锁骨钩钢板治疗Rockwood Ⅲ型肩锁关节脱位的治疗分析

Study of treatment of Rockwood type Ⅲ acromioclavicular dislocation with Hook plate

[目的]探讨RockwoodⅢ型肩锁关节脱位行锁骨钩钢板手术治疗后肩关节疼痛、活动受限的原因。[方法]苏北人民医院和苏州大学附属第二医院自2008年2月～2011年2月共35例RockwoodⅢ型肩锁关节脱位病人,无骨折、神经损伤及血管损伤等其他合并伤,其中,男23例,女12例,平均42.4岁,行锁骨钩钢板手术治疗,术后按调整的Constant-Murley随访观察各病例肩关节恢复情况,平均随访13.5个月。[结果]35例RockwoodⅢ型肩锁关节脱位行锁骨钩钢板手术治疗中,有11例出现不同程度的肩关节肩痛、活动受限的症状,统计检验无肩痛、活动受限症状病例与有肩痛、活动受限症状病例之间评分差异有统计学意义(P<0.05)。[结论]RockwoodⅢ型肩锁关节脱位行锁骨钩钢板手术治疗术后易出现肩痛、活动受限的症状,会明显影响肩关节功能恢复。

[ Objective] To analyze shoulder pain and restricted movement after treatment with Hook plate about Rockwood type Ⅲ acromioclavicular dislocation patients. [ Method] From February,2008 to February,2011,35 Rockwood type Ⅲ acromi- oclavicular dislocation patients （23 male and 12 female, average age 42.4） were treated in our hospital. They were treated with Hook plate. Adjusted Constant-Murley score was used to evaluate shoulder function. The Average follow-up time were 13.5 months. [ Result] In Rockwood type Ⅲ acromioclavicular dislocation, there were 11 cases with different grade shoulder pain and restricted movement in the 19 patients. The score difference was significant （P 〈 0.05 ）. [ Conclusion] Rockwood type Ⅲ acro- mioclavicular dislocation, treated with Hook plate leads to high rate of shoulder pain and restricted movement, which is not bene- ficial to functional rehabilitation.