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

Veer Abhishek Goud; Venu G.; Surya Prakash P.

doi:10.18203/issn.2455-4510.IntJResOrthop20230471

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.

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