title: [Injuries of the acromioclavicular joint].
abstract: The injuries of the acromio-clavicular joint require a differentiated diagnosis and treatment. The classification of the acromio-clavicular dislocations from grade I to grade III according to Tossy is proved. The diagnosis of a complete acromio-clavicular dislocation (Tossy III) is an indication for a surgical repair. Many and different methods are reported in the literature. 178 patients with a fresh acromio-clavicular dislocation (Typ Tossy II and III) were treated at the BG-Unfallklinik Tübingen from 1970 to 1987 by suturing the ligaments, inserting pins across the joint and tension wire bending. In old cases with Tossy III dislocation of the acromio-clavicular joint an oblique osteotomy combined with the reduction of the clavicle is recommended as a method of choice. The results of these procedures and there possible intra- and postoperative complications are reported. The incision along the clavicle quite often gives scar problems. Therefore the advantages of an arched incision across the acromio-clavicular joint is pointed out. Because of there biomechanical relationship fractures in the lateral third of the clavicle are similar to dislocations of the acromio-clavicular joint. The classification of these fractures according to Jäger, Buschle and Breitner allows a differentiated management of these lesions.
mesh_terms: D000173:Acromioclavicular Joint / Q000293:injuries*; D000293:Adolescent; D000328:Adult; D000368:Aged; D001863:Bone Screws; D001864:Bone Wires; D002968:Clavicle / Q000293:injuries / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D004204:Joint Dislocations / Q000145:classification / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries; D008297:Male; D008875:Middle Aged
vernacular_title: Verletzungen des Schultereckgelenkes.