首页|肩锁关节脱位的生物力学研究及治疗进展

肩锁关节脱位的生物力学研究及治疗进展

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肩锁关节在肩关节的整体结构里占据了核心地位,它也被视为一种微小的活动性关节。其损伤后易引起肩关节功能障碍。通过影像学检查即可进行脱位的初诊断,肩锁关节脱位目前采用Rockwood分型,共有六型。Ⅰ、Ⅱ型肩锁关节脱位建议保守治疗,Ⅲ型是保守还是手术治疗目前存在一定争议,Ⅲ型以上的均建议手术治疗。近些年来出现了新技术、新手术方式及各种内固定装置治疗肩锁关节脱位,但最佳的手术方式仍未统一。从以往刚性内固定到目前的弹性固定、肌腱移植修复韧带等技术的出现,更好地治疗了肩锁关节脱位。肩锁关节脱位的合理治疗方案应根据损伤的严重程度、受伤时间及功能需求来制定。本文就肩锁关节周围韧带的生物力学研究以及肩锁关节脱位的损伤机制、分型和不同的治疗方式进行综述。
BIOMECHANICAL RESEARCH AND TREATMENT OF ACROMIOCLAVICULAR JOINT DISLOCATION
The acromioclavicular joint occupies a central position in the overall structure of the shoulder joint and is al-so regarded as a small movable joint[1].After injury,it is easy to cause shoulder joint dysfunction.The initial diagnosis of dislo-cation can be made through imaging examination.Currently,Rockwood classification is used for acromioclavicular joint disloca-tion,with a total of type Ⅵ.Type Ⅰ、Ⅱ acromioclavicular joint dislocation suggests conservative treatment,while conservative treatment or surgical treatment is currently controversial for type Ⅲ dislocation.In recent years,there are new techniques,new surgical methods and various internal fixation devices for the treatment of acromioclavicular dislocation,but the best surgical method is still not unified.From rigid internal fixation to elastic fixation and tendon transplantation to ligament repair,the dislo-cation of acromioclavicular joint has been better treated.The proper treatment of acromioclavicular dislocation should be based on the severity of injury,injury time and functional requirements.This article reviews the biomechanical study of the ligaments around the acromioclavicular joint,the injury mechanism,types and different treatment methods of acromioclavicular joint dis-location.

acromioclavicular dislocationligamentsbiomechanicstreatment mode

邵梦伟、周一飞、郑钧、张志鹏、尹洁、王明波、郭军

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内蒙古医科大学,内蒙古 呼和浩特 010059

内蒙古医科大学第二附属医院创伤外科中心B区,内蒙古 呼和浩特 010012

肩锁关节脱位 韧带 生物力学 治疗方式

内蒙古医科大学面上项目

YKD2023MS003

2024

内蒙古医科大学学报
内蒙古医学院

内蒙古医科大学学报

CSTPCD
影响因子:1.512
ISSN:2095-512X
年,卷(期):2024.46(1)