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Inferior acromioclavicular separation. Report of an unusual case
Clinical Orthopaedics and Related Research
|September 1, 1988
Summary
This case study details a successful surgical repair of an inferior acromioclavicular separation in a 33-year-old male. The patient achieved a perfect clinical outcome after open reduction and ligament repair.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Acromioclavicular (AC) joint separations are common shoulder injuries.
- Inferior AC separations are rare, presenting unique diagnostic and management challenges.
- Prompt diagnosis and surgical intervention are crucial for optimal outcomes in severe AC joint injuries.
Observation:
- A 33-year-old male presented with an inferior acromioclavicular separation.
- Diagnosis was confirmed using plain roentgenograms and computed axial tomographic (CAT) scan.
- No associated fractures, vascular, or nerve damage were identified.
Findings:
- Open reduction and internal fixation with tension wire were performed 48 hours post-injury.
- Surgical repair included fixation of the acromioclavicular joint and repair of torn ligaments.
- The patient experienced a complete recovery with excellent functional outcome.
Implications:
- This case highlights the efficacy of surgical management for inferior AC separations.
- Early surgical intervention can lead to excellent functional recovery in traumatic shoulder injuries.
- Further research into biomechanics and surgical techniques for rare AC separations is warranted.