Summary
Oblique resection of the lateral end of the clavicle and transfer of the coracoacromial ligament into the medullary cavity of the clavicle according to Weaver and Dunn had been performed in 12 fresh and 5 old type 3 separations of the AC joint. At follow-up 1–5 years after the operation all patients had stable and painless shoulders. Heavy work and competitive sports had been resumed. The functional and cosmetic results were excellent. Stress radiographs showed good alignment and stability. The muscle strength, recorded with an isokinetic technique, was normal in the shoulder and slightly lowered in the elbow.
Zusammenfassung
Siebzehn komplette Rupturen des Akromioklavikulargelenkes wurden in der von Weaver und Dunn angegebenen Weise operiert. Diese besteht in einer Transposition des Ligamentum coracoacromiale in die Markhbhle der schräg resezierten and reponierten Klavikula. Bei der Nachuntersuchung 1–5 Jahre nach der Operation waren alle Schultergelenke schmerzfrei. Schwere Arbeit and Leistungssport waren durchgehend wieder aufgenommen worden. Röntgenaufnahmen mit Belastung zeigten gute Einstellung und Stabilität der Klavikula. Eine isokinetische Messung der Muskelkraft ergab normale Werte in der Schulter und leichte Kraftminderung im Ellenbogengelenk.
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This study was supported by a grant from the National Defense Research Institute (78:52, 79:52), Stockholm, Sweden
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Rauschning, W., Nordesjö, L.O., Nordgren, B. et al. Resection arthroplasty for repair of complete acromioclavicular separations. Arch. Orth. Traum. Surg. 97, 161–164 (1980). https://doi.org/10.1007/BF00389721
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DOI: https://doi.org/10.1007/BF00389721