同側肩甲帯周囲重複損傷に対する手術治療
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概要
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<B>Background:</B> The purpose of this study was to report the clinical results of surgical treatment for ipsilateral Complex injury of the shoulder girdle.<BR><B>Methods:</B> We studied five male patients who underwent surgical intervention and followed up for more than 6 months. The average age was 47.0 (28-63) years old and mean follow up period was 11.4 (6-15) months. Preoperatively, we evaluated the injuries using X-ray photo and 3D-CT. The injuries of the shoulder girdle were scapular body and clavicle shaft fractures in 3 cases, scapular body and coracoid process fractures with a fracture of distal clavicle in 1 case and comminuted scapular fractures with a dislocation of the acromioclaviclar joint (AC joint) in 1 case. The associated injuries were chest injuries including rib fractures, pelvic fractures, head traumas and ipsilateral fracture of upper extremity. Surgeries performed were osteosynthesis of unstable coracoid process or clavicle fracture alone for 4 cases and osteosynthesis of glenoid neck and scapular spine with fixation of AC joint for 1 case.<BR><B>Results:</B> At the final examinations, all the patients got bone union and the mean JOA score was 94.8(83-100) points.<BR><B>Discussion:</B> Several papers recommended a surgical treatment for unstable complex shoulder girdle injury including floating shoulder. It is difficult to evaluate such injuries with X-ray photo alone and 3D-CT image is necessary for correct diagnosis. Appropriate surgical treatments with accurate diagnosis of the ipsilateral complex injury of the shoulder girdle can lead to good clinical and functional results.
- 日本肩関節学会の論文
日本肩関節学会 | 論文
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