肩峰骨的诊断与治疗进展△

Progress in diagnosis and treatment of os acromiale

摘要:

肩峰骨是发育过程中肩峰骨化中心融合失败而形成的无骨性结合的骨块，总发病率约为 7%，主要表现为肩峰处的疼痛以及肩关节主动活动受限，多被误诊为肩峰下撞击症和肩袖损伤。目前临床上肩峰骨患者的治疗方式多样，但最佳治疗方式存在争议。由于发病率低，且部分患者无明显症状，因此准确的体格检查、影像学筛查以及个体化的治疗对尽早恢复运动功能非常重要。本文从病理与发病、症状体征与影像学表现、鉴别诊断、保守与手术治疗等方面对肩峰骨的诊疗进行综述，并阐述各种治疗方式的优缺点，以期为肩峰骨的个体化、精准化诊疗提供依据。

Abstract:

Os acromiale is a nonunion bone mass formed by the failure of fusion of the acromial ossification center during development, with overall incidence of 7%, and mainly manifests as acromial pain and limited active movement of the shoulder. Several treatments are currently in use, although the best choice remains controversial. Due to the low incidence and the fact that some patients have no obvious symptoms, accurate physical examination, imaging screening and individualized treatment plans are very important for early recovery of motor function. This article reviews the diagnosis and treatment of os acromiale from the aspects of pathology and pathogenesis, symptoms and signs, imaging manifestations, differential diagnosis, conservative and surgical treatment, and expounds the advantages and disadvantages of various treatment methods, in order to provide reference for the individualized and precise diagnosis and treatment of os acromiale.