title: Arthroscopic treatment of acute acromioclavicular joint dislocation with double flip button.
abstract: The ideal treatment for acute acromioclavicular joint dislocation is still controversial, both in terms of indications and surgical technique. The clinical and radiographic outcomes of 16 patients affected by acute AC joint dislocation (type III-V) and arthroscopically treated with a coracoclavicular double flip button are presented. Despite the excellent clinical results both in terms of Constant score (mean 97 points) and patient satisfaction, at a mean follow-up of 31 months the radiographs showed partial loss of reduction due to distal migration of the flip button within the upper third of the clavicle in one-fourth of the cases. The technique presented here proved to be safe and minimally invasive while delivering good aesthetic results and allowing for the treatment of associated lesions. Furthermore, the technique could benefit from more advanced retention devices, which ought to reduce or avoid migration of the flip buttons.
authors: Dipartimento di Scienze Ortopediche e Traumatologiche Mario Boni, Università dell'Insubria, Viale Borri 57, 21100 Varese (VA), Italy.
authors: L
authors: L
authors: Murena
authors: Ettore
authors: E
authors: Vulcano
authors: C
authors: C
authors: Ratti
authors: L
authors: L
authors: Cecconello
authors: P R
authors: PR
authors: Rolla
authors: M F
authors: MF
authors: Surace
mesh_terms: D000173:Acromioclavicular Joint / Q000601:surgery*; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D017060:Patient Satisfaction; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013536:Suture Techniques; D055815:Young Adult