Jad Mansour, Joseph E Nassar, Michel Estephan, Karl Boulos, Mohammad Daher
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引用次数: 0
摘要
肩锁(AC)关节脱位经常与关节内盂肱病变同时发生。很少有全面的研究关注与 AC 关节创伤特别相关的唇裂。本系统性综述将填补这一空白。我们在 PubMed、Cochrane Library 和 Google Scholar(第 1-20 页)上进行了全面的电子检索,时间跨度为 1976 年至 2023 年 5 月 19 日。有七项研究符合本系统综述的纳入标准,其中包括三项回顾性研究和四项病例系列研究。这些研究共涉及1,044名患者,其中282人同时患有唇缘病变。与急性交流关节脱位相关的关节内唇缘损伤的总发病率为27%。根据不同的研究和交流关节脱位的等级,这些髋臼唇病变的发生率在不同的研究中差异很大,从13.9%到84.0%不等。据报道,有各种类型的唇裂,其中最常见的是上唇隙前向后(SLAP)病变。SLAP病变的发生率从7.2%到77.4%不等,等级越高的交流关节脱位往往与SLAP撕裂的发生率越高有关。此外,五级脱位与SLAP撕裂完全相关。关于年龄越大和交流关节脱位等级越高是并发唇裂的风险因素,这些研究得出了相互矛盾的结论。本综述强调了唇囊病变与交流关节脱位之间的频繁关联,尤其是在低级别损伤的病例中。值得注意的是,SLAP损伤是唇囊撕裂的主要类型。
Acromioclavicular joint dislocation and concomitant labral lesions: a systematic review.
Acromioclavicular (AC) joint dislocations frequently co-occur with intra-articular glenohumeral pathologies. Few comprehensive studies have focused on labral tears specifically associated with AC joint trauma. This systematic review will address this gap. A comprehensive electronic search was conducted across PubMed, Cochrane Library, and Google Scholar (pages 1-20) spanning from 1976 to May 19, 2023. Seven studies met the inclusion criteria for this systematic review, consisting of three retrospective studies and four case series. These studies collectively involved 1,044 patients, of whom 282 had concomitant labral lesions. The pooled prevalence of intra-articular labral injuries associated with acute AC joint dislocation was 27%. The prevalence of these labral lesions varied significantly between studies, ranging from 13.9% to 84.0% of patients, depending on the study and the grade of AC joint dislocation. Various types of labral tears were reported, with superior labrum anterior to posterior (SLAP) lesions being the most common. The prevalence of SLAP lesions ranged from 7.2% to 77.4%, with higher grades of AC joint dislocations often associated with a higher prevalence of SLAP tears. Moreover, grade V dislocations exhibited a complete correlation with SLAP tears. The studies yielded contradictory findings regarding older age and higher grades of AC joint dislocation as risk factors for concurrent labral lesions. This review underscores the frequent association between labral lesions and AC joint dislocations, particularly in cases of lower-grade injuries. Notably, SLAP lesions emerged as the predominant type of labral tear.