2013-08-012024-05-14https://scholars.lib.ntu.edu.tw/handle/123456789/656430摘要：鎖骨骨折為成人常見骨折之一，佔上肩部骨折之比例達 35%到 44%，而根據奧爾曼分類表之定義，以鎖骨中段為大宗，尤以從事高強度運動之選手更容易受到鎖骨中段骨折之危害，如橄欖球、單車、極限運動、足球等容易產生衝撞與跌落之運動，因此能幫助運動員恢復原先之肩部關節運動自由度之治療方式，並能確保未來回到運動場上之表現水準，鎖骨骨折傷癒後之復原情形是運動員極為關切之議題。現今臨床上最常見的治療方式為保守治療，如八字型繃帶，但有鑑於過去臨床報告指出，保守治療常導致骨折不癒合之情形，其療效不甚理想；另外，手術治療亦逐漸成為治療鎖骨骨折手段之一，其方法為給予斷裂之骨骼一金屬固定架，提供必要之支撐與維持，在近年臨床報告中顯示有優於保守治療之成效。因此，本計畫欲透過臨床量表與肩部運動學之評估，了解鎖骨骨折於接受保守與手術治療傷癒後之運動學表現。本計畫預計收取三個族群之受試者，接受保守治療、手術治療與正常受試者各 15 名，以臨床量表評估主觀之癒後成效；而受試者於不同功能動作之肩部運動學，則藉由三維動作分析技術客觀量化，量得之運動學參數將透過單因子變異數分析，統計不同族群於不同功能性運動之表現。 <br> Abstract: Clavicle fractures, especially the fractures of shoulder girdle are common in adults. Fracture of the shoulder girdle accounts for 35 % to 44 % of clavicle injuries. According to the Allman classification, most of those are middle-third clavicle fractures, which is one of the most frequent fractures in the clinical reports, especially in the athletes who participate in football, cycling, soccer, extreme sports and high risk activities that involve with hitting, dashing, and falling. Therefore, recovery from clavicle fracture after treatment is most important for athletes to restore the original range of motion of shoulder joint in order to maintain the athletic performance. In clinical practices, conservative treatments, such as application of a figure of eight bandage, are the most frequent treatments. However, the malunion were reported which lead a poor clinical outcome after the conservative treatment. Recently, surgical treatment has been used to treat clavicle fracture in order to provide essential supports and maintenances with metal fixations attached to the fractured clavicle. Previous studies indicated that the effects of surgical treatment had more advantages than those of the conservative treatment. Therefore, the purpose of this current study aims to investigate the effects of recovery from clavicle fracture on functional kinematics evaluation after conservative and surgical treatments. In the current study, patients who underwent conservative treatment and surgical treatment were compared to a normal control group. Fifteen subjects were in each group. Clinical tables are applied to evaluate the subjective treatment effects. On the other hand, three-dimensional motion analysis is used to quantify the kinematic parameters during different functional movements of the shoulder complex. All measured kinematic parameters are analyzed using one-way ANOVA to evaluate the effects of the kinematic performances in different groups.鎖骨骨折運動傷害肩部複合關節動作分析Clavicle fractureSport injuriesShoulder complexMotion analysis