Diagnosis and surgical treatment of multiple disruptions of superior shoulder suspensory complex
XIANG Jie, YANG Zhi-jun, ZHANG Hao-wei, HUANG Ji-feng
Chinese Journal of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (5) : 582-585.
Diagnosis and surgical treatment of multiple disruptions of superior shoulder suspensory complex
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.
Scapular fracture / Clavicle fracture / Superior Shoulder Suspensory Complex / Floating shoulder injury
[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.
/
〈 |
|
〉 |