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[Bosworth management of acromioclavicular joint dislocation]
1Orthopädische Universitätsklinik Friedrichsheim, Frankfurt/M.
Summary
The Bosworth method effectively treated acromioclavicular joint dislocation, showing high rates of pain-free recovery and full functional rehabilitation in most patients, despite some developing osteoarthritis.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Acromioclavicular joint dislocation is a common shoulder injury.
- Surgical intervention is often required for severe dislocations.
- The Bosworth method is a surgical technique for coracoclavicular fixation.
Purpose of the Study:
- To evaluate the outcomes of the Bosworth method for acromioclavicular joint dislocation.
- To assess patient recovery, pain levels, and functional rehabilitation post-surgery.
Main Methods:
- Retrospective analysis of 26 cases treated with the Bosworth method.
- Coracoclavicular screw-fixation was the primary surgical technique.
- Follow-up assessment of 21 patients over an average of 27 months.
Main Results:
- Despite high rates of osteoarthritis (44%) and calcification (83%), all patients achieved free mobility.
- 67% of patients were pain-free, and 33% reported mild pain.
- Excellent functional outcomes were observed, with 91% achieving professional and 86% achieving sporting rehabilitation.
Conclusions:
- The Bosworth method provides effective treatment for acromioclavicular joint dislocation.
- The technique leads to good functional recovery and high patient satisfaction.
- Long-term outcomes are favorable, even with radiographic signs of degeneration.