Conservatively treated acromioclavicular joint dislocation: a 45-years follow-up

Soni, Ritesh Kumar

doi:10.1016/j.injury.2003.09.007

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…[4] Non -operative treatment like strapping, bracing, splinting etc fail to perform the job because of interposition of articular disc, frayed capsular ligament, fragments of articular cartilage between acromian and clavicle and subsequent complications, which demands further surgical correction. [5][6][7] Different operative procedures for management of Type III injuries have been described such as acromioclavicular reduction and fixation, Coracoclavicular repair or reconstruction, combined repair, coraco-clavicular fusion, dynamic muscle transfer from tip of coracoids process, distal clavicle excision etc. in our study we have used AC fixation with screw from clavicle to coracoid process and tension band wire along with repair of ligaments if found torn.…”

Section: Introductionmentioning

confidence: 99%

Functional Assessment Following Treatment of Acromioclavicular Joint Dislocation by Screw and Tension Band Wiring

Ummadisetty¹

2017

AIMDR

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Section: Introductionmentioning

confidence: 99%

Functional Assessment Following Treatment of Acromioclavicular Joint Dislocation by Screw and Tension Band Wiring

Ummadisetty¹

2017

AIMDR

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“…As for type 3 AC dislocation both early surgical treatment and nonsurgical treatment initially with late reconstruction if necessary have gained support. But a satisfactory surgical technique has not been developed yet [ 3 , 4 ]. Acromioclavicular fixation in acute complete ACJ dislocations has given excellent results in literature [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Management of Type 3 Acromioclavicular Joint Dislocation: Comparison of Long-Term Functional Results of Two Operative Methods

Sugathan

Dodenhoff

2012

ISRN Surgery

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Introduction. Treatment of Rockwood Type 3 Acromioclavicular joint dislocation is controversial. We compared the long-term functional outcome of early repair of coracoclavicular ligament and internal fixation (Tension Band Wiring) with delayed reconstruction by modified Weaver-Dunn procedure for Type 3 dislocations. Method. Retrospective analysis of case records and telephone review to assess the long-term functional outcome by patient satisfaction and Oxford shoulder score. Results. We had 18 cases of Type 3 Acromioclavicular dislocations over a period of 10 years. 7 cases had Tension Band Wiring and 11 cases had modified Weaver-Dunn procedure. Early repair group has higher risk (71%) of post operative complications compared to that of the delayed reconstruction group (9%). All 5 patients who developed postoperative complications in the early repair group required a second operation for metal work removal. Long-term functional results of both groups were comparable in terms of Oxford shoulder score and patient satisfaction. Conclusions. We recommend modified Weaver-Dunn procedure for failed conservative management of Grade 3 Acromioclavicular joint dislocation for the following reasons (1). better short-term functional outcome, low risk of complications and hence faster recovery (2). no need for a second surgery.

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“…A similar study by Gutter et al also showed superior bio-mechanic results of anatomic ligament reconstruction when compared to a modified Weaver-Dunn technique when specimens were loaded to failure in the coronal plane. A significant portion of the literature supporting nonoperative management of grade III injuries involves older surgical techniques such as K-wire and Bosworth screw fixation [4][5][6][7][8] . Newer techniques involving suture buttons and suture anchors have been introduced recently and may represent an improvement in technique.…”

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confidence: 99%

Functional and radiological outcomes of acromioclavicular joint reconstruction in type iii disruption without allograft with synthetic materials

Mandice¹,

Kumar²,

Anandan³

2017

Int. J. Orthop. Sci.

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Introduction: Effectiveness of surgery for complete Acromio-clavicular Joint (ACJ) dislocation is controversial. We analyzed the long-term Functional and radiological outcome after in on Acromioclavicular ligament reconstruction by modified Mazzocca technique for Type 3 dislocations. Aim: To study the functional and radiological outcomes of acromioclavicular joint reconstruction in type III disruption without allograft with synthetic materials Method: Retrospective analysis of case records and patient reviewed to assess the long-term functional and radiological outcome by patient satisfaction, UCLA shoulder rating score and coracoclavicular distances. Results: We had 38 cases of Type 3 Acromio-clavicular dislocations over a period of 5 years. Mean age of the entire group was 42.1 years (26 to 57). Among them, 32 are males and six females. Three patients were lost their follow-up during the post-op rehabilitation period; among them, two were presented with infection, one with shoulder stiffness. Long-term functional and radiological outcomes were regarding UCLA shoulder rating score, patient satisfaction and coracoclavicular distances compared with the uninjured shoulder. Conclusions: More aggressive management of acromioclavicular dislocation needed to avoid poor results with chronic injuries, and we have moved toward without graft and earlier surgical intervention. We recommend modified Mazzocca technique used in the management of Grade 3 Acromio-clavicular joint dislocation for the following reasons (A). Better short-term functional and radiological outcome and low risk of complications (B). No need graft harvesting surgery and decreased donor site morbidity.

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Conservatively treated acromioclavicular joint dislocation: a 45-years follow-up

Cited by 10 publications

References 14 publications

Functional Assessment Following Treatment of Acromioclavicular Joint Dislocation by Screw and Tension Band Wiring

Functional Assessment Following Treatment of Acromioclavicular Joint Dislocation by Screw and Tension Band Wiring

Management of Type 3 Acromioclavicular Joint Dislocation: Comparison of Long-Term Functional Results of Two Operative Methods

Functional and radiological outcomes of acromioclavicular joint reconstruction in type iii disruption without allograft with synthetic materials

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