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首页 > 医学词汇大全 > Acromioclavicular Joint Dislocation
Acromioclavicular Joint Dislocation

骨科

关键词骨科 疾病 肩部损伤

词汇介绍

拓展阅读

解析

Acromioclavicular /ə,krəumiəuklə'vikjulə/  

释义   adj. 肩锁的 

例句   Wire fixation between coracoid process and clavicle plus ligament repaired is a reliable way for acromioclavicular joint dislocation. 喙锁间钢丝固定韧带修复是治疗肩锁关节脱位的一种可靠方法。

 

Dislocation 英 /,dɪslə(ʊ)'keɪʃ(ə)n/  美 /,dɪslo'keʃən/  

释义   n. 转位;混乱;[医] 脱臼

复数 dislocations 

例句   It is very important that you follow their advice to avoid complications or dislocation of your new joint. 这是非常重要的,你按照他们的意见,以避免并发症或您的新的关节脱位。

概述

肩锁关节脱位约占肩部损伤的12%,是易被忽略的脱位之一,传统治疗以非手术治疗为主,近年来大多数学者倾向于手术治疗。病因及临床意义大部分因直接暴力引起,跌伤肩部外侧或硬物击中肩部,使肩部下陷,上臂在轻度内旋外展位,损伤力量集中在肩锁韧带、喙锁韧带。Jacobs等人报告的116例肩锁关节脱位中,直接暴力伤有102例。少数为间接暴力引起,肘部或手伸直位跌伤,肱骨头撞击于肩峰下,常见于球类、冲撞运动损伤。分类与分型目前多采用Rockwood分类,共六级,倾向于病理解剖,更详细准确。I级:肩锁韧带披伤

Voluntary acromioclavicular joint dislocation: a case report and literature review复制标题

自愿性肩锁关节脱位1例并文献复习

发表时间:2019-07-21

影响因子:2.9

作者: Stephen R. Barchick

期刊:J Shoulder Elbow Surg

Patients with arthroscopic anatomic reconstruction of the AC joint for the treatment of chronic post-traumatic dislocation have complications ranging from 27% to 52% and have lower overall satisfaction with surgery. Loss of fixation and/or graft failure is the most likely reason for radiographic failure seen in patients postoperatively. One systematic review of complications after arthroscopic AC joint reconstruction showed a loss of reduction in 26.8% of cases. Milewski et al reported that 8 of 27 patients (30%) with AC joint reconstruction showed loss of reduction. Although we must caution extrapolation from a single case, the voluntary nature of this patient’s AC pathology may portend the same poor outcome as that of stabilization of voluntary glenohumeral joint dislocations, where recurrence rates range from 17% to 96% with a historical average of 67%.

译文

AC关节的关节镜解剖重建用于治疗慢性创伤后脱位的患者具有27%至52%的并发症,并且对手术的总体满意度较低。 固定失败和/或移植失败是术后患者出现放射照相失败的最可能原因。 对关节镜下AC关节重建术后并发症的系统评价显示,26.8%的病例减少了。 Milewski等报道,27名患有AC关节重建的患者中有8名(30%)表现出减少的减少。 尽管我们必须谨慎推断单个病例的推断,但该患者的AC病理学的自愿性质可能预示着与稳定自愿性盂肱关节脱位相同的不良结果,其中复发率为17%至96%,历史平均值为67%。%。