Treating AC joint dislocation in pediatric population

Abstract

Acromioclavicular joint dislocation accounts for approximately 9% of shoulder girdle injuries. These injuries are classified into type I–VI injuries on the basis of the radiographic findings using the Rockwood criteria. Most surgical procedures involving the AC joint primarily involve fixation of the joint and reconstruction of the CC ligament. In children the Ac joint dislocations should not be treated with hook plates or any other rigid plate fixations. Operative intervention is recommended for complete acromioclavicular joint dislocation to restore AC stability, but the best operative technique is still controversial.Patient and Methods: Young patients less than 14 yrs. are considered for this study with more than type 3 dislocation, here suture is used mostly ethibond to reconstruct the Ac joint dislocation .In this study patient were treated with figure of 8 suture reconstruction of Joint .Results: Out of 10 patients 9 patients follow-up for 6months were satisfactory reduction and maintenance of joint reduction, 1 patient got minimal displacement post-Surgery, No superficial infections found during the follow-up. Functional and radiological outcomes were good in 9 patients with mallet grade 5 and one case had grade 4 outcome.Conclusion: Ac joint reconstruction with Ethibond has proved more suitable in both functional outcome along with no need of resurvey or removal.