Rockwood Ⅲ型肩锁关节损伤保守治疗的并发症研究进展

Research progress on complications of Rockwood type Ⅲ acromioclavicular joint injury after conservative treatment

肩锁关节(Acromioclavicular Joint,ACJ)损伤,在急诊或骨科门诊较为常见,目前在RockwoodⅢ型ACJ损伤治疗方法的选择还存在很大的争议。目前治疗方式主要分为保守和手术治疗,在RockwoodⅢ型中保守治疗和手术治疗的试验中得到的证据显示,两组在最终的肩关节功能方面没有统计学上的显著差异。采用手术还是保守治疗,ACJ都会遗留不同程度的功能障碍,但是大部分的专家学者建议RockwoodⅢ型ACJ损伤,首先应给予保守治疗,保守治疗效果不理想时再采用手术治疗,RockwoodⅢ型ACJ损伤会对上肢功能产生重要影响,这与肩胛带和颈椎痛有关。由于疼痛、不稳定和活动受限,约20%的患者接受保守治疗的结果令人不满意。因此本文主要对RockwoodⅢ型ACJ损伤采用保守治疗产生的并发症做一综述。

Injuries of the acromioclavicular joint(ACJ)are common in the emergency department and at present,the selection of treatment methods for Rockwood typeⅢinjury is still controversial.At present,the selection of treatment methods for Rockwood typeⅢACJ injury is still controversial.At present,the treatment is mainly divided into conservative and surgical treatment and there was no statistically significant difference in final shoulder function between the two groups in the Rockwood typeⅢtrial of conservative and surgical treatment.ACJ remains dysfunction to varying degrees with or without surgical or conservative treatment.However,most experts and scholars suggest that for Rockwood typeⅢACJ injury,conservative treatment should be given first,and surgical treatment should be adopted if the effect of conservative treatment is not ideal.Rockwood typeⅢACJ injury can have a significant impact on upper limb function,which is associated with shoulder band and cervical pain.Approximately 20%of patients who receive conservative treatment have unsatisfactory outcomes due to pain,instability,and limited mobility.Therefore,this article mainly reviews the complications of conservative treatment of Rockwood typeⅢACJ injury.