Cover Image

ACROMIOCLAVICULAR JOINT DISLOCATION-MANAGEMENT BY MODIFIED PHEMISTER TECHNIQUE AND BOSWORTH TECHNIQUE

AMARNATH SIVAKUMAR

Abstract


Abstract :
Acromioclavicular joint dislocation has
been one of the difficult conditions to be
treated operatively. No other joint in the
human body is treated in many ways as
the Acromioclavicular joint. Eight patients
with isolated Type 3 Rockwood's Acromioclavicular
joint dislocation were selected
and managed with either modified
Phemister technique or Bosworth technique.
The aim of the study is to analyse
and compare the functional outcome of
the shoulder in patients with Type 3
Rockwood's Acromioclavicular joint dislocation
managed by Modified Phemister
technique or Bosworth technique using
UCLA score.
Keyword :Acromioclavicular joint dislocation,
Rockwood's classification, Conoid
and Trapezoid ligaments, Modified
Phemister technique, Bosworth technique,
UCLA score.


Full Text:

PDF

References


Jeon IH, Dewnany G, Hartley R, Neumann

L,WallaceWA.

Rockwood CA Jr, Green DP, Bucholz

RW, Heckman JD. Fractures in Adults.

th ed. Philadelphia,PA: Lippincott-

Raven;. 1996.

Bradley JP, Elkousy H. Decision making

: operative versus nonoperative

treatment ofacromioclavicular joint injuries.

Clin Sports Med 2003 ; 22 : 277-

Wojtys EM, Nelson G. Conservative

treatment of Grade III acromioclavicular

dislocations. ClinOrthop. Jul 1991;

(268):112-9.

Press J, Zuckerman JD, Gallagher M,

et al. Treatment of grade III acromioclavicular

separations.Operative versus

nonoperative management. Bull Hosp Jt

Dis. 1997;56(2):77-83.

Schlegel TF, Burks RT, Marcus RL. A

prospective evaluation of untreated acute

grade III acromioclavicular separations. Am

J Sports Med. Nov-Dec 2001;29(6):699-703

Phemister D. B. The treatment of acromioclavicular

joint by open reduction and

threaded-wire fixation. J. Bone JointSurg

; 24 : 166-168.,Bosworth

BM.Acromioclavicular dislocation ; endresults

of screw suspension treatment. Ann

Surg 1948 ; 127 : 98-111

Faraj AA, Ketzer B. The use of a hookplate

in the management of acromioclavicular

injuries. Report of ten cases. Acta Orthop

Belg 2001 ; 67 : 448-451

Brunelli G, Brunelli F. The treatment of

acromioclavicular dislocation by transfer of

the short head of biceps. Int Orthop 1988 ;

: 105-108.

Luis GE, Yong CK, Singh DA, Sengupta

S, Choon DS Acromioclavicular joint dislocation

: a comparativebiomechanical study

of the palmaris-longus tendon graft reconstruction

with other augmentative methods

in cadaveric models. J Orthop Surg Res

; 2 : 2.

Stam L, Dawson I. Complete acromioclavicular

dislocations: treatment with a Dacron

ligament. Injury 1991 ; 22 :173-176

Jeon IH, Dewnany G, Hartley R, Neumann

L,WallaceWA 14.Clayer M, Slavotinek

J, Krishnan J. The results of coracoclavicular

slings for acromio-clavicular dislocation.

Aust N Z J Surg 1997 ; 67 : 343-

Weaver JK, Dunn HK. Treatment of

acromioclavicular injuries, especially

completeacromioclavicular separationJ

Bone Joint Surg 1972 ; 54-A : 1187-

Fukuda K, Craig EV, An KN. Biomechanical

study of the ligamentous system

of theacromioclavicular joint. J Bone

Joint Surg Am. Mar 1986;68(3):434-40.

Shaffer BS. Painful conditions of the

acromioclavicular joint. J Am Acad Orthop

Surg. May-Jun1999;7(3):176-88.

Goss TP. Double disruptions of the

superior shoulder suspensory complex.

J Orthop Trauma.1993;7(2):99-106.

Rockwood Jr CA, Young DC. Disorders

of the Acromioclavicular Joint. In

Rockwood Jr CA,Matsen III FA (eds).

The Shoulder. Philadelphia: WB Saunders,

: 413-46820.Phemister DB:

The treatment of dislocation of acromioclavicular

joint by open reduction andthreaded-

wire fixation, J Bone Joint

Surg. 1942; 24:166

Tossy JD, Mead NC, Sigmond HM.

Acromio-claviculare separations: useful

and practicazl classification for treatment.

Clinical Orthopaedics and Related Research

; 28: 111

Freeman B. Old unreduced dislocations.

In: Canale JT. Campbellā€™s Operative

Orthopaedics. Mosby, 1998: 2657-2677

Tossy JD, Mead NC, Sigmond HM.

Acromio-clavicular separations: useful

and practicazlclassification for treatment.

Clinical Orthopaedics and Related

Research 1963; 28: 11124.Bosworth,

Boardman M.: Acromioclavicular

Separation: New Method of Repair.Surg.,

Gynec. & Obst., 73: 866, I94I.25.Injury Volume

, Issue 4, January 1982, Pages 299-


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University