Functional Outcome of Acromioclavicular Dislocation Treated By Hook Plate
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Internal fixation with hook plate has been used to treat acromioclavicular joint dislocation. This study aims to evaluate the effect of its use on shoulder function, to further analyze the contributing factors, and provide a basis for selection and design of improved internal fixation treatment of the acromioclavicular joint dislocation in the future. Methods: A prospective analysis was performed on patients treated with a hook plate for acromioclavicular joint dislocation in our hospital from January 2014 to February 2016. There were 15 cases in total, including 9 males and 6 females, with mean age of 48.27 ± 8.7 years. There were 10 cases of Rockwood type IVacromioclavicular dislocation, 5 cases of type V. Results: The PENN Score was Excellent in 13 patients, Good in 1 patient and Fair in 1 patient, and in Constant Shoulder Score was excellent in 14 patients and fair in 1 patient. All patient achieved range of movements equal to that of the contralateral side at 5 weeks. Discussion: The use of hook plate on open reduction and internal fixation of the acromioclavicular joint dislocation had little adverse effect on shoulder function and is an effective method for the treatment of acromioclavicular joint dislocation. Osteoarthritis and osteolysis are the two common complications after hook plate use, which are associated with the impairment of shoulder function. Shoulder function will be improved after removal of the hook plate
Authors and Affiliations
Dr. Muthugukan Raja, Asst prof Dr. Senthil Loganathan, Prof. Samuel Chittranjan
Keywords
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