CAJ | 학술논문

目的：探讨手术治疗肩关节上方悬吊复合体（SSSC）损伤的方法和疗效。方法收治 SSSC 损伤患者18例，其中肩胛颈骨折伴锁骨中远段粉碎性骨折6例，肩胛颈骨折伴肩峰骨折5例，锁骨远端粉碎性骨折伴肩峰及关节盂骨折2例，均行切开复位内固定术；肩锁关节完全脱位伴喙锁韧带完全断裂3例，行钩钢板固定及韧带修复；肩胛颈粉碎性骨折伴肩锁关节脱位1例，锁骨远端粉碎性骨折伴喙锁韧带断裂1例，均行切开复位内固定术及韧带修复。结果所有患者均获得随访，平均9个月（3～14个月），均解剖复位并愈合，骨折愈合时间平均8．6周（7～12周）。Con-stant-Murley 评分为72～100分，平均91分，其中优11例，良4例，中3例，优良率为83．3％。结论SSSC 损伤解剖结构复杂，手术以内固定治疗为主，可恢复其稳定性，治疗效果良好。
목적：탐토수술치료견관절상방현조복합체（SSSC）손상적방법화료효。방법수치 SSSC 손상환자18례，기중견갑경골절반쇄골중원단분쇄성골절6례，견갑경골절반견봉골절5례，쇄골원단분쇄성골절반견봉급관절우골절2례，균행절개복위내고정술；견쇄관절완전탈위반훼쇄인대완전단렬3례，행구강판고정급인대수복；견갑경분쇄성골절반견쇄관절탈위1례，쇄골원단분쇄성골절반훼쇄인대단렬1례，균행절개복위내고정술급인대수복。결과소유환자균획득수방，평균9개월（3～14개월），균해부복위병유합，골절유합시간평균8．6주（7～12주）。Con-stant-Murley 평분위72～100분，평균91분，기중우11례，량4례，중3례，우량솔위83．3％。결론SSSC 손상해부결구복잡，수술이내고정치료위주，가회복기은정성，치료효과량호。
Objective To explore the method and effects of operative treatment of superior shoul-der suspensory complex(SSSC)injury.Methods A total of 18 patients with SSSC injury were enrolled. There were six cases of scapular neck fracture combined with comminuted clavicle fracture,five cases of scapular neck fracture combined with acromial fracture,and two cases of comminuted clavicle fracture com-bined with acromial and glenoid fracture.These patients were treated with open reduction and internal fixa-tion.Three patients had acromioclavicular joint dislocation combined with coracoclavicular ligament rupture and they were given hook plate fixation and ligament repair.One patient with scapular neck fracture com-bined with acromioclavicular joint dislocation,and one patient with comminuted clavicle fracture combined with coracoclavicular ligament rupture,were treated with the open reduction,internal fixation and the liga-ment repair.Results All patients were followed up for 3 to 14 months,with an average of 9 months.Ana-tomical reduction and healing were all achieved within 7 to 12 weeks,with an average of 8.6 weeks.Con-clusion Anatomical structure of SSSC is very complex and surgery is given priority to internal fixation, which restores the stability good therapeutic effect.