Læknablaðið - 15.08.1988, Blaðsíða 37

LÆKNABLAÐIÐ
249
sterkri festingu, með tilfærslu á
krumma-axlarhyrnubandi, sé öruggasta
meðhöndlunin.
Niðurstaða þessarar rannsóknar er, að sú
skurðtækni, sem hér er lýst, gefi góðan árangur
við meðhöndlun á 3. stigs axlarhyrnu liðhlaupi.
Sjálf aðgerðartæknin er einföld, eftirmeðferð
auðveld og árangur fullnægjandi hjá
yfirgnæfandi meirihluta sjúklinga.
Þakkir: Höfundar þakka Magnúsi Páli
Albertssyni, lækni fyrir myndgerð.
SUMMARY
Forty-seven patients with acute Allman type III
acromio-clavicular dislocations were treated with open
reduction and coraco-acromial ligament transfer.
In a follow-up study, 1.6-10 years (mean 6 years)
postoperatively 44 patients (94%) had excellent or good
results and 3 (6%) fair or poor.
Two patients with unsatisfactory results had
degenerative joint changes and one subluxation
occurred. No complete dislocation was found.
Complications were infrequent and cosmetic results
satisfactory.
The functional results are satisfactory in the majority of
patients, equal to or better than previously published
reports.
HEIMILDIR
1. Allman FL. Fractures and ligamentous injuries of
the clavicle and its articulations. J Bone Joint Surg
1967; 49-A: 774-84.
2. Weaver JK, Dunn HK. Treatment of
acromioclavicular injuries, especially complete
acromioclavicular separation. J Bone Joint Surg
1972; 54-A: 1187-94.
3. Peterson CJ. Resection of the lateral end of the
clavicle, a 3 to 30 year follow-up. Acta Orthop
Scand 1983; 54: 904-7.
4. Urist MR. Complete dislocation of the
aromio-clavicular joint: The nature of the
traumatic lesion and effective methods of treatment
with analysis of forty-one cases. J Bone Joint Surg
1946; 28: 813-27.
5. Nevasier JS. Acromio-clavicular dislocation treated
by transference of the coraco-acromial ligament.
Arch Surg 1952; 64: 292-7.
6. Kennedy JC, Cameron H. Complete dislocation of
the acromioclavicular joint. J Bone Joint Surg
1954; 36-B: 202-8.
7. Sage FP, Salvatore JE. Injuries of the
acromio-clavicular joint: study of results in 96
patients. Southern Med J 1963; 56: 486-95.
8. Dawe CL. Acromio-clavicular joint injuries. J Bone
Joint Surg 1980; 62-B: 269.
9. Bjerneld H, Hovelius L, Thorling J.
Acromio-clavicular separations treated
conservatively. A 5-year follow-up study. Acta
Orthop Scand 1983; 54: 743-5.
10. Arner O, Sandahl U, Öhrling M. Dislocation of the
acromioclavicular joint. Rewiev of the litterature
and a report of 56 cases. Acta Chir Scand 1957; 113:
140-52.
11. Jacobs B, Wade PA. Acromio-ctavicular joint
injury. An end-result study. J Bone Joint Surg
1966; 48-A: 475-86.
12. Rosenörn M, Pedersen E. A Comparison of
conservative and operative treatment of acute
acromio-clavicular dislocation. Acta Orthop Scand
1974; 45: 50-9.
13. Imatini R, Harton I, Cady G. Acute complete
acromio-clavicular separation. J Bone Joint Surg
1975; 57-A: 328.
14. Debevoise NT, Brown RH. A method for
reconstruction of the coracoclavicular ligament in
acromio-clavicular joint injuries. Med Ann DC
1968; 37: 211-20.
15. Burton ME. Operative treatment of
acromio-clavicular dislocations. Bull Hosp Joint
Dis 1975; 36: 109-20.
16. Copeland S, Kessel L. Disruption of the
acromio-clavicular joint: surgical anatomy and
biological reconstruction. Injury, 1980; 11: 208-14.
17. Kawabe N, Watanabe R, Sato M. Treatment of
complete acromioclavicular separation by
coraco-acromial ligament transfer. Clin Orthop
1984; 185: 222-7.
18. Iversen LD, Clawson DK. Manual of acute
orthopaedic therapeutics. Boston: Little, Brown
1977.
19. Bosworth BM. Acromio-clavicular separation: a
new method of repair. Surg Gynecol Obstet 1941;
73: 866-71.