[Minimally invasive surgery to treat severe acromioclavicular dislocation combined with coracoid process fracture].
OBJECTIVE
To discuss the diagnosis and minimally invasive surgical treatment on severe acromioclavicular dislocation combined with coracoid process fracture.


METHODS
Using 2 incisions of shoulder to expose and fix coracoid process and acromioclaricular joint and to repair damaged acromioclavicular ligament in 7 cases from March 1998 to March 2009. There was 2 males and 5 females in the patients. The age was from 23 to 57 years with an average of 44 yeas. The time from injury to operation was 3-7 d with an average of 4 days. According to Eyres typing, 2 cases were type 11 B, 5 cases were type III B.


RESULTS
Seven patients were followed up from 6 months to 2 years with an average of 1 year. According to Karlsson criteria, 7 cases got grade A.


CONCLUSIONS
Using 2 incisions of shoulder to expose and fix acromioclaricular joint and coracoid process with strong pertinence, reliable fixation and small tissue injury, which is a minimally invasive and effective method for severe acromioclavicular dislocation combined with coracoid process fracture.
Jing
Zhao-feng
ZF
The Second Department of Orthopaedics, Rizhao Traditional Chinese Medicine Hospital, Rizhao 276800, Shandong, China. jingrizhao163@163.com
Zhao
Yi-yu
YY
Wang
Rui-guo
RG
Wang
Guo-zong
GZ
Teng
Li-ling
LL
D000173:Acromioclavicular Joint / Q000293:injuries* / Q000601:surgery*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000150:complications* / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D016896:Treatment Outcome; D055815:Young Adult