1.Treatment of Acromioclavicular Joint Dislocations: Focus on the Reduction of Acromioclavicular Joint.
Journal of the Korean Fracture Society 2008;21(1):77-80
No abstract available.
Acromioclavicular Joint
2.A New Technique for Solving Tightrope Cutout during Acromioclavicular Joint Fixation: A Case Report
Ng BW ; Abdullah AF ; Nadarajah S
Malaysian Orthopaedic Journal 2017;11(1):57-59
Acromioclavicular joint (ACJ) dissociation is one of the
common injuries affecting adults. The stability of ACJ
largely depends on the integrity of acromioclavicular
ligament, coracoclavicular ligament, capsule, trapezius
muscle and deltoid muscle. The injury has been classified by
Rockwood into six types and treatment options can be
guided by the classification. TightRope fixation is one of the
many surgical procedures available to address
acromioclavicular joint separation. It consists of tensioning
of a no. 5 Fibrewire suture secured at both ends to lowprofile
metallic buttons. Despite various advantages of using
this technique, complications such as suture cut-out, clavicle
fracture and suture failure have been documented. The
author presents a case of a type III acromioclavicular joint
dissociation treated with TightRope which suture cutout was
noted intra-operatively. Decision to amend the fixation using
a cut one-third tubular plate as an additional anchor for the
metallic button on the clavicle was made. Patient’s progress
was evaluated using the University of California at Los
Angeles Shoulder Score (UCLA Shoulder Score) and
significant improvement was noted six months post
operatively. We propose this technique as a solution to the
encountered problem.
Acromioclavicular Joint
3.Comparison of Results of Tension Band Wire and Hook Plate in the Treatment of Unstable Fractures of the Distal Clavicle.
Chul Hyun PARK ; Oog Jin SHON ; Jae Sung SEO
Journal of the Korean Fracture Society 2011;24(1):55-59
PURPOSE: To compare the clinical and radiological outcomes of two surgical methods with tension band wire and Hook plate for unstable distal clavicle fractures. MATERIALS AND METHODS: Thirty patients with type II distal clavicle fractures were evaluated, who were operated with tension band wire (Group I) and Hook plate (Group II) fixation, from June 2005 to June 2009, and could be followed-up for more than 1 year after operation. The reduction and union were evaluated by the immediate post-operative and final radiographs. The functional outcome was evaluated by Kona's system and Constant-Murley scoring system. RESULTS: All 30 cases showed bony union. By Kona's functional evaluation, there were 16 cases with excellent and good results in Group I and 14 cases in Group II. The average Constant score was 88.3 (71~100) in Group I and 89.6 (72~100) in Group II, but there was no significant difference in both groups. As complications, there were 2 case with subacromial impingement, and 1 case showed subacromial erosion. There was no K-wire migration, deep infection and acromioclavicular joint arthritis. CONCLUSION: Tension band and Hook plate fixation technique gave satisfactory clinical and radiological results in patients with type II distal clavicle fractures. These results suggest that tension band wire and Hook plate fixation technique seems to be an effective method for type II distal clavicle fracture. But we think thal early removal of plate is necessary due to risks for subacromial impingement and erosion in Hook plate fixation.
Acromioclavicular Joint
;
Clavicle
;
Humans
4.No8-like tightening method for acromioclavicular dislocation.
Journal of Practical Medicine 2002;435(11):92-94
Between August 1984 to August 1999, 24 patients (17 males, 7 females) with acromioclavicular dislocation alone or combining with exterior clavicular bone fracture were treated at Hospital 103 with No8-like tightening method. Postoperation, 15 cases have good and very good outcome (83.34%). 3 cases have fair and moderate outcome (16.6%), this is a simple method with available materials and devices. Disadvantages included painful emergence of wires, wire removal and secondary dislocation due to wire removal.
Acromioclavicular Joint
;
therapy
5.Clinical study of dislocation of the acromioclavicular joint: Grade III injury allman's classification.
Keung Bae RHEE ; Soo Kil KIM ; Sae Joong OH ; Nam Jin JEONG ; Jin Hong KOH ; Jin Ho KHIM
The Journal of the Korean Orthopaedic Association 1993;28(5):1603-1609
No abstract available.
Acromioclavicular Joint*
;
Classification*
;
Dislocations*
6.Acromioclavicular joint dislocation associated with acromion and clavicular fracture: A case report.
Seung Gyun CHA ; Won Suek LEE ; kyung Hoon KIM ; Sang In HAN ; Eung Ju KIM
The Journal of the Korean Orthopaedic Association 1993;28(1):193-197
No abstract available.
Acromioclavicular Joint*
;
Acromion*
;
Dislocations*
7.Clinical Observation of Acromioclavicular Seperation
Eung Shick KANG ; Byeong Mun PARK ; Dae Young HAN ; Kyung Doo LEE
The Journal of the Korean Orthopaedic Association 1976;11(4):686-690
Twenty four cases of acromioclavicular seperation were admitted and treated at Severance Hospital, Yonsei University from October 1964 to September 1975. Of these, six cases were subluxations and eighteen cases were dislocations. Acromioclavicular joint injury is relatively rare and there are many methods of treatment. In our cases, all the six subluxations and seven of the eighteen dislocations were treated by conservative method, while eleven of the eighteen dislocations were treated by operative method. The results of all the subluxated cases were satisfactory. In cases of dislocation, the results were considerably better in operated cases with Weavers method.
Acromioclavicular Joint
;
Dislocations
;
Methods
8.Treatment of Complete Acromioclavicular Joint Dislocation by Weaver and Dunn Method
Jae In AHN ; Koon Soon KANG ; Hak Yoon OH ; Young Su KANG ; Yeu Seung YOON
The Journal of the Korean Orthopaedic Association 1983;18(4):733-736
No abstract available in English.
Acromioclavicular Joint
;
Dislocations
;
Methods
9.Migration of Metal Fixatives from the Acromioclavicular Joint into the Neck: Report of Two Cases
The Journal of the Korean Orthopaedic Association 1986;21(3):499-501
Migration of the fixation device to a part of the body is well known complication of fracture treatment. However, few reports of this complication have appeared in the literature. The present report concerns two instances of the migration of a K-wire and a Steinmann pin from the acromioclavicular joint, respectively, into the neck. It appears that if wires and pins are used for fixation, the lateral ends should be bent to prevent medial migration, and as soon as the desired therapeutic results have been obtained, these must be subsequently removed.
Acromioclavicular Joint
;
Fixatives
;
Neck
10.The Treatment of Acromioclavicular Separation
Duck Yun CHO ; Jai Gon SEO ; Joong Myung LEE ; Kyu Jung CHO
The Journal of the Korean Orthopaedic Association 1990;25(3):840-845
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.
Acromioclavicular Joint
;
Ligaments
;
Methods