手术治疗肩胛骨喙突移位骨折9例分析

目的：探讨手术内固定治疗移位喙突骨折的临床疗效.方法：自2005年1月至2012年7月,手术内固定治疗移位喙突骨折9例,其中男6例,女3例;年龄20～57岁,平均40.1岁.根据Eyres分型：ⅡB型3例,ⅡA型1例,ⅢB型3例,ⅤA型2例.患者均有外伤史,术前经X线片及CT证实喙突骨折.术后按照Herscovici疗效评定标准对肩关节进行功能评定.结果：9例患者中7例获得随访,时间6～18个月,平均11个月.患者伤口Ⅰ期愈合,喙突骨折均达骨性愈合,肩锁关节复位良好.按Herscovici疗效评定标准：优6例,良1例.结论：手术内固定可恢复移位型喙突骨折喙突正常的生理解剖位置,有利于患肢功能恢复.

Surgical treatment for displaced clavicle fracture combined with coracoid process:9 cases report

Objective：To explore clinical effects of internal fixation in treating displaced clavicle fracture combined with coracoid process.Methods：From January 2005 to July 2012,9 patients with displaced clavicle fracture combined with coracoid process were treated by internal fixation.Among them,there were 6 males and 3 females with an average age of 40.1 （ranged from 20 to 57） years old.According to Eyres classification：3 cases were type Ⅱ B,1 case was type 1Ⅱ A,3 cases were type Ⅲ B,and 2 cases were type Ⅴ A.All patients had history of injury,and diagnosed as coracoid fracture X-ray and CT before operation.Herscovici criteria was used to evaluate function of shoulders joint after operation.Results：Seven of 9 patients were followed up from 6 to 18 （averaged 11） months.The incisions were healed at stage Ⅰ,coracoid process obtained bony healing,and reduction of acromioclavicular joint well.According to Herscovici criteria,6 patients got excellent results and 1 in good.Conclusion：Internal fixation for the treatment of displaced clavicle fracture combined with coracoid process could restore physiological anatomical position of coracoid process,and benefit for recovery of limb function.