Modified Weaver-Dunn procedure, a novel approach to type-3 acromioclavicular joint dislocation

Authors

  • Veer Abhishek Goud Department of Orthopaedics, Dr. Patnam Mahender Reddy Institute of Medical Sciences, Chevella, Telangana, India
  • Venu G. Department of Orthopaedics, Chalmeda Ananda Rao Institute of Medical Sciences, Karimnagar, Telangana, India
  • Surya Prakash P. Department of Orthopaedics, Chalmeda Ananda Rao Institute of Medical Sciences, Karimnagar, Telangana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20230471

Keywords:

Acromioclavicular dislocation, Weaver Dunn technique, Immobilized arm

Abstract

Even though a generally accepted opinion is present about conservative management for type 1 and type 2 acromioclavicular dislocation and surgical management for type 4 to type 6 dislocations, different opinions come under play for conservative versus surgical management in cases with acute type 3 acromioclavicular joint dislocation. We came across 20 cases of type 3 AC joint dislocation with a varied age profile (range 18 to 50 years, mean 34.4±6.5 years). Patients usually complain of pain and swelling and difficulty in moving shoulder joint. The diagnosis can be confirmed by radiographs which shows widening of AC joint >2-4 mm and coracoclavicular distance >5 mm and superior displacement of distal clavicle. In our series, we have treated them with modified Weaver Dunn technique. Immobilized arm in arm pouch for 3 weeks and follow up was done to assess functional outcome. In this study we present the outcome and related complications with modified Weaver Dunn technique for type 3 acromioclavicular joint dislocation.

References

Kumar V, Garg S, Elzein I, Lawrence T, Manning P, Wallace WA. Modified Weaver-Dunn procedure versus the use of a synthetic ligament for acromioclavicular joint reconstruction. J Orthop Surg (Hong Kong). 2014;22(2):199-203.

Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26(1):137-44.

Galasso O, Tarducci L, De Benedetto M, Orland N, Mercurio M, Gasparini G, Castricini R. Modified Weaver-Dunn Procedure for Type 3 Acromioclavicular Joint Dislocation Functional and Radiological Outcomes. Orthop J Sports Med. 2020;8(3):2325967120905022.

Chillemi C, Franceschini V, Dei Giudici L. Epidemiology of isolated acromioclavicular joint dislocation. Emerg Med Int. 2013;2013:171609.

Rockwood CA Jr, Williams GR Jr, Young DC. Disorder of the acromioclavicular joint. In: Rockwood CA Jr, Matsen FA III, eds. The Shoulder. 2nd ed. Philadelphia, PA: WB Saunders. 1998:483.

Gupta R, Sood M, Malhotra A, Masih DG, Khanna T, Raghav M. Functional Outcome of Modified Weaver Dunn Technique for Acromioclavicular Joint Dislocation. Indian J Orthop. 2018;52(4):418-22.

Beitzel K, Cote MP, Apostolakos J. Current concepts in the treatment of acromioclavicular joint dislocations. Arthroscopy. 2013; 29(2):387-97.

Geaney LE, Miller MD, Ticker JB. Management of the failed AC joint reconstruction: causation and treatment. Sports Med Arthrosc Rev. 2010;18(3):167-72.

Weaver JK, Dunn HK. Treatment of acromioclavicular injuries, especially complete acromioclavicular separation. J Bone Joint Surg Am. 1972;54(6):1187-94.

Shoji H, Roth C, Chuinard R. Bone block transfer of coracoacromial ligament in acromioclavicular injury. Clin Orthop Relat Res. 1986;208: 272-7.

Al-Ahaideb A. Surgical treatment of chronic acromioclavicular joint dislocation using the Weaver-Dunn procedure augmented by the TightRope system. Eur J Orthop Surg Traumatol. 2014;24(5):741-5.

Boileau P, Old J, Gastaud O, Brassart N, Roussanne Y. Allarthroscopic Weaver-Dunn-Chuinard procedure with double-button fixation for chronic acromioclavicular joint dislocation. Arthroscopy. 2010;26(2):149-60.

Bostro¨m Windhamre HA, Von Heideken JP, Une-Larsson VE, Ekelund AL. Surgical treatment of chronic acromioclavicular dislocations: a comparative study of Weaver-Dunn augmented with PDS-braid or hook plate. J Shoulder Elbow Surg. 2010;19(7):1040-48.

Hegazy G, Safwat H, Seddik M, Al-Shal EA, Al-Sebai I, Negm M. Modified Weaver-Dunn procedure versus the use of semitendinosus autogenous tendon graft for acromioclavicular joint reconstruction. Open Orthop J. 2016;10:166-178.

Frederick MA, James HB, Terry CS. Campbell’s operative orthopedics; thirteenth edition; Elsevier. 2017;5699.

Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007;35(2):316-29.

Tauber M, Gordon K, Koller H, Fox M, Resch H. Semitendinosus tendon graft versus a modified Weaver-Dunn procedure for acromioclavicular joint reconstruction in chronic cases: a prospective comparative study. Am J Sports Med. 2009;37(1):181-90.

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Published

2023-02-24

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