A new method of arthroscopic reconstruction of the dislocated acromio-clavicular joint.
BACKGROUND
Symptomatic total acromio-clavicular joint dislocation (Rockwood et al. types III-VI) may be treated by surgical reconstruction.


OBJECTIVE
To describe an arthroscopically assisted technique to reconstruct anatomically the coraco-clavicular ligaments in acute or chronic (> 6 weeks) acromio-clavicular joint dislocation.


METHODS
This new technique involves arthroscopic exposure of the coracoid process. Prior to introducing this technique, cadaveric studies were undertaken.


RESULTS
Five patients underwent this procedure. All engaged in regular sports or manual-type work. All patients were discharged the same day with the shoulder immobilised for 4 weeks, with no heavy lifting for 3 months. All patients were pain-free at 6 weeks with full function and maximum Constant scores at 3 months. There have been no complications.


CONCLUSIONS
A new, safe technique is described which provides a cosmetically acceptable, anatomically solid reconstruction of the coraco-clavicular ligaments.
Trikha
S P
SP
Department of Orthopaedic Surgery, Kingston NHS Trust, Surrey, UK. ptrikha@doctors.org.uk
Acton
D
D
Wilson
A J
AJ
Curtis
M J
MJ
D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000328:Adult; D000556:Ambulatory Surgical Procedures; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D011859:Radiography