Abstract
An original technique for the treatment of acute acromioclavicular (AC) joint dislocations
is proposed. It consists of a closed reduction and stabilization of the AC joint,
positioning a cannulated screw between the clavicle and the coracoid under arthroscopic
control, without any exposure to x-rays. The conoid and trapezoid ligaments are not
sutured or reconstructed. The screw is finally removed under local anesthesia 12 weeks
after surgery. The described procedure has been performed in 9 patients. Short-term
preliminary results show an excellent functional outcome without any residual pain.
Among the advantages of the technique are that it does not require specific instrumentation,
is a minimally invasive approach, has the possibility of searching the glenohumeral
joint for associated lesions and eventually treating them, and has the benefits of
not exposing the patient or surgical team to ionizing radiation.
Keywords
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© 2004 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
