BACKGROUND: The management of acute acromioclavicular (AC) joint dislocation is controversial. PURPOSE: The authors describe a surgical technique involving securing the clavicle to the coracoid process using suture anchors for the treatment of acute AC joint injury. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Twenty patients were evaluated retrospectively, clinically, and radiographically, for a mean of 41.2 months. RESULTS: At last follow-up, the mean Constant score for the 20 patients was 89.5. Eighteen patients (90%) maintained complete AC joint reduction in both anteroposterior and axillary views. Slight loss of reduction was noted in 2 patients (10%), but their functional outcomes were good. No fixation failure or pulling out of suture anchors was encountered. CONCLUSION: This minimally invasive technique using a suture anchor for the treatment of acute AC dislocation is easily performed.
BACKGROUND: The management of acute acromioclavicular (AC) joint dislocation is controversial. PURPOSE: The authors describe a surgical technique involving securing the clavicle to the coracoid process using suture anchors for the treatment of acute AC joint injury. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Twenty patients were evaluated retrospectively, clinically, and radiographically, for a mean of 41.2 months. RESULTS: At last follow-up, the mean Constant score for the 20 patients was 89.5. Eighteen patients (90%) maintained complete AC joint reduction in both anteroposterior and axillary views. Slight loss of reduction was noted in 2 patients (10%), but their functional outcomes were good. No fixation failure or pulling out of suture anchors was encountered. CONCLUSION: This minimally invasive technique using a suture anchor for the treatment of acute AC dislocation is easily performed.
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Authors: Ferran Abat; Juan Sarasquete; Luis Gerardo Natera; Ángel Calvo; Manuel Pérez-España; Néstor Zurita; Jesús Ferrer; Juan Carlos del Real; Eva Paz-Jimenez; Francisco Forriol Journal: J Orthop Traumatol Date: 2015-03-05