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[Treatment strategy of double disruption of the superior shoulder suspensor complex (SSSC)]
Shan-Qing Yin1, Jun Pan, Xiao-Shan Guo
1Department of Orthopaedics, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, Zhejiang, China.
Objective:
To discuss efficacy of the surgical treatment strategy of double disruption of the superior shoulder suspensor complex (SSSC).
Methods:
The data of 15 patients with double disruption of the SSSC were retrospectively analyzed from January 2008 to December 2009. There were 11 males and 4 females, with an average age of 45.1 years (ranged, 19 to 60). Of them, 8 patients were treated with surgery and 7 patients with conservative treatment. The short-term effectiveness was evaluated according to Constant-Murley scoring system.
Results:
All patients were followed up for 7 to 24 months with an average of 14.4 months. All fractures healed with a mean time of 12.3 weeks (ranged, 9 to 12). At final follow-up, the Constant-Murley scores with patients of surgical treatment was (92.37 +/- 1.99), and patients of conservative treatment was (55.52 +/- 1.29).
Conclusion:
Surgical treatment can restore the integrality of SSSC, in favour of stability between upper limb and trunk.
