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 Operative Treatment of Distal Clavicle Fracture with Acromioclavicular Joint Injury

2011 ◽  
Vol 14 (1) ◽  
pp. 59-66
Author(s):  
Ho-Jung Kang ◽  
Il-Hyun Koh ◽  
Jong-Hwan Joo ◽  
Yong-Min Chun ◽  
Hyung-Sik Kim
Keyword(s):  
Operative Treatment ◽  
Acromioclavicular Joint ◽  
Clavicle Fracture ◽  
Distal Clavicle ◽  
Distal Clavicle Fracture ◽  
Joint Injury ◽  
Acromioclavicular Joint Injury

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 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.

scholarly journals A type VI acromioclavicular joint injury: subcoracoid dislocation in a patient with polytrauma

2020 ◽  
Vol 102 (9) ◽  
pp. e1-e3
Author(s):  
E Balai ◽  
S Sabharwal ◽  
D Griffiths ◽  
P Reilly
Keyword(s):  
Acromioclavicular Joint ◽  
High Energy ◽  
Injury Pattern ◽  
Acromioclavicular Joint Dislocation ◽  
Radiology Report ◽  
Joint Injury ◽  
Acute Setting ◽  
Energy Mechanism ◽  
Appropriate Treatment ◽  
Acromioclavicular Joint Injury

The Rockwood type VI acromioclavicular joint injury describes subcoracoid dislocation of the distal end of the clavicle. This injury pattern is exceedingly rare, with only 12 cases described in the literature. Diagnosis can be challenging; it is often the result of a high-energy mechanism and patients frequently have other severe distracting injuries. We report the case of a 23-year-old man who presented to our department after falling from a fifth-floor balcony. Alongside multiple intra-abdominal and musculoskeletal injuries, the patient sustained a type VI acromioclavicular joint dislocation. This injury was not picked up on the initial clinical assessment or described in the initial radiology report, with the diagnosis only made upon subsequent repeat review of the imaging by the admitting team. Fortunately, this delay did not increase the time to the patient receiving appropriate treatment. Despite its rarity, awareness of this injury pattern and its association with polytrauma is essential to reduce the risk of the diagnosis being overlooked in the acute setting.

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