Treatment of symptomatic acromioclavicular dislocation- Our experience
Acta of Shoulder and Elbow Surgery | Volume 2 | Issue 2 | July-Dec 2017 | Page 27-29 | Ernesto Daniel Yedro, Claudia Alejandra Cáceres Saglio
Authors: Ernesto Daniel Yedro, Claudia Alejandra Cáceres Saglio.
[1] Ex fellow Servicio de Miembro superior Instituto Dupuytren (Cap. Federal.
BsAs). Ex Fellow de Artroscopia del CT8O San Isidro (BsAs) Argentina.
Traumatologo– Sanatorio Integral IOT. Ciudad de Posadas. Misiones. Argentina
[2] Servicio Miembro Superior Hospital Escuela de Agudos HEA. Traumatologa.
Sanatorio Integral IOT. Ciudad de Posadas. Misiones. Argentina
Address of Correspondence
Dr. Ernesto Daniel Yedro
Bolivar 2376 Posadas Misiones
Email: edyedro@yahoo.com.ar
Abstract
Purpose: the purpose of this study is to report the clinical and radiological results of the reduction of acromioclavicular dislocation during the healing period without the anatomical reconstruction of the CC and AC ligaments.
Materials and Methods: twelve patients were treated between 2012 and 2015 with a mean follow-up of 1.5 years. Patients were included if they had Rockwood types III, IV and V acromioclavicular dislocation and were treated during the acute period (i.e. during the first three weeks of the injury). The technique employed was arthroscopic with mini-invasive. The reduction of ACD was achieved during the healing period by using two titanium buttons connected by four highly-resistant, non-reabsorbable suture cord: one button was placed in the clavicle and the other in the coracoid.
Results: results were reported after two years of post-surgical follow-up. The measurements included the static and dynamic evaluation and the DASH outcome scoring. Static radiographic measurements of the CC distance with mean discharge was 0.93 cm compared to 2.7 cm at the initial examination (p<0.0001); and DASH outcome measure of 14 compared to a pre-surgical scoring of 52 (p>0001). The patients were satisfied or very satisfied with the cosmesis and were able to return to their previous sorts and work routine normally.
Conclusion: this study confirms that he reduction of ACD by means of double button fixation during the acute healing period, and adequate immobilization helps to the biological repair without he need of anatomical reconstruction of AC and CC ligaments. In this way the patients could restore the function of the arm and achieve the static and dynamic stability. They were also able to reinstate their work and sport previous to the injury.
Keywords: acromioclavicular dislocation, button, arthroscopy, DASH score, coracoclavicular distance.
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How to Cite this article: Yedro ED, Saglio CAC .Treatment of symptomatic acromioclavicular dislocation. Our experience. Acta of Shoulder and Elbow Surgery July – Dec 2017; 2(2): 27-29. |