Journal of Musculoskeletal Trauma

Original Articles

Treatment of Acromioclavieular Dislocation: Comparative Study between Conservative Treatment and Two Operative Method: Chang Hyuk Choi, Chang Jin Kang; J Korean Soc Fract 1996;9(4):1039-1046. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1039

Abstract PDF: We treated 43 cases of the complete dislocation of the acromioclavicular dislocation with the modified Weaber and Dvnn method(22 cases), Phemister method(12 cases) and conservative method(9 cases) from April 1987 to February 1995. The purpose of this study is to compare the clinical and radiological results of two operative method and conservative treatment. The average follow up period was fifty sit months and the results were as follows: 1. Of the 43 patients, there was 34 male and 9 femaie patients, and peak incidence was in 3rd and 4th decades(4775). 2. Cause of injury was fall down (20 cases), traffic accident(12 cases), and slip down(11 cases) and left side was predominent with 26 cases(60%). 3. The functional result by the Weitzmann criteria was Excellent in 15 cases(68%), Good in 5 cases(23%), and Fair in 2 cases(9%) with Modified Weaber and Dunn method, and 8 cases(66%), 2cases(17%),and 2cases(17%) with Phemister method, and 5 cases(55%), 2 cases(23%), and 2cases(23%) with conservative treatment. 4. There were no maior complications that could affect the end results. 5. The functional results were similiar to all treatment modalities, and coracoclavicular interval ratio was well maintained regardless of two operative method, but less complication and more patient satisfaction were after Modifid Weaber and Dunn method.

Treatment of acromioclavicular dislocation by a Phemister method: Sung Keun Sohn, Kyung Taek Kim, Kyu Yeol Lee, Sung Soo Kim, Hyung Hwan Lee; J Korean Soc Fract 1996;9(1):154-160. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.154

Abstract PDF: Acromio-clavicular joint dislocation occurs when both acromioclavicular and coracoclavicular ligaments are ruptured and brings to deformity, arthralgia and limitation of motion of the shoulder joint. The treatment of complete acromioclavicular dislocation is controversial, and both of the conservative and surgical treatment are reported to be relatively successful. But, conservative treatment have many disadvantages and now rarely advocated. Recently, there are increasing tendencies to treat the acromioclavicular dislocatioll with anatomical reduction of acromioclavicular joint and rigid internal fixation for early movement of shoulder Joint. We report the results of 16 cases of acute acromioclavicular dislocation treated with Phemister or modified Phemister method. The results are as follows. 1. Among 16 cases,14 cases were males and 9 cases were belong to 3rd decade and 4th decade. 2. The most common cause of injuries was slip down. 3. Postoperative difference in coracoclavicular distance on radiogram was 0.1 mm on average. 4. Clinical results were excellent in 14 cases, good in 1 case and acceptable in 1 case. 5. Complications were redislocation in 1 case and K-wire migration in 1 case, but there was no arhritic changes on the affected A-C joint.

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