翟伟韬 蒋 仲飚 程海涛 沈灏 曾炳芳 上海市第六人民医院骨科，上海 200233 临床骨科杂志 1999 0 2 3


    关键词：肩峰下撞击综合征； 前肩峰成形术 期刊 lcgkzz 0 临床研究 fur -->


    

【摘要】 目的 探讨前肩峰成形术治疗肩峰下撞击综合征的方法和效果。 方法 用前肩峰成形术治疗23例经保守治疗无效的Ⅱ级肩峰下撞击综合征患者。结果 随访7～18个月(平均10个月)，20例满意；3例不满意，其中2例因实际截骨厚度不足无改善，1例因合并肩锁关节炎失败，切除锁骨外侧端后治愈。UCLA平均分从术前15.6分改善到32.4分。结论 前肩峰成形术治疗肩峰下撞击综合征方法简单，效果良好。明确的诊断、准确的截骨量、术后早期锻炼是手术成功的关键。

    【中图分类号】 R687.3

Anterior acromioplasty for subacromial impingement syndrome

Zhai Weitao, Jiang Yao, Zhong Biao, Cheng Haitao, Shen Hao, Zeng Bingfang

(Department of Orthopaedics, Shanghai No 6 People's Hospital, Shanghai 200233)

【Abstract】 Objective To investigate the surgical technique of anterior acromioplasty and its effect in clinical practice. Methods Anterior acromioplasty was performed in 23 patients to treat their grade Ⅱ subacromial impingement unresponsive to conservative treatment. Results Through follow-up of 7～18 (averaged 10 months) 20 cases revealed satisfactory results; 3 cases get unsatisfactor results in which 2 cases showed no improvement because of inadequate actual thickness of bone cutting, and 1 case failed to treatment due to complication with A-C joint disease but cured with resection of the lateral end of clavicle. The average total score according to UCLA improved from 15.6 to 32.4 points. Conclusion Anterior acromioplasty is a simple and effective technique to treat subacromial impingement syndrome. Correct diagnosis, precise osteotomy and early postoperative exercises are the key to success.

    【Key words】 subacromial impingement syndrome; anterior acromioplasty

Neer于1972年提出肩峰下撞击综合征的概念 ......