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浮肩损伤32例的临床治疗探讨

Treatment of 32 cases with floating shoulder
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摘要 目的:探讨浮肩的手术适应证。方法:连续收集采用切开复位内固定治疗的32例浮肩患者,应用美国肩肘关节协会评分标准(ASES)评价其治疗效果。结果:切开复位内固定治疗32例,全组随访7~51个月,平均18.7个月。肩胛骨或锁骨骨折全部骨性愈合。手术组平均为90.2分。结论:如果关节盂移位超过10 mm,成角超过40°,应首选手术治疗。 Objective: To investigate the operative indication of floating shoulder. Methods: Assessed the efficacy of 32 cases with floating shouler according to the American Shoulder and Elbow Surgeons questionnaire (ASES), who received surgical treatment or conservative treatment. Results: 32 cases received surgical treatment, all eases were followed up from 7 months to 51 months, average 18.7 months. All the cases with scapula fracture or clavicle fracture healed. The average ASES score was 90.2 in surgical treatment group. Conclusion: Surgical treatment should be preferred in cases with more than 10 mm glenoid shift and more than 40^. angulation.
出处 《中国医药导报》 CAS 2011年第14期178-179,共2页 China Medical Herald
关键词 肩胛颈骨折 锁骨骨折 骨折固定术 保守治疗 Scapular neck fractures Clavicle fractures Fracture fixation Conservative treatment
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