Complete acromioclavicular joint dislocation treated with reconstructed ligament by trapezius muscle fascia and observation of fascial metaplasia

• Authors: Chaoliang Wang , Sufang Huang , Yingzhen Wang , Xuesheng Sun , Tao Zhu , Qiang Li , Chu Lin
• Languages of publication: EN

Abstracts

EN

We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated by reconstruction of the acromioclavicular and coracoclavicular ligament using trapezius muscle fascia. Open reduction and internal fixation was performed using the clavicular hook plate in 12 patients with acute complete acromioclavicular joint dislocation, and the acromioclavicular and coracoclavicular ligaments were reconstructed using trapezius muscle fascia. Radiographic evaluations were conducted postoperatively. We evaluated the functional results with constant scoring system and radiological results at the final follow-up visit. The mean Constant score at the final follow-up visit was 91.67 (range, 81 to 100). The results were excellent in eight patients (66.7%) and good in four patients (33.3%). Three patients with scores from 80 to 90 had mild pain during activity, but this did not affect the range of motion of the shoulder. All patients have returned to their preoperative work without any limitations. Compared with the contralateral side, radiography showed anatomical reposition in the vertical plane in all cases. The hook-plate fixation with ligament reconstruction was successful in treating AC dislocations. The acromioclavicular and coracoclavicular ligament were reconstructed by trapezius muscle fascia that keep the distal clavicle stable both vertically and horizontally after type III injuries.

Keywords

EN

Acromioclavicular joint; dislocation; fixation; ligament

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 10
• Issue: 1

Dates

published

1 - 1 - 2015

received

11 - 7 - 2015

accepted

15 - 9 - 2015

online

17 - 12 - 2015

Contributors

author

Chaoliang Wang

• Medical College of Qingdao University, Qingdao, Shandong, 266003, China Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China, Tel: [phone]

author

Sufang Huang

• Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China

author

Yingzhen Wang

• Medical College of Qingdao University, Qingdao, Shandong, 266003, China

author

Xuesheng Sun

• Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China

author

Tao Zhu

• Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China

author

Qiang Li

• Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China

author

Chu Lin

• Department of Orthopaedic Surgery, Affiliated Laiwu Hospital of Taishan Medical College, Laiwu, Shandong 271100, China

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Identifiers

DOI

10.1515/med-2015-0055