摘要：目的 分析肩锁关节周围骨折脱位并探讨其合理的治疗方法。方法 根据肩锁关节周围骨折脱位骨结构是否移位分为Ⅰ、Ⅱ两型，Ⅱ型根据移位程度又分为Ⅱa、Ⅱb两个亚型。采用自行设计的特殊体位下闭合复位经皮克氏针内固定术治疗16例Ⅱb型患者。结果 14例急性损伤疗效优良，2例陈旧性损伤疗效差。结论 Ⅱb型应积极采用有效方法恢复肩锁关节及周围的正常解剖结构和功能；特殊体位下闭合复位经皮克氏针内固定术是一种合理、有效且操作简单的方法。

    关键词：肩锁关节；肩脱位；锁骨骨折；骨折固定术

    Analysis of the Treatment of Dislocation of Acromioclavicular Joint Fracture Around

    LUO De-rong

    (The Third People's Hospital of Weiyuan County,Weiyuan 642469,Sichuan,China)

    Abstract：ObjectiveAround the analysis of acromioclavicular joint fracture dislocation and explore the reasonable treatment.MethodsAccording to the surrounding of acromioclavicular joint fracture dislocation of bone structure is shift in Ⅰ,Ⅱ type two,type II according to the degree of displacement is divided into Ⅱ a,Ⅱ B two subtype.The special position designed by closed reduction and percutaneous Kirschner wire fixation for treatment of 16 cases of patients with type.ResultsThe curative effect of 14 cases of acute injury of the excellent,2 cases of old injury effect difference.ConclusionType should be the normal anatomy and function actively adopt effective methods to restore the acromioclavicular joint and surrounding; special position closed reduction and percutaneous Kirschner wire fixation method is reasonable,effective and simple operation ......