Surgical treatment of acute type V acromioclavicular injuries. A prospective study.
In a prospective study, 28 consecutive patients with an acute Type V acromioclavicular sprain were treated with a coraco-clavicular repair using a double velour Dacron graft. All patients were reviewed after a mean follow-up period of 5.1 years (range: 1 to 9 years). At follow-up, 20 patients (71.4%) showed good or excellent results, according to the Imatani evaluation system, and 8 patients (28.6%) demonstrated a fair or poor result according to the same system. Loss of reduction was encountered in 11 shoulders (40%), despite an initial anatomical reduction. No correlation was seen between the overall scores at follow-up and the degree of residual dislocation, between the overall scores and the presence of coraco-clavicular calcifications or ossifications, between the overall scores and the development of posttraumatic arthritic changes, or between the overall scores and the presence of osteolysis of the distal clavicle.
Verhaven
E
E
Department of Orthopaedics and Traumatology, Vrije Universiteit Brussels, Belgium.
Casteleyn
P P
PP
De Boeck
H
H
Handelberg
F
F
Haentjens
P
P
Opdecam
P
P
D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001265:Athletic Injuries / Q000601:surgery; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries; D008297:Male; D011093:Polyethylene Terephthalates; D011446:Prospective Studies; D019736:Prostheses and Implants; D011859:Radiography; D012086:Reoperation; D012421:Rupture; D013180:Sprains and Strains / Q000601:surgery*
D011093:Polyethylene Terephthalates