In a prospective study, 18 consecutive athletes with an acute type-V acromioclavicular sprain were treated with a coracoclavicular repair using a double velour Dacron graft. All patients were reviewed after a mean follow-up period of 6 years (range: 2–9 years). At follow-up, 12 patients (66.7%) showed a good or excellent result according to the Imatani evaluation system, and six patients (33.3%) demonstrated a fair or poor result according to the same system. Loss of reduction was encountered in eight shoulders (44.4%) despite an initial anatomical reduction. No correlation was seen between the overall scores at follow-up and the degree of residual dislocation, between the overall scores and the presence of coracoclavicular calcifications or ossifications, between the overall scores and the development of post-traumatic arthritic changes, or between the overall scores and the presence of osteolysis of the distal clavicle.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Bakalim G, Wilppula E (1975) Surgical or conservative treatment of total dislocation of the acromioclavicular joint. Acta Chir Scand 141:43–47
Bannister GC, Wallace WA, Stableforth PG, Hutson MA (1989) The management of acute acromioclavicular dislocation. J Bone Joint Surg [Am] 71:848–850
Bargren JH, Erlanger S, Dick HM (1978) Biomechanics and comparison of two operative methods of treatment of complete acromioclavicular separation. Clin Orthop 130:267–272
Bjernfeld H, Hovelius L, Thorling L (1983) Acromioclavicular separations treated conservatively: a 5-year follow-up study. Acta Orthop Scand 54:743–745
Dias JJ, Steingold RF, Richardson RA, Tesfayohannes B, Gregg PJ (1987) The conservative treatment of acromioclavicular dislocation. J Bone Joint Surg [Br] 69:719–722
Galpin RD, Hawkins RJ, Grainger RW (1985) A comparative analysis of operative versus nonoperative treatment of grade-III acromioclavicular separations. Clin Orthop 193:150–155
Imatani RJ, Hanlon JJ, Cady GW (1975) Acute, complete acromioclavicular separation. J Bone Joint Surg [Am] 57:328–332
Kappakas GS, McMaster JH (1978) Repair of acromioclavicular separation using a Dacron prosthesis graft. Clin Orthop 131:247–251
Laboureau JP, Cazenaeve A, Baert D (1990) Dislocation acromio-claviculaire: technique et resultats d'une ligamentoplastie artificielle apres 6 ans d'experience. J Traumatol Sport 7:176–180
Larsen E, Bjerg-Nielsen A, Christensen P (1986) Conservative or surgical treatment of acromioclavicular dislocation: a prospective, controlled, randomized study. J Bone Joint Surg [Am] 69:552–555
McRae (1987) Practical orthopaedic exposures. Churchill Livingstone, Edinburgh
Neer CS (1990) Shoulder reconstruction. Saunders, Philadelphia
Nelson CL (1979) Repair of acromio-clavicular separations with knitted Dacron graft. Clin Orthop 143:289–292
Paavolainen P, Bjorkenheim JM, Paukku P, Slatis P (1983) Surgical treatment of acromioclavicular dislocation: a review of 39 patients. Injury 14:415–420
Park JP, Arnold JA, Coker TP, Harris WD, Becker DA (1980) Treatment of acromioclavicular separations: a retrospective study. Am J Sports Med 8:251–256
Post M (1985) Current concepts in the diagnosis and management of acromioclavicular dislocations. Clin Orthop 200:234–247
Rockwood CA, Matsen FA (1990) The shoulder. Saunders, Philadelphia
Rosenorm M, Brix Pedersen E (1974) A comparison between conservative and operative treatment of acute acromioclavicular dislocation. Acta Orthop Scand 45:50–59
Rowe CR (1988) The shoulder. Churchill Livingstone, New York
Taft TN, Wilson FC, Oglesby JW (1987) Dislocation of the acromioclavicular joint. J Bone Joint Surg [Am] 69:1045–1051
Vandekerkerckhove B, Van Meirhaeghe J, Van Steenkiste M, DeGroote W, Verbeke R, Vertongen P (1985) Surgical treatment of acromioclavicular dislocations. Acta Orthop Belg 51:66–79
Warren-Smith CD, Ward MW (1987) Operation for acromioclavicular dislocation. J Bone Joint Surg [Am] 69:715–718
About this article
Cite this article
Verhaven, E., DeBoeck, H., Haentjens, P. et al. Surgical treatment of acute type-V acromioclavicular injuries in athletes. Arch Orthop Trauma Surg 112, 189–192 (1993). https://doi.org/10.1007/BF00662287
- Public Health
- Evaluation System
- Excellent Result
- Anatomical Reduction
- Dacron Graft