Double-button Fixation System for Management of Acute Acromioclavicular Joint Dislocation

Overview

Journal Arch Bone Jt Surg

Date 2016 Feb 20

PMID 26894217

Citations 13

Authors

Ali Torkaman

Abolfazl Bagherifard

Tahmineh Mokhatri

Mohammad Hossein Shabanpour Haghighi

Siamak Monshizadeh

Hamid Taraz

Amin Hasanvand

Affiliations

Soon will be listed here.

Abstract

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 double-button fixation system for acute AC joint dislocation. Age, sex, injury mechanism, dominant hand, side with injury, length of follow up, time before surgery, shoulder and hand (DASH), constant and visual analogue scale (VAS) scores, and all complications of the cases during the follow up were recorded.

Results: The mean age of patients was 33.23±6.7 years. Twenty four patients (85.71%) were male and four (14.28%) were female. The significant differences were observed between pre-operation VAS, constant shoulder scores and post-operation measurements. There were not any significant differences between right and left coracoclavicular, but two cases of heterotrophic ossifications were recorded. The mean follow-up time was 16.17±4.38 months.

Conclusion: According to the results, the double-button fixation system for management of acute acromioclavicular joint dislocation has suitable results and minimal damage to the soft tissues surrounding the coracoclavicular ligaments.

Citing Articles

A Self-Designed Endobutton Installation Device for Coracoclavicular Stabilization in Acute Rockwood Type III Acromioclavicular Joint Dislocation.

Jie M, Yang T, Xiang W Orthop Surg. 2024; 16(3):568-576.

PMID: 38233358 PMC: 10925501. DOI: 10.1111/os.13995.

Single tunnel technique versus coracoid sling technique for arthroscopic treatment of acute acromioclavicular joint dislocation.

Peng L, Zheng Y, Chen S, Yang S, Liu J, Cheng C Sci Rep. 2022; 12(1):4244.

PMID: 35273203 PMC: 8913784. DOI: 10.1038/s41598-022-07644-z.

Surgical treatment of a symptomatic os acromiale by arthroscopy-assisted double-button fixation: a case report.

Eckl L, Scheibel M Arch Orthop Trauma Surg. 2022; 143(1):423-428.

PMID: 35061083 PMC: 9886621. DOI: 10.1007/s00402-022-04341-4.

A modified single-endobutton technique combined with nice knot for treatment of Rockwood type III or V acromioclavicular joint dislocation.

Hu F, Han S, Liu F, Wang Z, Jia H, Wang F BMC Musculoskelet Disord. 2022; 23(1):15.

PMID: 34980065 PMC: 8725473. DOI: 10.1186/s12891-021-04915-0.

Free Hand Drilling Technique to Enhance Central Position of Tunnels in Arthroscopic Acromioclavicular Joint Fixation Using TightRope System.

Olivos-Meza A, Rodriguez-Argueta M, Suarez-Ahedo C, Jimenez-Aroche C, Perez-Jimenez F, Rodriguez-Santamaria I Arthrosc Tech. 2021; 10(7):e1829-e1837.

PMID: 34336582 PMC: 8322672. DOI: 10.1016/j.eats.2021.04.002.

References

Wellmann M, Zantop T, Weimann A, Raschke M, Petersen W . Biomechanical evaluation of minimally invasive repairs for complete acromioclavicular joint dislocation. Am J Sports Med. 2007; 35(6):955-61. DOI: 10.1177/0363546506298585. View

Habernek H, Weinstabl R, Schmid L, Fialka C . A crook plate for treatment of acromioclavicular joint separation: indication, technique, and results after one year. J Trauma. 1993; 35(6):893-901. DOI: 10.1097/00005373-199312000-00016. View

Costic R, Labriola J, Rodosky M, Debski R . Biomechanical rationale for development of anatomical reconstructions of coracoclavicular ligaments after complete acromioclavicular joint dislocations. Am J Sports Med. 2004; 32(8):1929-36. DOI: 10.1177/0363546504264637. View

Paavolainen P, Bjorkenheim J, Paukku P, Slatis P . Surgical treatment of acromioclavicular dislocation: a review of 39 patients. Injury. 1983; 14(5):415-20. DOI: 10.1016/0020-1383(83)90092-x. View

Huang T, Hsieh P, Huang K, Huang K . Suspension suture augmentation for repair of coracoclavicular ligament disruptions. Clin Orthop Relat Res. 2009; 467(8):2142-8. PMC: 2706337. DOI: 10.1007/s11999-008-0684-7. View

Koukakis A, Manouras A, Apostolou C, Lagoudianakis E, Papadima A, Triantafillou C . Results using the AO hook plate for dislocations of the acromioclavicular joint. Expert Rev Med Devices. 2008; 5(5):567-72. DOI: 10.1586/17434440.5.5.567. View

Pan Z, Zhang H, Sun C, Qu L, Cui Y . Arthroscopy-assisted reconstruction of coracoclavicular ligament by Endobutton fixation for treatment of acromioclavicular joint dislocation. Arch Orthop Trauma Surg. 2014; 135(1):9-16. PMC: 4281352. DOI: 10.1007/s00402-014-2117-2. View

Verdano M, Pellegrini A, Zanelli M, Paterlini M, Ceccarelli F . Modified Phemister procedure for the surgical treatment of Rockwood types III, IV, V acute acromioclavicular joint dislocation. Musculoskelet Surg. 2012; 96(3):213-22. DOI: 10.1007/s12306-012-0221-4. View

Babhulkar A, Pawaskar A . Acromioclavicular joint dislocations. Curr Rev Musculoskelet Med. 2014; 7(1):33-9. PMC: 4094120. DOI: 10.1007/s12178-013-9199-2. View

10.

Di Francesco A, Zoccali C, Colafarina O, Pizzoferrato R, Flamini S . The use of hook plate in type III and V acromio-clavicular Rockwood dislocations: clinical and radiological midterm results and MRI evaluation in 42 patients. Injury. 2011; 43(2):147-52. DOI: 10.1016/j.injury.2011.04.002. View

11.

De Baets T, Truijen J, Driesen R, Pittevils T . The treatment of acromioclavicular joint dislocation Tossy grade III with a clavicle hook plate. Acta Orthop Belg. 2005; 70(6):515-9. View

12.

Mazzocca A, Santangelo S, Johnson S, Rios C, Dumonski M, Arciero R . A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med. 2005; 34(2):236-46. DOI: 10.1177/0363546505281795. View

13.

Karlsson J, Arnarson H, Sigurjonsson K . Acromioclavicular dislocations treated by coracoacromial ligament transfer. Arch Orthop Trauma Surg (1978). 1986; 106(1):8-11. DOI: 10.1007/BF00435643. View

14.

Constant C, Murley A . A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987; (214):160-4. View

15.

Harris R, Vu D, Sonnabend D, Goldberg J, Walsh W . Anatomic variance of the coracoclavicular ligaments. J Shoulder Elbow Surg. 2001; 10(6):585-8. DOI: 10.1067/mse.2001.118480. View

16.

Hellmich A, SIEVERS U . [Surgical management of acromioclavicular joint separation with transcutaneous Kirschner wire fixation. Results of follow-up in 45 patients]. Aktuelle Traumatol. 1988; 18(1):9-13. View

17.

MacDonald P, Lapointe P . Acromioclavicular and sternoclavicular joint injuries. Orthop Clin North Am. 2008; 39(4):535-45, viii. DOI: 10.1016/j.ocl.2008.05.003. View

18.

Swanik K, Lephart S, Swanik C, Lephart S, Stone D, Fu F . The effects of shoulder plyometric training on proprioception and selected muscle performance characteristics. J Shoulder Elbow Surg. 2002; 11(6):579-86. DOI: 10.1067/mse.2002.127303. View

19.

Mlasowsky B, Brenner P, DUBEN W, Heymann H . Repair of complete acromioclavicular dislocation (Tossy stage III) using Balser's hook plate combined with ligament sutures. Injury. 1988; 19(4):227-32. DOI: 10.1016/0020-1383(88)90031-9. View

20.

NORRELL Jr H, LLEWELLYN R . MIGRATION OF A THREADED STEINMANN PIN FROM AN ACROMIOCLAVICULAR JOINT INTO THE SPINAL CANAL. A CASE REPORT. J Bone Joint Surg Am. 1965; 47:1024-6. View