Acromioclavicular dislocation: postoperative evaluation of the coracoclavicular ligaments using magnetic resonance☆
نویسندگان
چکیده
OBJECTIVE To radiologically evaluate the healing of the coracoclavicular ligaments after surgical treatment for acromioclavicular dislocation. METHODS Ten patients who had undergone surgical treatment for acromioclavicular dislocation via a posterosuperior route at least one year earlier were invited to return for radiological assessment using magnetic resonance. This evaluation was done by means of analogy with the scale described in the literature for studying the healing of the anterior cruciate ligament of the knee and for measuring the healed coracoclavicular ligaments. RESULTS A scar structure of fibrous appearance had formed in 100% of the cases. In 50% of the cases, the images of this structure had a good appearance, while the other 50% were deficient. CONCLUSION Late postoperative evaluation using magnetic resonance, on patients who had been treated for acute acromioclavicular dislocation using a posterosuperior route in the shoulder, showed that the coracoclavicular ligaments had healed in 100% of the cases, but that this healing was deficient in 50%.
منابع مشابه
Acromioclavicular Reconstruction using Autogenous Semitendinosus Tendon Graft and the Importance of Postoperative Rehabilitation: A Case Report
UNLABELLED We present a case of chronic acromioclavicular joint dislocation (Rockwood type 5) in which the choice of acromioclavicular reconstruction using autogenous semitendinosus tendon graft was made due to its superiority in anatomical reconstruction of the coracoclavicular ligaments, and the impact of postoperative rehabilitation on the recovery of this patient. We also discuss the ration...
متن کاملChanges in surgical procedures for acromioclavicular joint dislocation over the past 30 years.
Generally, surgical treatment is recommended for Rockwood type 5 traumatic acromioclavicular joint dislocations. Since 1980, the authors have performed the modified Dewar procedure, the modified Cadenat procedure, and anatomical reconstruction of the coracoclavicular ligaments for this injury. The goal of this study was to determine the ideal surgical procedure for acromioclavicular joint dislo...
متن کاملOperative Treatment of Acute Acromioclavicular Dislocation
For treatment of acute acromioclavicular dislocation we chose operative treatment in which we fixed clavicule to coracoid with a screw. With regard to the clinical results, out of 6 patients who had gone under operation, only one had calcification at coracoclavicular ligament without limitation of motion. There were no serious postoperative complication.
متن کاملDouble-button Fixation System for Management of Acute Acromioclavicular Joint Dislocation
Background: Surgical treatments for acromioclavicular (AC) joint dislocation present with some complications. The present study was designed to evaluate the double-button fixation system in the management of acute acromioclavicular joint dislocation. Methods: This cross sectional study, done between February 2011 to June 2014, consisted of 28 patients who underwent surgical management by the ...
متن کاملCoracoclavicular ligament reconstruction using a gracilis tendon graft for acute type-III acromioclavicular dislocation.
PURPOSE To review the functional and radiological results of patients after coracoclavicular ligament reconstruction. METHODS Five patients aged 21 to 50 (mean, 37) years with acute Rockwood type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous gracilis tendon grafts. Patients were either active in sports or heavy manual workers. Assessments...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 50 شماره
صفحات -
تاریخ انتشار 2015