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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2010, Number 5

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Acta Ortop Mex 2010; 24 (5)

Grade III acromioclavicular dislocation treated with a minimally invasive approach

Algarín JR, Salcedo JD, Rodríguez JO, Bello AG, Sancho FB

Language: Spanish
References: 18
Page: 317-323
PDF size: 486.48 Kb.


ABSTRACT

Objective: To determine the efficacy of minimally invasive surgery (MIS) in the treatment of type III acromioclavicular dislocations using the UCLA and DASH evaluations. Material and methods: Prospective, longitudinal, observational study; clinical series of patients with a diagnosis of type III acromioclavicular dislocation who underwent MIS consisting of percutaneous reduction, placement of a 4.5 mm cortical screw, an 11 mm metallic washer and 1.6 mm Kirschner nails at the Polanco Red Cross Hospital from July 2007 to July 2009. The evaluations were done using the UCLA test and the DASH questionnaire. Results: The total number of patients was 42; 5 females and 37 males. According to the UCLA test, 86% of them had excellent to good results and 14% partial to poor results. The results of the DASH questionnaire were as follows: 80% had no difficulty to mild difficulty; 18% had moderate to severe difficulty, and 2% had disability for performing daily life activities. Conclusions: MIS is a good treatment for the management of type III acromioclavicular dislocation with long-term results based on the UCLA test and the DASH questionnaire.


REFERENCES

  1. Rockwood and Greens: Fracturas en el adulto. 5ª edición, Vol 1. Philadelphia JB. Lippincott 1984: 1210.

  2. Mendoza-Gutiérrez I, Arzate-Delgado E. Evaluación funcional en el tratamiento quirúrgico de la luxación acromioclavicular crónica. Acta Ortop Mex 2004; 18(2): 41-3.

  3. Harris TG, Lynch MD: Acromioclavicular joint separations: update, diagnosis, classification and treatment. Orthop 2003; 14: 255-61.

  4. Pauly S, Gerhardt CP, Haas N: Prevalence of concomitant intraarticular lesions in patients treated operatively for high-grade acromioclavicular joint separations. Knee Surg Sports Traumatol Arthrosc 2008; 7(5): 513-7.

  5. Gladstone JN, Rosen AL: Disorders of the acromioclavicular joint. Curr Opin Orthop 1999; 10: 316-21.

  6. Zalles-Auchen F, Chávez-Chuquimia D: Luxación acromioclavicular, tratamiento quirúrgico. Resección del extremo lateral de la clavícula en la luxación acromioclavicular grado III de Tossy. Rev Bol de Orto y Trauma 2007; 17(1): 18-21.

  7. Clancy WG Jr, Meister K: Craig, Hombro; 2da edición; 2009: 213.

  8. Ryhanen J, Leminen A, Jamsa T: A novel treatment of grade III acromioclavicular joint dislocations with a C hook implant. Arch Orthop Trauma Surg 2006; 126: 22-7.

  9. Campbell: Cirugía Ortopédica, 10ª edición: 2003: 3178-84.

  10. Tossy JD, Mead NC, Sigmond HM: Acromioclavicular separations: useful and practical classification for treatment. Clin Orthop 1963; 28: 111-9.

  11. Fraser-Moodie JA, Shortt NL: Aspects of current management injuries to the acromioclavicular joint. JBJS 2008; 90-B(4): 697-707.

  12. Logters TT, Briem D: K-wire arthrodesis and coracoclavicular augmentation of complete acromioclavicular separations: Functional and subjective results. Eur J Trauma Emerg Surg 2008; 1: 43-8.

  13. Sim E, Schwarz N: Repair of complete acromioclavicular separations using the acromioclavicular-hook plate. Clin Orthop and Rel Res 1995; 314: 134-42.

  14. Larsen E, Bjerg-Nielsen A, Christensen P: Conservative or surgical treatment of acromioclavicular dislocation. JBJS Am 1986; 68: 552-5.

  15. Rolf O, Hann Von Weyhern A: Acromioclavicular dislocation Rockwood III-V: Results of early versus delayed surgical treatment. Arch Orthop Trauma Surg 2008; 128: 1153-7.

  16. Velázquez-Pedroza VH, López-Marmolejo A: Eficacia de la cirugía mínimamente invasiva en el antepié de los niños. Acta Ortopédica Mexicana 2008; 22(1): 19-25.

  17. Jester A, Harth A: Disabilities of the arm, shoulder and hand (Dash) questionnaire: determining functional activity profiles in patients with upper extremity disorders. J Hand Surgery (British and European) 2005; 30b(1): 23-8.

  18. Hudak PL, Amadio PC: Development of an upper extremity outcome measure: the Dash (Disabilities of the arm, shoulder, and head). American Journal of Industrial Medicine 1996; 29: 602-8.




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