scholarly journals Outcome of Acromio-Clavicular joint dislocation operated using clavicle hook plate

2018 ◽  
Vol 8 (2) ◽  
pp. 41-43
Author(s):  
Akesh Prajapati ◽  
Jyoti Sitaula ◽  
Bishnu Dev Sharma ◽  
Sujit Shrestha ◽  
Pujan Pant ◽  
...  
Keyword(s):  
Los Angeles ◽  
Excellent Result ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Ac Joint ◽  
Rockwood Classification ◽  
Joint Dislocation ◽  
Joint Dislocations ◽  
Rockwood Type Iii ◽  
Clavicle Hook Plate

Rockwood classification of AC joint dislocation is generally accepted worldwide. Treatment of Rockwood Type 1 and 2 AC joint is non-operative while all authors advocate operative treatment for Rockwood Type 4 and 5 AC joint dislocations. Thirty consecutive patients who underwent operation for acromioclavicular joint dislocation using clavicle hook plate from June 2015 were studied. The dislocations ranged from Rockwood type III to type V. Average follow up time was fourteen months ranging from four to twenty-four months. The outcome was measured using University of California Los Angeles (UCLA) shoulder score. All-the patient had good to excellent result.

scholarly journals Outcome of fixation of acromioclavicular joint dislocation type-iii with clavicular hook plate

2020 ◽  
Vol 5 (1) ◽  
pp. 45-52
Author(s):  
Pabin Thapa ◽  
Krishna Sapkota ◽  
Niraj Ranjeet ◽  
Pratyenta Raj Onta ◽  
Krishna Wahegaonkar ◽  
...  
Keyword(s):  
Open Reduction ◽  
Implant Removal ◽  
Hook Plate ◽  
Ac Joint ◽  
Rockwood Classification ◽  
Joint Dislocation ◽  
Type Iii ◽  
Ac Joint Dislocation ◽  
Clavicular Hook Plate ◽  
Rockwood Type Iii

Introduction: Acromioclavicular (AC) joint dislocation is one of the most common shoulder injuries accounting for approximately 9-12% of all shoulder girdle injuries. Rockwood classification of AC joint dislocation is the most widely accepted classification system which classifies the injury into six types. Surgical management with open reduction and fixation with clavicular hook plate without the repair of coracoclavicular ligament has proved to be one of the best treatment options for Type III AC joint dislocations. Methods: Twenty-three patients with Rockwood Type III AC joint dislocation were included in the study. Open reduction was done and the fixation was done with the clavicular hook plate. The functional outcomes were assessed before and two months after the implant was removed using the Constant- Murley Score. Results: A total of 23 patients were included in the study with the mean age of 30.74 years. The plates were removed on an average of 6.43 months and mean follow up was 8.83 months. The functional outcome was assessed using the Constant- Murley Shoulder score. The pain scores were significantly better after the implant removal was done (p= 0.007). The final mean constant score was 74.6 ± 4.11 before removal and 93.91 ± 2.71 after implant removal and all the 23 patient had excellent result (>90 points). Conclusions: The pre-contoured clavicular hook plate has proved to be a good implant option in the fixation of Rockwood Type III AC joint dislocation without the need of any ligamentous repair

scholarly journals Surgical Outcomes After Fixation of Acromioclavicular Joint Dislocation with Hook Plate and Coracoacromial Ligament Transfer Technique

2019 ◽  
Vol 7 (6) ◽  
pp. 1013-1015 ◽  
Author(s):  
Konstantin Mitev ◽  
Gorgi Zafiroski ◽  
Saso Mladenovski ◽  
Ljupco Nikolov
Keyword(s):  
Surgical Outcomes ◽  
Acromioclavicular Joint ◽  
Constant Score ◽  
Excellent Result ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Rockwood Classification ◽  
Coracoacromial Ligament ◽  
Joint Dislocations ◽  
Combined Technique

BACKGROUND: Treatment of acute and chronic acromioclavicular joint dislocations is still controversial. We aimed evaluation of surgical outcomes after using the combined technique with a hook plate and transposition of the coracoacromial ligament in the treatment of acromioclavicular dislocation. CASE PRESENTATION: During two years 4 patients (2 acute and 2 chronic cases) were operated with this technique. Three male and one female with an average 37 (26-43) years old were: three on the right and one of the left side. Rockwood classification was used. The evaluation was done according to Constant score - preoperatively, 3 months after the operation and 3 months after the titanium plate was removed. CONCLUSION: Evaluation of the effectiveness using this combined technique show excellent result in all four patients. No surgical site infection and the favourable cosmetic result were present.

3D Printed Model Used as Preoperative Tool for Treating Acromioclavicular Joint Dislocation with Pre-Contoured Clavicle Hook Plate: Technical Note

2019 ◽  
Vol 158 (02) ◽  
pp. 221-226
Author(s):  
Xuhua Wu ◽  
Gang Wang ◽  
Ke Rong ◽  
Qingquan Xia ◽  
Minfeng Gan ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Joint Model ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Ac Joint ◽  
Joint Dislocation ◽  
Normal Side ◽  
Real Size ◽  
3D Printed ◽  
Clavicle Hook Plate

Abstract Objective To introduce a new technique using real-size 3D-printed acromioclavicular joint models as preoperative tools for treating acromioclavicular (AC) joint dislocation. Methods Both the injured AC joint and the mirrored normal side AC joint are 3D printed into real-size models. A proper hook plate is selected and pre-bended to fit the normal side AC joint. The bended plate is then used to perform a reduction operation on a real-size injured AC joint model and the result is compared with the mirrored normal AC joint model to see if the reduction is accurate. Results It is easy to select and bend a clavicle hook plate to achieve an accurate reduction with the help of a 3D printing technique. Conclusion With this technique, surgeons can achieve an accurate reduction of the injured AC joint with a clavicle hook plate which might be helpful to reduce the risk of complications.

scholarly journals Treatment of chronic acromioclavicular joint dislocation in a paraplegic patient with the Weaver-Dunn procedure and a hook-plate

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Holger Godry ◽  
Mustafa Citak ◽  
Matthias Königshausen ◽  
Thomas A. Schildhauer ◽  
Dominik Seybold
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Weight Bearing ◽  
Full Range ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Ac Joint ◽  
Joint Dislocation ◽  
Ac Joint Dislocation ◽  
Cord Injury

Abstract In case of patients with spinal cord injury and concomitant acromioclavicular (AC) jointdislocation the treatment is challenging, as in this special patient group the function of the shoulder joint is critical because patients depend on the upper limb for mobilization and wheelchair-locomotion. Therefore the goal of this study was to examine, if the treatment of chronic AC-joint dislocation using the Weaver- Dunn procedure augmented with a hook-plate in patients with a spinal cord injury makes early postoperative wheelchair mobilization and the wheelchair transfer with full weightbearing possible. In this case the Weaver- Dunn procedure with an additive hook-plate was performed in a 34-year-old male patient with a complete paraplegia and a posttraumatic chronic AC-joint dislocation. The patient was allowed to perform his wheelchair transfers with full weight bearing on the first postoperative day. The removal of the hook-plate was performed four months after implantation. At the time of follow-up the patient could use his operated shoulder with full range of motion without restrictions in his activities of daily living or his wheel-chair transfers.

scholarly journals Clinical and Radiological Results of Hook Plate Fixation in Acute Acromioclavicular Joint Dislocations and Distal Clavicle Fractures

2018 ◽  
Vol 21 (2) ◽  
pp. 95-100
Author(s):  
Joo Han Oh ◽  
Seunggi Min ◽  
Jae Wook Jung ◽  
Hee June Kim ◽  
Jae Yoon Kim ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Clavicle Fracture ◽  
Hook Plate ◽  
Distal Clavicle ◽  
Ac Joint ◽  
Joint Dislocation ◽  
Group I ◽  
Joint Dislocations ◽  
Ac Joint Dislocation ◽  
Group Ii

BACKGROUND: The purpose of this study was to evaluate the clinical outcomes and complications of hook plate fixation in acromioclavicular (AC) joint dislocations and distal clavicle fractures.METHODS: We retrospectively reviewed a series of 60 consecutive patients with hook plate fixation for AC joint dislocation (group I) and distal clavicle fracture (group II). Groups I and II had 39 and 21 patients, respectively. Clinical results were evaluated using the pain visual analogue scale (VAS), simple shoulder test, and Constant-Murley scores. In addition, subacromial erosion and stiffness were evaluated as complications.RESULTS: At the removal, the pain VAS was 2.69 ± 1.30 and 4.10 ± 2.14 in groups I and II, respectively, which were significantly different (p=0.003). The simple shoulder test score was 9.59 ± 1.60 and 7.81 ± 2.67 in groups I and II, respectively, which were also significantly different (p=0.002). Subacromial erosion was significantly more frequent in group II (14/21 patients, 66.7%) than in group I (15/39 patients, 38.5%) (p=0.037), and stiffness was also higher in group II (17/21 patients, 81.0%) than in group I (22/39 patients, 56.4%), but it was not significant.CONCLUSIONS: Hook plate fixation showed good clinical and functional results for the treatment of acute unstable AC joint dislocation and distal clavicle fracture. But, in distal clavicle fractures, there are more subacromial erosion and stiffness compare with acute unstable AC joint dislocation.

scholarly journals Clavicle hook plate technique and its functional results in the treatment of acromioclavicular joint dislocation

2015 ◽  
Vol 5 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Mehmet Ali Baran ◽  
Yaşar Mahsut Dinçel ◽  
Ozan Beytemür ◽  
Sever Çağlar ◽  
Oktay Adanır ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Functional Results ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Dislocation ◽  
Plate Technique ◽  
Clavicle Hook Plate

scholarly journals Treatment of acute high-grade acromioclavicular joint dislocation

2020 ◽  
Vol 23 (3) ◽  
pp. 159-165
Author(s):  
Jeung Yeol Jeong ◽  
Yong-Min Chun
Keyword(s):  
Standard Procedure ◽  
High Energy ◽  
Acromioclavicular Joint Dislocation ◽  
High Grade ◽  
Shoulder Injuries ◽  
Ac Joint ◽  
Joint Injury ◽  
Joint Dislocation ◽  
Treatment Type ◽  
Joint Dislocations

Acromioclavicular (AC) joint dislocations account for about 9% of shoulder injuries. Among them, acute high-grade injury following high-energy trauma accounts for a large proportion of patients requiring surgical treatment. However, there is no gold standard procedure for operative treatment of acute high-grade AC joint injury, and several different procedures have been used for this purpose in clinical practice. This review article summarizes the most recent and relevant surgical options for acute high-grade AC joint dislocation patients and the outcomes of each treatment type.

Evaluation of the Clavicle Hook Plate for Treatment of Acromioclavicular Joint Dislocation

2020 ◽  
Vol 34 (1) ◽  
pp. e20-e25 ◽  
Author(s):  
Sravya P. Vajapey ◽  
Matthew R. Bong ◽  
Richard D. Peindl ◽  
Michael J. Bosse ◽  
Thuan V. Ly
Keyword(s):  
Acromioclavicular Joint ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Dislocation ◽  
Clavicle Hook Plate

scholarly journals Fifteen-degree clavicular hook plate achieves better clinical outcomes in the treatment of acromioclavicular joint dislocation

2018 ◽  
Vol 46 (11) ◽  
pp. 4547-4559 ◽  
Author(s):  
Guanghui Li ◽  
Tuoen Liu ◽  
Xianfang Shao ◽  
Zhijun Liu ◽  
Jianhui Duan ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Postoperative Recovery ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Ac Joint ◽  
Level Of Evidence ◽  
Joint Dislocation ◽  
Ac Joint Dislocation ◽  
Clavicular Hook Plate ◽  
Retrospective Comparative Study

Objective Clavicular hook plate application is one of the most commonly used treatment methods for acromioclavicular (AC) joint dislocation, although it may cause multiple postoperative complications. We modified the regularly used 0° hook plate to 15° and compared the clinical outcomes of these two hook plates for treatment of AC joint dislocation. Methods Forty-three patients with acute AC joint dislocation were randomly enrolled (0° hook plate, 20 patients; 15° hook plate, 23 patients). The American Shoulder and Elbow Surgeons (ASES) and visual analog scale for pain (VASP) scores were evaluated preoperatively and at 3 days and 1, 2, 3, and 6 months postoperatively and compared between the two groups. Results Compared with the preoperative scores, the 6-month postoperative ASES score gradually increased but the VASP score decreased in both groups. Furthermore, the ASES and VASP scores were significantly different between the two groups at every postoperative time point. Conclusion The 15° hook plate is superior to the 0° hook plate in reducing shoulder pain and improving postoperative recovery in the treatment of AC joint dislocation. Level of evidence Level III; Treatment study (retrospective comparative study).

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