中国骨伤2017，Vol.30Issue(4)：353-355,3.DOI:10.3969/j.issn.1003-0034.2017.04.014
双带线锚钉重建喙锁韧带治疗Tossy Ⅲ型肩锁关节脱位的CT测量及临床应用
CT measurement and clinical application of double-row suture anchor reconstruction for the treatment of Tossy type Ⅲ acromioclavicular joint dislocation
张传开 1刘忱 1韩冰 1冯晖 1陈启中 1孙燚炎1
作者信息
- 1. 解放军第九七医院创伤修复中心,江苏徐州221004
- 折叠
摘要
Abstract
Objective:To study feasibility and reliability of reconstruction of the acromioclavicular ligament with doublerow suture anchor for the treatment of acromioclavicular joint dislocation through coracoid coronal CT measurement,and to provide a new operation method for treating acromioclavicular joint dislocation.Methods:Total 60 healthy people received CT examination of shoulder joint,including 30 males and 30 females,ranging in age from 18 to 50 years old.The coronal width,thickness and 20 degree camber angle in the medial part of the toot of coronal were measured using CT scan.The results were applied to clinical treatment for 12 patients with acromioclavicular joint dislocation of Tossy Ⅲ type.Results:The width in the medial part of the root of the coracoid was (17.65±1.82) mm (left side) and (17.67±1.80) mm (right side) in males;(16.55±1.78) mm (left side) and (16.52±1.74) mm (right side) in females.The vertical thickness of the roots of the coracoid:(13.11±2.11) mm (left side) and (13.16±2.09) mm (right side) in males;(12.79±2.21) mm (left side) and (12.76±2.19) mm (right side) in females.The thickness of 20 degrees camber angle of the coracoid roots:(16.32±1.74) mm (left side) and (16.30±1.69) mm(right side) in males;(15.68±1.44) mm(left side) and (15.67±1.43) mm(right side) in females.Total 12 patients were treated with anchor nail with extraversion 20 degrees.The postoperative X-ray films showed bone anchors were located in the coracoid process,no bone splitting.Conclusion:Double-row suture anchor of 5 mm diameter nails can be placed into coracoid with extraversion 20 degrees,which is safety.关键词
肩锁关节/脱位/解剖学/成像,三维Key words
Acromioclavicular joint/Dislocations/Anatomy/Imaging,three-dimensional引用本文复制引用
张传开,刘忱,韩冰,冯晖,陈启中,孙燚炎..双带线锚钉重建喙锁韧带治疗Tossy Ⅲ型肩锁关节脱位的CT测量及临床应用[J].中国骨伤,2017,30(4):353-355,3.
