Acromioclavicular Dislocation Treated by Transference of the Coracoacromial Ligament

Neviaser, Julius S.

doi:10.1001/archsurg.1952.01260010306004

Cited by 45 publications

(15 citation statements)

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“…Most orthopedic surgeons agree upon the treatment of the grade I and II injuries, but many management options have been proposed for the grade III injuries [1,3,6,7,9,20,24,28]. Excision of the distal clavicular end is the simplest surgical method, but if the patient's complaints are due to the lack of function of the coracoclavicular ligaments, the substitution of these ligaments is necessary [25].…”

Section: Discussionmentioning

confidence: 99%

“…The first proponent of using the coracoacromial ligament was Neviaser in 1952 [20]. He detached it from the coracoid process and sutured it to the lateral end of the clavicle.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of each type of procedure is to stabilize the clavicle by substitution of the ruptured coracoclavicular ligaments. Some authors advocate use of the coracoacromial ligament [6,7,12,15,16,20,21,23,24,28,29], the long [25] or short [1,9] head of the biceps tendon, or the autogenous fascia lata [13]. Others use synthetic materials such as Dacron [14], polytetrafluoroethylene (Gore-Tex) [19], polydioxanone sulfate [13], or carbon fibers [5] to maintain reduction.…”

Section: Introductionmentioning

confidence: 99%

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Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure

Pavlik

Csépai

Hidas

2001

Knee Surg Sports Traumatol Art

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We present our technique for surgically treating Tossy III acromioclavicular joint dislocation, discuss the indications for various procedures, and evaluate our postoperative results. We operated on 17 patients suffering from chronic acromioclavicular instability after such dislocation using a modified Weaver-Dunn procedure, in which there is no lateral clavicular end resection, the coracoacromial ligament graft is sutured to the inferior part of the clavicle by transosseal sutures, and a Bosworth coracoclavicular screw is used to protect the graft postoperatively for 8 weeks. After a mean of 37 months we evaluated shoulder function by the Constant score and the subjective and radiological results. Mean Constant score was 91.9% (74-100%); it was 80-90% in 5 patients and above 90% in 11. One patient had screw loosing after the operation and suffered partial loss of reduction and discomfort during shoulder loading. All patients but one returned to work, and all but one have returned to their preoperative activity at the same level. Subjectively, there were 11 excellent and 6 good results. Compared to the contralateral uninjured side, radiography showed anatomical reposition in the vertical plane in 9 cases, slight loss of reduction in 6 (difference in the distance between the inferior border of the acromion and the clavicle is 2-4 mm), and partial loss of reduction in 2 (4-8 mm). We recommend the modified Weaver-Dunn procedure for surgical treatment of chronic, Tossy grade III acromioclavicular joint dislocations as it provides good functional and subjective results. Our modification is indicated mainly for young patients because posttraumatic arthrosis occurs more frequently in elderly patients, making clavicular end resection necessary.

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Section: Discussionmentioning

confidence: 99%

“…The first proponent of using the coracoacromial ligament was Neviaser in 1952 [20]. He detached it from the coracoid process and sutured it to the lateral end of the clavicle.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure

Pavlik

Csépai

Hidas

2001

Knee Surg Sports Traumatol Art

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“…1963) has been accomplished by a variety of methods, including transfer of a ligament and the use of screws and wires (Bosworth 1941, Urist 1946, Neviaser 1952, Weaver and Dunn 1972, Hessmann et al 1995. The coracoacromial ligament has been used in various ways to restore the position of the clavicle (Weaver and Dunn 1972, Kawabe et al 1984, Shoji et al 1986).…”

Section: Hans-paul Kutschera and Rainer Lngo Kotzmentioning

confidence: 99%

Bone-ligament transfer of coracoacromial ligament for acromioclavicular dislocation: A new fixation method used in 6 cases

Kutschera

Kotz

1997

Acta Orthopaedica Scandinavica

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“…8 An osteotomy is made at the distal interphalangeal joint (figuratively) of the coracoid. The coracoid process together with the conjoined tendon is mobilized.…”

Section: Surgical Techniquementioning

confidence: 99%

A dynamic method of repair for acute and chronic acromioclavicular disruption

Bailey¹,

Metten²,

O'Connor³

et al. 1976

Am J Sports Med

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The authors have presented a surgical procedure for disruption of the acromioclavicular joint with or without fracture of the lateral end of the clavicle. The results of the dynamic repairs have been excellent with restoration of stability and normal strength in all cases. The majority of this group were vigorous young high school college and professional athletes prior to their injury and all were returned to their previous activities.

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Acromioclavicular Dislocation Treated by Transference of the Coracoacromial Ligament

Cited by 45 publications

References 0 publications

Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure

Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure

Bone-ligament transfer of coracoacromial ligament for acromioclavicular dislocation: A new fixation method used in 6 cases

A dynamic method of repair for acute and chronic acromioclavicular disruption

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