  陈明, 曾敬军, 曾永平, 等. 手术治疗浮肩损伤的早期疗效观察[J]. 中国骨与关节损伤杂志, 2017, 32(07):758-759.
[5]  Herscovici D Jr, Fiennes AG, Allgöwer M, et al. The floating shoulder: ipsilateral clavicle and scapular neck fractures [J]. J Bone Joint Surg Br,1992,74(3): 362-364.
[6] Pailhes RG, Bonnevialle N, Laffosse J, et al. Floating shoulders: Clinical and radiographic analysis at a mean follow-up of 11 years [J].Int J Shoulder Surg,2013,7(2):59-64
[7] 段连鸿, 黄继锋, 赵卫东, 等. 浮肩损伤内固定方式选择的生物力学研究[J]. 中国临床解剖学杂志,2011, 39(3): 339-342.
[8]  段连鸿, 黄继锋, 梁栋柱, 等. 肩锁关节脱位并肩胛颈骨折内固定治疗的生物力学研究[J]. 华南国防医学杂志, 2011, 25(1):41-56.


Accesses

Citation

Detail

段落导航
相关文章

/