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Arthroscopic treatment of acute acromioclavicular joint dislocation with double flip button

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The ideal treatment for acute acromioclavicular joint dislocation is still controversial, both in terms of indications and surgical technique. The clinical and radiographic outcomes of 16 patients affected by acute AC joint dislocation (type III–V) and arthroscopically treated with a coracoclavicular double flip button are presented. Despite the excellent clinical results both in terms of Constant score (mean 97 points) and patient satisfaction, at a mean follow-up of 31 months the radiographs showed partial loss of reduction due to distal migration of the flip button within the upper third of the clavicle in one-fourth of the cases. The technique presented here proved to be safe and minimally invasive while delivering good aesthetic results and allowing for the treatment of associated lesions. Furthermore, the technique could benefit from more advanced retention devices, which ought to reduce or avoid migration of the flip buttons.

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Authors and Affiliations

  1. Dipartimento di Scienze Ortopediche e Traumatologiche Mario Boni, Università dell’Insubria, Viale Borri 57, 21100, Varese (VA), Italy

    L. Murena, Ettore Vulcano & M. F. Surace

  2. Azienda Ospedaliera S.Anna, Unità Operativa di Ortopedia e Traumatologia, Via Napoleona 60, 22100, Como (CO), Italy

    C. Ratti

  3. Azienda Ospedaliera di Circolo di Busto Arsizio, Presidio di Saronno, Unità Operativa di Ortopedia e Traumatologia, Piazzale Borella 1, 21047, Saronno (VA), Italy

    L. Cecconello

  4. Istituto Clinico Humanitas, Unità Operativa di Ortopedia, Chirurgia della Spalla, Via Manzoni 56, 20089, Rozzano (MI), Italy

    P. R. Rolla

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  1. L. Murena
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  2. Ettore Vulcano
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  3. C. Ratti
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  4. L. Cecconello
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  5. P. R. Rolla
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  6. M. F. Surace
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Correspondence to Ettore Vulcano.

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Murena, L., Vulcano, E., Ratti, C. et al. Arthroscopic treatment of acute acromioclavicular joint dislocation with double flip button. Knee Surg Sports Traumatol Arthrosc 17, 1511–1515 (2009). https://doi.org/10.1007/s00167-009-0838-5

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  • DOI: https://doi.org/10.1007/s00167-009-0838-5

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