title: Modified Phemister procedure for the surgical treatment of Rockwood types III, IV, V acute acromioclavicular joint dislocation.
abstract: Acromioclavicular (AC) joint dislocations are common in young, active patients. In case of surgical indications, Rockwood type IV, type V and selected type III dislocation, we use modified Phemister procedure. At mid-term follow-up, by an average of 35.1 months, we reassessed the records of 14 patients surgically treated for acute AC dislocation from February 2007 to November 2010. In patients with a diagnosis of grade III lesion, indication for surgery was given on the basis of the patient's functional demand. Full recovery was obtained on average 3 months after surgery. Constant Score accounted for 92.7 points, mean Disabilities of the Arm, Shoulder and Hand Score for 3.2 points, and mean Simple Shoulder Test Score for 11.4 points. X-ray findings were partial loss of reduction (9 cases), subclinic re-dislocation (2 cases), calcification (5 cases) and post-traumatic arthritis (2 cases). Modified Phemister is a reliable technique, technically easy, a low learning curve procedure and cheap with low hardware's costs.
authors.affiliation: Orthopaedic Clinic, University of Parma, Parma, Italy.
authors.forename: M A
authors.initials: MA
authors.lastname: Verdano
authors.forename: A
authors.initials: A
authors.lastname: Pellegrini
authors.forename: M
authors.initials: M
authors.lastname: Zanelli
authors.forename: M
authors.initials: M
authors.lastname: Paterlini
authors.forename: F
authors.initials: F
authors.lastname: Ceccarelli
mesh_terms: D000058:Accidental Falls; D000173:Acromioclavicular Joint / Q000293:injuries / Q000601:surgery*; D000328:Adult; D001168:Arthritis / Q000453:epidemiology / Q000209:etiology; D001265:Athletic Injuries / Q000601:surgery; D001864:Bone Wires; D002114:Calcinosis / Q000453:epidemiology / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007103:Immobilization; D004204:Joint Dislocations / Q000145:classification / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D019736:Prostheses and Implants; D020127:Recovery of Function; D012008:Recurrence; D012720:Severity of Illness Index; D016896:Treatment Outcome