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Related Experiment Videos

Coracoid process transfer for acromioclavicular dislocation.

S Skjeldal1, R Lundblad, R Dullerud

  • 1Department of Orthopedics, Fredrikstad Hospital, Norway.

Acta Orthopaedica Scandinavica
|April 1, 1988
PubMed
Summary
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This study evaluated coracoid tip transposition for acute acromioclavicular joint separation. Surgery showed mixed results, with nonoperative treatment offering comparable or better long-term function.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Complete acromioclavicular (AC) joint separation is a significant shoulder injury.
  • Surgical interventions aim to restore joint stability and function.

Purpose of the Study:

  • To assess the long-term outcomes of coracoid tip transposition for acute AC joint separation.
  • To compare surgical results with nonoperative management strategies.

Main Methods:

  • Seventeen patients with acute complete AC joint separation underwent coracoid tip transposition.
  • Patients were evaluated at a mean follow-up of 7.5 years.

Main Results:

  • Twelve patients achieved good function; three experienced pain in extreme positions.

Related Experiment Videos

  • Two patients had poor function with rest pain; eleven required screw removal.
  • Complications included deep infection (2), coracoid tip fragmentation (3), and poor cosmetic results (2).

    • Conclusions:

    • Coracoid tip transposition for acute AC joint separation yields variable long-term results.
    • Nonoperative treatment may provide equal or superior functional outcomes.
    • This surgical technique is not recommended for acute dislocations given the complication rates and outcomes.