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Clavicle Hook Depth and Impingement Syndrome—A Cause-Effect Relationship

机译:锁骨钩深度与撞击综合征—因果关系

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Background: Clavicular hook plates are effective fixation devices for lateral end clavicle fractures and acromioclavicular joint dislocations and have been extensively used in the last decade. Although this plate achieves a high percentage of union, there are concerns about sub-acromial osteolysis and impingement of supraspinatus tendon. Objective: To show that impingement of supraspinatus tendon can be prevented by measuring the depth between acromion and supraspinatus tendon posteriorly and using hook plates of appropriate depth. Materials and Methods: We performed a prospective study on 25 patients with lateral end clavicle fractures and acromio clavicular joint disruptions by measuring the depth between posterior border of acromion and the superior border of supraspinatus at the point of application of hook plate. Fixation is then done by appropriate sized hook plate. Results: None of the patients had impingement of supraspinatus tendon. Five patients developed subacromial osteolysis which did not have any impact on shoulder function. Conclusion: There is a variation in anatomy of the acromion in different ethnic groups. Hence uniform sized hook plate will be inappropriate. A smaller hook depth is needed in south Asian population to prevent impingement.
机译:背景:锁骨钩板是用于锁骨外侧端骨折和肩锁骨关节脱位的有效固定装置,并在过去十年中得到广泛使用。尽管该板可实现较高的结合率,但仍存在有关肩峰以下骨溶解和腕上肌腱撞击的担忧。目的:通过向后测量肩峰和棘上肌腱之间的深度,并使用适当深度的钩板,可以防止肱骨上肌腱的撞击。材料和方法:我们通过测量钩板应用时肩峰后缘与上棘上缘之间的深度,对25例锁骨外侧端骨折和肩峰锁骨关节破裂的患者进行了前瞻性研究。然后用合适尺寸的钩板固定。结果:没有患者有腕上肌腱受累。五名患者发生了肩峰以下骨溶解,这对肩部功能没有任何影响。结论:不同民族的肩峰解剖结构存在差异。因此,统一尺寸的钩板将不合适。南亚人口需要较小的钩深,以防止撞击。

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