Surgical treatment of acute type-V acromioclavicular injuries in athletes.
In a prospective study, 18 consecutive athletes with an acute type-V acromioclavicular sprain were treated with a coracoclavicular repair using a double velour Dacron graft. All patients were reviewed after a mean follow-up period of 6 years (range: 2-9 years). At follow-up, 12 patients (66.7%) showed a good or excellent result according to the Imatani evaluation system, and six patients (33.3%) demonstrated a fair or poor result according to the same system. Loss of reduction was encountered in eight shoulders (44.4%) 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 coracoclavicular calcifications or ossifications, between the overall scores and the development of post-traumatic arthritic changes, or between the overall scores and the presence of osteolysis of the distal clavicle.
Verhaven
E
E
Department of Orthopedic and Traumatologic Surgery, Academic Hospital, Free University of Brussels, Belgium.
DeBoeck
H
H
Haentjens
P
P
Handelberg
F
F
Casteleyn
P P
PP
Opdecam
P
P
D000173:Acromioclavicular Joint / Q000293:injuries* / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D009985:Orthopedics / Q000379:methods; D011183:Postoperative Complications; D011446:Prospective Studies; D012421:Rupture; D013180:Sprains and Strains / Q000145:classification / Q000601:surgery; D016896:Treatment Outcome