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首页> 外文期刊>Arthroscopy: the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association >Scapular dyskinesis and SICK scapula syndrome in patients with chronic type III acromioclavicular dislocation.
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Scapular dyskinesis and SICK scapula syndrome in patients with chronic type III acromioclavicular dislocation.

机译：慢性III型肩锁关节脱位患者的肩cap骨运动障碍和SICK肩cap骨综合征。

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PURPOSE: This study was aimed at evaluating whether scapular dyskinesis and, eventually, SICK (Scapular malposition, Inferior medial border prominence, Coracoid pain and malposition, and dysKinesis of scapular movement) scapula syndrome develop in patients with chronic type III acromioclavicular (AC) dislocation. METHODS: Scapulothoracic motion was studied in 34 patients with chronic AC dislocation by use of the protocol described by Kibler et al. and Burkhart et al. An anteroposterior radiograph of the scapulae with the arms abducted was also obtained. The SICK Scapula Rating Scale was applied to patients with SICK scapula syndrome. Shoulder function was assessed with the Constant score and Simple Shoulder Test (SST). RESULTS: Of the 34 patients, 24 (70.6%) had scapular dyskinesis with the arms at rest, and 14 of these (58.3%) had SICK scapula syndrome. The mean SICK Scapula Rating Scale score was 6.9 points (out of a possible 20 points). Clinical and radiographic evaluations with the arms abducted at 90 degrees confirmed scapular dyskinesis in 61.7% and 64.7% of patients, respectively (P > .05). The Constant score was 83 points for the pathologic side and 91 points for the contralateral side. The Constant score value was 75 and 88, respectively, in patients with dyskinesis and those without dyskinesis (P < .05); the mean value for the SST was 8 of 12 and 10 of 12, respectively. CONCLUSIONS: Chronic type III AC dislocation causes scapular dyskinesis in 70.6% of patients. Of the latter, 58.3% have SICK scapula syndrome develop. Dyskinesis might be due to loss of the stable fulcrum of the shoulder girdle represented by the AC joint and due to the superior shoulder pain caused by the dislocation. The values for the Constant score and SST were lower in patients with dyskinesis. LEVEL OF EVIDENCE: Level IV, prognostic case series.
机译：目的：本研究旨在评估慢性III型肩锁骨（AC）脱位患者是否发展肩s骨运动障碍，并最终发展为SICK（肩cap骨位置不正，内侧下缘突出，喙突疼痛和位置不正确以及肩cap骨运动障碍）。 。方法：使用Kibler等人描述的方案，对34例慢性AC脱位患者的肩oth动脉运动进行了研究。和Burkhart等。还获得了绑着手臂的肩cap骨的前位X光片。 SICK肩cap骨评定量表适用于SICK肩cap骨综合征患者。肩部功能通过恒定评分和简单肩部测试（SST）进行评估。结果：34例患者中，有24例（70.6％）患有肩rest肌运动障碍，手臂处于静止状态，其中14例（58.3％）患有SICK肩syndrome骨综合征。 SICK肩cap骨评定量表的平均得分为6.9分（满分为20分）。在90度外展臂的情况下进行的临床和影像学评估证实，分别有61.7％和64.7％的患者患有肩cap骨运动障碍（P> .05）。病理一侧的恒定得分为83分，对侧一侧的恒定得分为91分。患有运动异常的患者和没有运动异常的患者的恒定得分分别为75和88（P <.05）; SST的平均值分别为12中的8和12中的10。结论：慢性III型AC脱位导致70.6％的患者肩骨运动异常。在后者中，有58.3％患有SICK肩cap骨综合征。运动障碍可能是由于以AC关节为代表的稳定的肩带支点丢失，以及由于脱位引起的上肩痛。运动障碍患者的Constant评分和SST值较低。证据水平：IV级，预后病例系列。

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