A modified Weaver-Dunn procedure without need for internal fixation.

The shoulder as the most mobile joint in the body has a complex anatomy providing it with an increased range of motion, at the expense of its stability. The complex of ligaments and tendons around the acromioclavicular joint (ACJ) is prone to injury especially during sporting activity or following falls onto the apex of the shoulder. The original classification of ACJ dislocations having been modified by Rockwood suggests that types III to VI injuries may benefit from surgical intervention. Many procedures have been described to correct the deformity in the ACJ and to reestablish its ligamentous support. We describe a modification to the Weaver-Dunn procedure, which aims to establish a stable reduction with bone-to-bone healing, provided by bone plug fixation with Ethibond suture.

[1]  W. Seitz,et al.  Treatment of complete acromioclavicular separations with a modified Weaver and Dunn technique. , 2008, Techniques in hand & upper extremity surgery.

[2]  C. Yong,et al.  Acromioclavicular joint dislocation: a comparative biomechanical study of the palmaris-longus tendon graft reconstruction with other augmentative methods in cadaveric models , 2007, Journal of orthopaedic surgery and research.

[3]  I. Jeon,et al.  Chronic acromioclavicular separation: the medium term results of coracoclavicular ligament reconstruction using braided polyester prosthetic ligament. , 2007, Injury.

[4]  M. Ramachandran.  Basic Orthopaedic Sciences: The Stanmore Guide , 2006 .

[5]  C. Ahmad,et al.  Failure of acromioclavicular reconstruction using Gore-Tex graft due to aseptic foreign-body reaction and clavicle osteolysis: a case report. , 2004, Journal of shoulder and elbow surgery.

[6]  G. Brunelli,et al.  The treatment of acromio-clavicular dislocation by transfer of the short head of biceps , 2004, International Orthopaedics.

[7]  J. Zuckerman,et al.  Modified Weaver-Dunn procedure for acromioclavicular joint dislocations. , 2004, Orthopedics.

[8]  J. Bradley,et al.  Decision making: operative versus nonoperative treatment of acromioclavicular joint injuries. , 2003, Clinics in sports medicine.

[9]  A. Faraj,et al.  The use of a hook-plate in the management of acromioclavicular injuries. Report of ten cases. , 2001, Acta orthopaedica Belgica.

[10]  A. Pavlik,et al.  Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure , 2001, Knee Surgery, Sports Traumatology, Arthroscopy.

[11]  T. Park,et al.  Modification of the Weaver-Dunn procedure , 1999, International Orthopaedics.

[12]  E. Gan,et al.  Surgical treatment of acromio-clavicular dislocation. , 1998, The Medical journal of Malaysia.

[13]  J. Slavotinek,et al.  The results of coraco-clavicular slings for acromio-clavicular dislocation. , 1997, The Australian and New Zealand journal of surgery.

[14]  I. Dawson,et al.  Complete acromioclavicular dislocations: treatment with a Dacron ligament. , 1991, Injury.

[15]  J K Weaver,et al.  Treatment of acromioclavicular injuries, especially complete acromioclavicular separation. , 1972, The Journal of bone and joint surgery. American volume.

[16]  B. M. Bosworth.  Acromioclavicular Dislocation: End-Results of Screw Suspension Treatment. , 1948, Annals of surgery.

[17]  D. Phemister.  THE TREATMENT OF DISLOCATION OF THE ACROMIOCLAVICULAR JOINT BY OPEN REDUCTION AND THREADED-WIRE FIXATION , 1942 .