锁骨远端切除对锁骨功能影响的临床研究

The clinical analysis of distal clavicle resection influence on the clavicle functions

目的探讨锁骨远端切除对锁骨功能(头颈部和肩关节活动)的影响。方法采用锁骨远端切除术对锁骨远端骨折、肩锁关节骨折或骨折脱位及肩锁关节炎共37例患者进行治疗,其中锁骨远端粉碎性骨折9例,肩锁关节骨折脱位23例,肩锁关节炎5例。结果 37例皆获得了随访,随访时间平均为1年。患者的肩关节活动基本或达到正常,和健侧肩关节功能对比,差异无统计学意义。结论头肩关节活动取决于锁骨的位置和稳定性,锁骨远端切除近期对锁骨功能没有明显影响。

Objective To study the distal clavicle resection influence on the clavicle function （Head and neck and shoulder range of motion）. Methods From 2005 to 2010, 37 cases of the distal clavicle fracture, fracture and dislocation of acromioclavicular and acromioclavicular arthritis were surgically treated by using distal clavicle resection. There were 9 cases in which distal clavicle conminuted fracture, acromioelavieular joint fracture - dislocation in 23 cases, 5 cases of acromioclavicular arthritis. Different cases of the above methods using different surgical treatment. Results 37 patients were obtained followed up of an average of I year. Activity in patients with head and neck and shoulder joint activities to achieve the basic or normal, and the contralateral shoulder function were compared, there was no significant difference. Conclusion The head and neck and shoulder range of motion depends on the location and stability of the clavicle, distal clavicle resection did not affect the function of the clavicle.