The Treatment of Acromioclavicular Separation
10.4055/jkoa.1990.25.3.840
- Author:
Duck Yun CHO
;
Jai Gon SEO
;
Joong Myung LEE
;
Kyu Jung CHO
- Publication Type:Original Article
- Keywords:
Acromioclavicular separation;
Coracoclavicular ligament
- MeSH:
Acromioclavicular Joint;
Ligaments;
Methods
- From:The Journal of the Korean Orthopaedic Association
1990;25(3):840-845
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acromioclavicular joint injuries are recently increased, but there are still controversies as to the proper choice of treatment. We treated thirty cases of acromioclavicular injuries, among these, twenty five cases were done by operative method and five cases conservatively from August 1979 to June 1988. The results were as follows, 1. The injuries were composed of one case of Type 1, 7 cases of Type 2 and 22 cases of Type 3. 2. The result of conservative treatment consisted of 2 cases of good, 1 case of fair and 2 cases of poor. 3. The final outcome of operative method was better than that of conservative one, which consisted of 16 cases of good and 9 cases of fair. 4. The cause of fair results in operative method was thought to residual lexity of the repaired coracoclavicular ligament. 5. The key point of operative treatment in acromioclavicular separation was firm and strong reconstruction of the coracoclavicular ligament. 6. Modified method of coracoclavicular ligament reconstruction using coracoacromial ligament with bone block has been tried.
