Abstract:
Introduction: Acromioclavicular disjunctions occur most commonly in active or athletic young
adults and it is one of the most common shoulder problem, accounting 9% of all shoulder injuries. The
aim of our paper is to present several surgical techniques.
Material and methods: We conducted a retrospective analysis of the cases of acromioclvicular
disjunction from the orthopedic department. It was found that from a total of 42 cases, 15 had surgical
indication and the rest were either treated conservatively or refused treatment.
Discussion: The two most used surgical techniques were Weaver - Dunn and Dewar –
Barrington. Weaver - Dunn is a technique whereby the coracoid tip is fixed to the collarbone with a
screw. Dewar - Barrington is a technique that consists in transferring the end coracoacromial external
ligament of clavicle.
Conclusion: Treatment of acromioclavicular disjunctions has been a subject of debate. In
general, surgical management should be offered acutely only to those who require high-level upper
extremity function and late to those with significant shoulder pain and/or dysfunction refractory to
nonoperative treatment. The orthopedic surgeon has the freedom to choose from a variety of tehniques.
Description:
University of Medicine and Pharmacy, Targu Mures, Romania, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016