锁骨钩钢板内固定术后肩痛原因分析及对策

Countermeasures and omalgia cause analysis after clavicular hook plate fixation

目的:总结锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位引起患肩疼痛的原因,预防在以后手术中出现相同并发症。方法:应用锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位共53例,对临床效果及可能引起患肩疼痛的原因进行回顾性分析。结果:术后所有患者伤口均Ⅰ期愈合。所有患者均随访,随访时间8～18个月,平均12个月。术后出现患肩疼痛13例,其中10例于解除内固定后疼痛缓解,3例仍残留患肩疼痛,但均较解除内固定前肩痛减轻。结论:内固定物的置入,是造成患肩疼痛的原因之一。手术者应了解内固定后引起肩痛的原因,降低肩部疼痛的发生率。

Objective Summarize the clavicular hook plate in treat of distal clavicular fracture and the cause of the pain of the shoulder after dislocation of the acromioclavicular joint and prevent the same complications after surgery. Methods from June 2006 to July2012, in total of 53 cases of distal clavicle fracture and acromioclavicular jointour department was treated by clavicular hook plate, retrospective mlal- ysis of a clinical effect and the probable cause from shoulder pain. Resu/ts All of the wounds were healing well alter the surgexT~. All pa- tients were followed up randomly. Follow up from 8 to 18 months,an average of 12 months. 13 cases appeared shoulder pain after the surger- y, of which 10 cases were relived after the internal fixationg was removed, three of them were till suffering shoulder pain, but compared with lifting of internal fixation the shoulder pain was relieve. Conclusion In placement of the internal fixation,is one of the reasons for cause of shoulder pain. Surgery should be aware of that the internal fixation could cause the shoulder pain,and reduce the incidence of shoulder pain.