scholarly journals A Comparison of the Modified Bosworth and Endobutton Techniques in the Surgical Treatment of Rockwood Type III Acromioclavicular Joint Dislocations

2019 ◽  
Vol 25 (1) ◽  
pp. 33-38
Author(s):  
Zekeriya Okan KARADUMAN ◽  
Zafer ORHAN ◽  
Yalçın TURHAN ◽  
Mehmet ARICAN ◽  
Erdem DEĞİRMENCİ ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Acromioclavicular Joint ◽  
Type Iii ◽  
Joint Dislocations ◽  
Rockwood Type Iii

scholarly journals Study of clinical outcome of acromioclavicular joint injury type III-VI treated by EndoButton and threads in adults

2019 ◽  
Vol 6 (1) ◽  
pp. 187
Author(s):  
Raghvendra Chaubey ◽  
Deepak Kumar Mishra ◽  
Rajesh Jain
Keyword(s):  
Acromioclavicular Joint ◽  
Constant Score ◽  
Shoulder Injuries ◽  
Joint Injury ◽  
Physically Active ◽  
Rockwood Classification ◽  
Excellent Outcome ◽  
Type Iii ◽  
Joint Dislocations ◽  
Rockwood Type Iii

<p class="abstract"><strong>Background:</strong> Acromioclavicular joint dislocations are common in physically active young adults that too most common in persons who are participating in sports activities. Incidence is more in males who are participating in contact sports like rugby, basketball, hockey. It accounts for 9% of all shoulder injuries. Literature says the incidence is 3-4/1,00,000 population. The aim of the present study was<strong> </strong>to study the functional outcome of acromioclavicular joint after reconstruction of both acromioclavicular and coracoclavicular ligament using endo button system and to provide pain-free, mobile shoulder.</p><p class="abstract"><strong>Methods:</strong> In the present study, 15 patients were selected of age group 20-60 years. Acromioclavicular joint injuries are classified according to Rockwood classification and the findings from the physical examination and anteroposterior and axillary radiographs. All patients were treated as per status of injury level by either conservatively or operatively with open reduction and reconstruction of both ligament by using endo button thread system and its outcomes were assessed clinically and radiologically.<strong></strong></p><p class="abstract"><strong>Results:</strong> Patients were evaluated using American shoulder and elbow score (ASES) score and Constant shoulder score. Average ASES score was 90 (range 68.3-98.3) and constant score was 88 (range 63-96). According to constant score 7 patients had excellent outcome, 6 patients had good outcome, 2 patients had adequate outcome. All patients reported satisfaction with the treatment. The patients were followed upto 6 months.</p><p class="abstract"><strong>Conclusions:</strong> The technique proved to be effective in treating acute. Acromioclavicular joint dislocations (Rockwood type III-VI) with a high degree of patient satisfaction.</p>

scholarly journals Treatment of Rockwood Type III Acromioclavicular Joint Dislocation

2018 ◽  
Vol 21 (1) ◽  
pp. 48-55
Author(s):  
Seong Hun Kim ◽  
Kyoung Hwan Koh
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Operative Treatment ◽  
Acromioclavicular Joint ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Injury ◽  
Type Iii ◽  
Acromioclavicular Joint Injury ◽  
Rockwood Type Iii

While non-operative treatment with structured rehabilitation tends to be the strategy of choice in the management of Rockwood type III acromioclavicular joint injury, some advocate surgical treatment to prevent persistent pain, disability, and prominence of the distal clavicle. There is no clear consensus regarding when the surgical treatment should be indicated, and successful clinical outcomes have been reported for non-operative treatment in more than 80% of type III acromioclavicular joint injuries. Furthermore, there is no gold standard procedure for operative treatment of type III acromioclavicular joint injury, and more than 60 different procedures have been used for this purpose in clinical practice. Among these surgical techniques, recently introduced arthroscopic-assisted procedures involving a coracoclavicular suspension device are minimally invasive and have been shown to achieve successful coracoclavicular reconstruction in 80% of patients with failed conservative treatment. Taken together, currently available data indicate that successful treatment can be expected with initial conservative treatment in more than 96% of type III acromioclavicular injuries, whereas minimally invasive surgical treatments can be considered for unstable type IIIB injuries, especially in young and active patients. Further studies are needed to clarify the optimal treatment approach in patients with higher functional needs, especially in high-level athletes.

scholarly journals A modified single-endobutton technique combined with nice knot for treatment of Rockwood type III or V acromioclavicular joint dislocation

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Fangning Hu ◽  
Shumei Han ◽  
Fanxiao Liu ◽  
Zhuang Wang ◽  
Honglei Jia ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Operative Time ◽  
Acromioclavicular Joint Dislocation ◽  
Intraoperative Blood Loss ◽  
Joint Dislocation ◽  
Type Iii ◽  
The Mean ◽  
The Difference ◽  
Rockwood Type Iii

Abstract Purpose Double-endobutton technique, as a widely accepted strategy for the treatment of acromioclavicular joint dislocation, is undergoing constant improvement. This study aims to assess the clinical effect of a modified single-endobutton combined with the nice knot in the fixation of Rockwood type III or V acromioclavicular joint dislocation. Methods From January 2016 to June 2019, 16 adult patients (13 males and 3 females) with Rockwood type III or V acromioclavicular joint dislocation were treated with a modified single-endobutton technique combined with the nice knot in our department. The age ranged from 18 to 64 years old with an average of 32.8 years old. Operative time, intraoperative blood loss, post-operative clinical outcomes and radiographic results were recorded and analyzed. Preoperative and last follow-up scores in the Constant-Murley Scale, Neer score, Rating Scale of the American Shoulder and Elbow Surgeons and VAS scale and complications such as infection, re-dislocation, implant loosening, medical origin fracture and hardware pain were recorded and evaluated. Results Sixteen patients were followed up for 6 to 18 months with an average of 10.3 months. The operative time was 50–90 min with an average of (62.5 ± 3.10) min. The intraoperative blood loss was 30–100 ml, with an average of (55.0 ± 4.28) ml. The complications, such as wound infection, internal fixation failure and fractures, were not found in these cases. According to Karlsson criteria, there were excellent in 14 cases, good in 2 cases at the final follow-up. The mean VAS score of the patients was 5.88 ± 0.26 preoperatively, compared with 0.19 ± 0.14 at the final follow-up evaluation. The difference was statistically significant (P < 0.05). The mean Constant score was 45.5 ± 2.0 preoperatively, compared to 94.0 ± 0.73 at the final follow-up evaluation. The difference was statistically significant (P < 0.05). Patients had statistically significant preoperative and postoperative AC (acromioclavicular distance) and CC (coracoclavicular distance) distances (P < 0.05); 6 months postoperatively the AC(P = 0.412) and CC(P = 0.324) distances were not statistically significant compared to the healthy side. Conclusion Nice knot provides a reliable fixation for the single-endobutton technique in the treatment of acromioclavicular dislocations. The modified single-endobutton technique combined with the nice knot can achieve good clinical outcomes in the treatment of Rockwood type III or V acromioclavicular joint dislocation.

Sign in / Sign up

Export Citation Format

Share Document