Can an acute high-grade acromioclavicular joint separation be reduced and stabilized without surgery? A surgeon’s experience
Autor: | Nina Maziak, Fabian Plachel, Philipp Moroder, Tazio Maleitzke, Tobias Winkler |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty External Fixators Acromioclavicular joint dislocation medicine.medical_treatment Joint Dislocations Joint stability Rockwood Conservative Treatment Conservative therapy Joint injury External fixation medicine Humans Acromioclavicular joint Orthopedics and Sports Medicine Trauma Severity Indices business.industry Treatment options General Medicine Clavicle Brace Surgery Radiography Treatment Outcome Arthroscopy and Sports Medicine medicine.anatomical_structure Acromioclavicular Joint Athletic Injuries Orthopedic surgery Tossy Manipulation Orthopedic business Acromioclavicular joint separation Shoulder injury 600 Technik Medizin angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit |
Zdroj: | Archives of Orthopaedic and Trauma Surgery |
ISSN: | 1434-3916 0936-8051 |
Popis: | Introduction While the management of Rockwood type III injuries is still a topic of debate, high-grade Rockwood type V injuries are mostly treated surgically, to anatomically reduce the acromioclavicular (AC) joint and to restore functionality. In this case report, we present a method for non-operative reduction and stabilization of a high-grade AC joint injury. Case A 31-year-old male orthopaedic resident sustained a Rockwood type V injury during a snowboarding accident. His AC joint was reduced and stabilized with an AC joint brace for six weeks. The brace provided active clavicle depression and humeral elevation. After removal of the brace the AC joint showed a nearly anatomic reduction. Six-month follow-up weighted X-ray views showed an AC joint which had healed in a Rockwood type II position and the patient returned to full pre-injury function with a satisfying cosmetic appearance. Conclusion Non-operative reduction and stabilization of high-grade AC joint separations seems to be a valuable treatment option. A “closed reduction and external fixation” approach with the aid of a dedicated AC joint brace can reduce the AC joint and keep it in place until ligamentous consolidation occurs, thus improving AC joint stability and cosmetic appearance without surgical intervention. |
Databáze: | OpenAIRE |
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