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. 2004 Apr;28(2):119-22.
doi: 10.1007/s00264-003-0520-3. Epub 2003 Nov 4.

Surgical treatment of chronic complete acromioclavicular dislocation

Faisal F Adam  1 , Osama Farouk
Affiliations

Surgical treatment of chronic complete acromioclavicular dislocation

Faisal F Adam et al. Int Orthop. 2004 Apr.

Abstract
in English, French

We treated surgically 14 patients with symptomatic complete dislocation of the acromioclavicular joint. The surgical procedure included reconstruction of the coracoclavicular ligament using the coracoacromial ligament as substitute, reconstruction of the acromioclavicular ligament, and imbrications of the deltotrapezius aponeurosis over the top of the distal clavicle. A temporary tension band between the clavicle and acromion was used to stabilize the joint. Two patients were lost to follow-up. Twelve patients were followed for an average of 20 (18-60) months. Functional outcome was assessed according to modified UCLA acromioclavicular rating scale. The results were excellent in eight patients, good in three, and fair in one. In one patient, there was loosening of the temporary fixation with subluxation of the clavicle.

Nous avons traité chirurgicalement 14 malades présentant une luxation acromioclaviculaire complète. La technique chirurgicale a inclus la reconstruction du ligament coracoclaviculaire en utilisant le ligament coraco-acromial, la reconstruction du ligament acromioclaviculaire, et la fixation de l’aponévrose deltotrapezienne sur le sommet de la clavicule distale. Une fixation temporaire entre la clavicule et l’acromion a été utilisé pour se stabiliser l’articulation. Deux malades ont été perdus de vue. Douze malades ont été suivis en moyenne 20 (18–60) mois. Le résultat fonctionnel a été établi d’après le score acromioclaviculaire UCLA modifié. Les résultats étaient excellents pour huit malades, bon pour trois, et passable pour un. Dans un cas il y a eu échec de la fixation temporaire avec subluxation de la clavicule.

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Figures

Figure 1 A
Figure 1 A
Stress radiograph with complete acromioclavicular dislocation of the right shoulder. B Four months postoperative radiographs showing the temporarily used tension band. C Two years postoperative radiograph of right shoulder after removal of the temporary tension band
See this image and copyright information in PMC

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