锁骨骨折的诊疗与手术.pptxVIP

会计学;Diarthrodial joint between medial facet of acromion and the lateral (distal) clavicle. Contains intra-articular disk of variable size. Thin capsule stabilized by ligaments on all sides: AC ligaments control horizontal (anteroposterior ) displacement Superior AC ligament most important;Coracoclavicular ligaments “Suspensory ligaments of the upper extremity” Two components: Trapezoid Conoid Stronger than AC ligaments Provide vertical stability to AC joint;Mechanism of Injury;Physical Examination;Physical Examination;Physical Examination;Radiographic Evaluationof the Clavicle;Radiographic Evaluation of the Clavicle;Radiographic Evaluation of the AC Joint ;Stress Views of the Distal Clavicle AC Joint;Radiographic Evaluation of the Medial One Third;Classification of Clavicle Fractures;Treatment Options;Nonoperative Treatment;Simple Sling vs. Figure-of-8 Bandage;Nonoperative Treatment;Definite Indications for Surgical Treatment of Clavicle Fractures;Relative Indications for Acute Treatment of Clavicle Fractures;Relative Indications for Acute Treatment of Clavicle Fractures;;Clavicular Displacement;Plate Fixation;;;;第27页/共87页;第28页/共87页;第29页/共87页;Intramedullary Fixation;Complications of Clavicular Fractures and its Treatment;Risk Factors for the Development of Clavicular Nonunions;Principles for the Treatment of Clavicular Nonunions;;第35页/共87页;第36页/共87页;;Clavicular Malunion;Neurologic Sequelae;Distal Third Clavicle Fractures;Classification of Distal Clavicular Fractures(Group II Clavicle Fractures);Classification of Distal Clavicular Fractures;Type IIA;Type IIB;Classification of Distal Clavicular Fractures;Treatment of Distal-Third (Type II) Clavicle Fractures;Displaced Type II fractures of the distal clavicle are often treated more aggressively because of the increased risk of nonunion with nonoperative treatment;Techniques for Acute Operative Treatment of Distal Clavicle Fractures;Regardless of the technique of clavicular fixation, coracoclavicular fixation is als