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Evaluating a simple modified button approach in acromio-clavicular joint injury: Case report
Romy Deviandri1, Dimas Harendra2, Muhammad Hafiz Putratama3
1Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands; Department of Surgery, Faculty of Medicine, Universitas Riau, Arifin Achmad Hospital, Pekanbaru, Indonesia.
Introduction And Importance:
Shoulder stability is crucial, and appropriate therapy is essential for improving patient outcomes following an injury.
Case Presentation:
A 30-year-old male was admitted to the clinic after lifting heavy objects at the fitness center. The physical examination reveals a decreased range of motion (ROM) and impaired flexion and external rotation of the shoulder joint. The left shoulder X-ray shows moderate soft tissue swelling without discontinuities of the bone, although elevation of the distal clavicle is prominent. After a comprehensive examination, the patient was diagnosed with an acromioclavicular (AC) joint injury.
Clinical Discussion:
We use a mini-open surgical method called a Simple Modified Button Technique (SMB) to maintain shoulder function. The Visual Analog Scale (VAS) and Oxford Shoulder Score (OSS) were measured to evaluate the patient's outcome.
Conclusion:
The SMB procedure could adequately treat AC joint injuries. Measurement tools such as VAS and OSS have shown promising results. Adequate treatment will appropriately manage prolonged pain in AC joint injuries.
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