• Clinics in Shoulder and Elbow
• /
• 제3권1호
• /
• pp.44-48
• /
• 2000

Weaver-Dunn's operation for acromioclavicular injury yields satisfactory results in most cases. Although clavicular prominence can recur, it is not frequently symtomatic, but it can cause serious impairment of shoulder function in young and active patients. The authors performed reconstruction of coracoclavicular ligament with an autogenous hamstring tendon graft in a 31 years old electrician with recurrence of clavicular prominence accompanied by pain and limitation of overhead activity. The hamstring tendon and two coracoclavicular sutures looped under the coracoid process were passed through holes in the clavicle and around the clavicle in overreduced position. Even though clavicular prominence recurred somewhat, the modified UCLA score by Rockwood improved to 17 from 11/20 at 2 years after operation and the patient had no restriction in working as an electrician. Symptomatic patient with recurrent clavicular prominence after Weaver-Dunn's operation can benefit from reconstruction of coracoclavicular ligament with a hamstring tendon.

• Clinics in Shoulder and Elbow
• /
• 제11권2호
• /
• pp.185-188
• /
• 2008

견봉-쇄골 관절 손상은 흔히 견관절 상외측에서의 직접적인 외상으로 발생한다. Rockwood 제4형 손상은 상대적으로 드물게 생기며, 다발성 외상 환자의 경우 타 손상으로 쉽게 잘못 진단되어지거나 간과되어지는 경우가 있다. 제 4형 손상 환자의 잘못된 치료를 피하기 위해서는 견봉-쇄골 관절의 세심한 이학적 검사와 적절한 방사선학적 검사가 필요하다. 이에 저자들은 다발성 늑골 골절이 동반된 제 4형 견봉-쇄골 관절 손상을 초기에 진단하지 못하고 간과한 2예를 변형 Weaver-Dunn 재건술로 치료하였기에 문헌 고찰과 함께 보고하고자 한다.

• Clinics in Shoulder and Elbow
• /
• 제1권1호
• /
• pp.26-34
• /
• 1998

The management of acute acromioclavicular dislocations has usually followed the accepted principles of obtaining an anatomical reduction of the joint and maintaining it until soft tissue healing has occurred. So, the preferred treatment for acute acromioclavicular dislocation is controversial. We analysed operatively treated twenty-eight cases for acute acromioclavicular dislocation between February 1994 and January 1997 and reviewed postoperatively to evaluate the results of three different methods. We collected retrospectively the data via clinical history, associated injury, type of injury, radiographic review, Taft score, and final results. Follow up time averaged 14 months. (range, 12 to 21 ) In according to Rockwood's classification, ]7 cases were type Ⅲ, 1 case was type IV, and 10 cases were type V. Ten cases were treated with the modified Phemister method, ten cases with the modified Bosworth method and eight cases with the modified Weaver-Dunn method. ]n patients treated by modified Phemister method, the Taft score was 9.4 points and 8 cases achieved good or excellent results. In patients treated by modified Bosworth method, the Taft score was 9.8 points and 8 cases achieved good or excellent results. In patients treated by modified Weaver-Dunn method, the Taft score was 10.3 points and 7 cases achieved good or excellent results. The overall Taft score was 9.9 points and 23 cases achieved good or excellent results. There were four complications, such as calcification or metallic loosening or breakage of K-wire, but did not influence late results. In conclusions, there was no significant difference of results regarding the different three methods. However, our results indicated that the coracoclavicular ligament reconstruction by transfer of coracoacromial ligament produced better results.