Epidemiology of Isolated Acromioclavicular Joint Dislocation
Epidemiology of Isolated Acromioclavicular Joint Dislocation
复制标题
DOI：
10.1155/2013/171609
复制
发表时间：
2013-01-01
影响因子：
1.2
通讯作者：
Osimani, Marcello
中科院分区：
文献类型：
--
作者：
Chillemi, Claudio;Franceschini, Vincenzo;Osimani, Marcello
背景。肩锁关节脱位是常见的肩部问题。然而，关于这种疾病的基本流行病学特征的信息很少。本研究的目的是分析城市人群中孤立性交流脱位的流行病学。材料与方法。回顾性数据库检索，以确定所有患者的AC脱位超过5年的时间。考虑了性别、年龄、受累侧和创伤机制。两位作者检查了x光片，并根据Rockwood的标准对脱位进行了分类。结果。共有108例患者被诊断为AC脱位，平均年龄37.5岁。105例（97.2%）为孤立性AC脱位，3例（2.8%）伴有锁骨骨折。估计发病率为1.8 / 10000居民每年，男女比例为8.5:1。50.5%的脱位发生在20 - 39岁之间。最常见的创伤机制为运动损伤，最常见的脱位类型为Rockwood III型。结论。年龄在20 - 39岁之间和男性是AC脱位的重要人口危险因素。
Background. Acromioclavicular (AC) joint dislocation is a common shoulder problem. However, information about the basic epidemiological features of this condition is scarce. The aim of this study is to analyze the epidemiology of isolated AC dislocation in an urban population. Materials and Methods. A retrospective database search was performed to identify all patients with an AC dislocation over a 5-year period. Gender, age, affected side and traumatic mechanism were taken into account. X-rays were reviewed by two of the authors and dislocations were classified according to the Rockwood's criteria. Results. A total of 108 patients, with a mean age of 37.5 years were diagnosed with AC dislocation. 105 (97.2%) had an isolated AC dislocation, and 3 (2.8%) were associated with a clavicle fracture. The estimated incidence was 1.8 per 10000 inhabitants per year and the male-female ratio was 8.5 : 1. 50.5% of all dislocations occurred in individuals between the ages of 20 and 39 years. The most common traumatic mechanism was sport injury and the most common type of dislocation was Rockwood type III. Conclusions. Age between 20 and 39 years and male sex represent significant demographic risk factors for AC dislocation.