锁骨钩钢板内固定术后肩痛的原因分析及对策

目的探讨锁骨钩钢板内固定术后发生肩痛的原因及防治对策。方法对2008年9月至2011年12月间,锁骨钩钢板内固定治疗的患者26例进行随访分析。结果术后有5例患者出现肩痛及肩关节活动受限。内固定物取出后逐渐康复。结论肩痛为锁骨钩钢板内固定术后较常见的并发症。正确使用锁骨钩钢板,重视关节囊、韧带的修补,合理的伤肢固定及锻炼,及早内固定物拆除是防治术后肩痛的关键。

Exploration of the Causes and Countermeasures of Shoulder Pain after Surgical Treatment of Clavicular Hook Steel Board Internal Fixation

Objective To explore the causes and countermeasures of pain on shoulder after surgical treatment of clavicular hook steel board internal fixation. Methods 26 patients with surgical treatment of clavicular hook steel board internal fixation from September 2008 to December 2011 were followed up and analyzed. Results After the operation, 5 patients had shoulder pain and shoulder activities were limited. After removal of the clavicular hook plate, the symptom disappeared. Conclusions Shoulder pain is the common postoperative complication after the clinical application of clavicular hook plate. The key countermasures for avoiding postoperative shoulder pain are to use carvicular hook plate correctly, repair the joint capsue and ligament perfectly, immobilize and exercise injury limb properly, and remove the internal fixators early.