Surgical treatment of acute type-V acromioclavicular injuries in athletes

Verhaven, E.; DeBoeck, H.; Haentjens, Patrick; Handelberg, Frank; Casteleyn, Pierre; Opdecam, Pierre

doi:10.1007/bf00662287

Cited by 28 publications

(18 citation statements)

References 14 publications

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“…In accordance with the literature, grade IV, V and VI lesions were immediately addressed to surgical treatment [7]. In case of grade III lesion, indication for surgery was given on the basis of the patient's functional demand.…”

Section: Introductionmentioning

confidence: 99%

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Modified Phemister procedure for the surgical treatment of Rockwood types III, IV, V acute acromioclavicular joint dislocation

et al. 2012

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Acromioclavicular (AC) joint dislocations are common in young, active patients. In case of surgical indications, Rockwood type IV, type V and selected type III dislocation, we use modified Phemister procedure. At mid-term follow-up, by an average of 35.1 months, we reassessed the records of 14 patients surgically treated for acute AC dislocation from February 2007 to November 2010. In patients with a diagnosis of grade III lesion, indication for surgery was given on the basis of the patient's functional demand. Full recovery was obtained on average 3 months after surgery. Constant Score accounted for 92.7 points, mean Disabilities of the Arm, Shoulder and Hand Score for 3.2 points, and mean Simple Shoulder Test Score for 11.4 points. X-ray findings were partial loss of reduction (9 cases), subclinic re-dislocation (2 cases), calcification (5 cases) and post-traumatic arthritis (2 cases). Modified Phemister is a reliable technique, technically easy, a low learning curve procedure and cheap with low hardware's costs.

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Section: Introductionmentioning

confidence: 99%

“…The kind of treatment to adopt ranges from a conservative approach to extensive surgical reconstruction, and the decision on the best way to manage these dislocations depends mainly on the grade of AC joint separation [6,7].…”

Section: Introductionmentioning

confidence: 99%

Modified Phemister procedure for the surgical treatment of Rockwood types III, IV, V acute acromioclavicular joint dislocation

et al. 2012

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“…Materials such as Ethibond[22] or polydioxanone suture (PDS) suture,[23] Gore-TEX,[24] Dacron[25] or braided polyester synthetic ligament such as the “Nottingham Surgilig”[4] have been explored with varying degrees of success and complication.…”

Section: Discussionmentioning

confidence: 99%

Distal clavicle osteolysis following fixation with a synthetic ligament

Dearden¹,

Ferran²,

Morris³

2011

Int J Shoulder Surg

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“…Von der Vielzahl an bekannten Operationsverfahren wurde um die Zuordnung zu einer von 5 Operationsmethoden gebeten. Zum gegenwärtigen Zeitpunkt scheint sich eine gewisse Übereinstimmung zu einer konservativen Therapie der Verletzungen mit geringerem Schweregrad (Tossy I und II) durchgesetzt zu haben, wie auch die schwergradigeren Verletzungen im Sinne Rockwod IV-VI in der Regel operativ behandelt werden [14,17,26]. Seit der Einführung operativer Behandlungsmethoden Ende des 19.…”

Section: Therapieunclassified

Stand der Therapie der Schultereckgelenkverletzung

et al. 2001

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The therapy of acromioclavicular dislocations remains controversial. In particular, for injuries classified as Rockwood/Tossy Type III good results have been reported with different operative techniques as well as with conservative treatment. The objective of this study was to obtain data about the current treatment for Rockwood/Tossy III injuries in German trauma departments. In a countrywide anonymous survey 210 German trauma departments were asked about their diagnostic procedures and their treatment strategies for acromioclavicular injuries. 104 questionnaires (49%) were returned and evaluated. In Rockwood/Tossy I/II injuries most clinics recommend conservative treatment (Rockwood/Tossy I/II: 99%/87%). On the other hand, 84% of the clinics would operate on Type III acromioclavicular injuries--especially in athletes or overhead workers. Although 38 percent of the clinics believe that conservative treatment is equal or better than operative treatment, only 13 percent manage Type III injuries conservatively. For more severe acromioclavicular injuries (Rockwood IV to VI) all clinics recommend an operative treatment. The operative techniques of choice for acromioclavicular injuries are K-wire fixation (37%) or a coraco-clavicular cerclage (32%). Of the latter, 73% use a resorbable material, while the remainder use wires.

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Surgical treatment of acute type-V acromioclavicular injuries in athletes

Cited by 28 publications

References 14 publications

Modified Phemister procedure for the surgical treatment of Rockwood types III, IV, V acute acromioclavicular joint dislocation

Modified Phemister procedure for the surgical treatment of Rockwood types III, IV, V acute acromioclavicular joint dislocation

Distal clavicle osteolysis following fixation with a synthetic ligament

Stand der Therapie der Schultereckgelenkverletzung

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