Conservative or surgical treatment of acromioclavicular dislocation. A prospective, controlled, randomized study.

Larsen, Erik Hviid; Bjerg-Nielsen, A; Christensen, Peter

doi:10.2106/00004623-198668040-00011

Cited by 326 publications

(223 citation statements)

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“…However, many of these techniques have been associated with significant implant-related complications, such as hardware failure, early loosening and intraarticular injury [3,13]. The use of hook plates for repair of AC dislocations was, until recently, very popular.…”

Section: Discussionmentioning

confidence: 99%

Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results

Wei

Chen

Zeng

et al. 2010

International Orthopaedics (SICOT)

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Numerous procedures have been described for the operative management of acromioclavicular (AC) joint injuries. Some of these techniques, including hardware fixation and non-anatomical reconstructions, are associated with serious complications and high failure rates. Recently, AC joint reconstruction techniques have focused on anatomical restoration of the coracoclavicular ligaments to achieve optimal clinical outcomes. We used a triple endobutton technique to separately reconstruct the trapezoid and the coronoid portions of the coracoclavicular ligament. We evaluated the preliminary clinical and radiological results of this technique in patients with acute complete dislocation of the AC joint. All patients achieved a significant improvement in the pain and function of shoulder at a mean follow-up interval of 12 months (range, 8-14 months). Excellent reduction of the AC joint was maintained. The triple endobutton technique may be safe and effective for the treatment of acute complete AC joint dislocations.

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Section: Discussionmentioning

confidence: 99%

Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results

Wei

Chen

Zeng

et al. 2010

International Orthopaedics (SICOT)

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“…However, loss of reduction is not unusual and in one study was as high as over 40 % [29]. The infection rate was also no less and could touch 15 % of the operated cases [30]. The presence of an implant/material in the presence of persistent instability is always a concern for infection, as the implant offers an ideal nidus for infection.…”

Section: Complicationsmentioning

confidence: 97%

Acromioclavicular joint dislocations

Babhulkar

Pawaskar

2014

Curr Rev Musculoskelet Med

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Acromioclavicular (AC) dislocation is a common injury especially among sportsmen. There is still a lack of consensus on whether to conserve or operate type III AC joint dislocations. Even among surgeons inclined to operate AC joint dislocations there is no unanimity on which surgical technique. There are a plethora of choices between mechanical fixation or synthetic materials or biologic anatomic reconstructions. Even among surgeons, there is a choice between open repairs and the latest-arthroscopic reconstructions. This review of AC joint dislocations intends to analyze the available surgical options, a critical analysis of existing literature, actual technique of anatomic repair, and also accompanying complications.

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“…O tratamento da luxação acrômio-clavicular tipos I e II é conduzido conservadoramente com a maioria dos pacientes retornando às condições pré-lesão (3)(4)(5)(6)(7) enquanto que os tipos IV, V e VI são tipicamente tratados cirurgicamente (8)(9)(10)(11)(12) . Embora o tratamento da LAC tipo III seja controverso (13) , muitos recomendam o tratamento conservador com o uso de tipóia simples não se preocupando com a redução da luxação (14) enquanto outros acreditam na necessidade de cirurgia (15) .…”

Section: Discussionunclassified

“…Tipicamente , os tipos I e II são tratados conservadoramente com a maioria dos pacientes retornando às condições pré-lesão (3)(4)(5)(6) . Embora o tratamento das lesões do tipo III seja controverso, as lesões de alta energia (tipos IV, V, VI) com mais de 100% de deslocamento posterior e/ou inferior são tratadas cirurgicamente (7)(8)(9)(10) .…”

Section: Introductionunclassified

Tratamento artroscópico da luxação acromio-clavicular pelo método "tight rope" (arthrex®)

Vieira¹,

Visco²,

Fernandes³

et al. 2009

Rev. bras. ortop.

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Objetivo: Apresentar a técnica cirúrgica artroscópica pelo método "Tight Rope" e a avaliação dos resultados com esta técnica no tratamento da luxação acrômio-clavicular aguda. Métodos: entre agosto de 2006 e maio de 2007, 10 ombros de 10 pacientes com luxação acrômio-clavicular aguda foram submetidos a tratamento artroscópcio pela técnica Tight Rope-Arthrex ® . O seguimento mínimo foi de 12 meses, com média de 15 meses. A idade variou de 26 e 42 anos com média de 34 anos. Todos os pacientes eram do sexo masculino. Todos os pacientes foram atendidos na fase aguda da lesão sendo avaliados por radiologia simples (série trauma). Os pacientes foram acompanhados semanalmente no primeiro mês e a cada três meses após o procedimento artroscópico. A avaliação clínica foi feita por meio dos critérios da University of Califórnia at Los Angeles (UCLA). Resultados: Todos os pacientes operados agudamente encontravam-se satisfeitos com os resultados do tratamento cirúrgico artroscópico com uma média de 32,5 pontos na escala de avaliação da UCLA. Conclusão: O tratamento artroscópico da luxação acrômio-clavicular aguda pelo método "Tight Rope" é uma técnica cirúrgica minimamente invasiva que mostrou-se eficiente para o tratamento destas lesões. Descritores

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Conservative or surgical treatment of acromioclavicular dislocation. A prospective, controlled, randomized study.

Cited by 326 publications

References 0 publications

Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results

Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results

Acromioclavicular joint dislocations

Tratamento artroscópico da luxação acromio-clavicular pelo método "tight rope" (arthrex®)

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