Phemister technique in the treatment of acute acromioclavicular dislocations
Keywords:
acromioclavicular dislocation, Phemister technique, surgical treatment.Abstract
Introduction: Acromioclavicular dislocation is due to traumas that occur in sports or labor accidents. There is no consensus on the use of surgical or conservative treatment.
Objective: To describe the urgent surgical treatment of acromioclavicular dislocations using Phemister technique.
Methods: An observational, descriptive and prospective study was carried out in patients diagnosed with acromioclavicular dislocation and treated using Phemister technique at Calixto García Hospital from January 2018 to December 2020.
Results: Males and the age group of 41 to 50 years predominated. EVA, Constant Murley Shoulder Score and QUICK DASH Test figures were considered very good, as were the final results.
Conclusions: Phemister technique, as an urgent surgical treatment of acromioclavicular dislocation, offered optimal results one year after it was performed.
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References
van Bergen CJ, van Bemmel AF, Alta TD, van Noort A. New insights in the treatment of acromioclavicular separation. World J Orthop. 2017;8(12):861-73. DOI: https://doi.org/10.5312/wjo.v8.i12.861
Saragaglia D. Cirugía y traumatismos de la clavícula, incluidas las articulaciones acromioclavicular y esternoclavicular. EMC-Téc Quir Ortop Traumatol. 2019;2(3):1-16. DOI: https://doi.org/10.1016/S2211-033X(19)42713-8
Mayo Clinic. Hombro dislocado. Minnesota: Estados Unidos; 2018 [acceso 02/12/2022]. Disponible en: https://www.mayoclinic.org/es/diseases-conditions/dislocated-shoulder/symptoms-causes/syc-20371715
León V, Pico J, Santillán M. Luxación acromioclavicular: tratamiento conservador. RECIMUNDO. 2020;4(1):267-76. DOI: https://doi.org/10.26820/recimundo/4.(1).enero.2020.267-276
Tamaoki M, Lenza M, Matsunaga F, Belloti JC, Matsumoto MH, Faloppa F. Intervenciones quirúrgicas versus conservadoras para el tratamiento de la luxación acromioclavicular del hombro en adultos. Cochrane. 2019;2019(10): CD007429. DOI: https://doi.org/10.1002%2F14651858.CD007429.pub3
Phadke A, Bakti N, Bawale R, Singh B. Current concepts in management of ACJ injuries. J Clin Orthop Trauma. 2019;10(3):480-5. DOI: https://doi.org/10.1016/j.jcot.2019.03.020
Rosso C, Martetschläger F, Saccomanno MF, Voss A, Lacheta L, Ângelo AC, et al. High degree of consensus achieved regarding diagnosis and treatment of acromioclavicular joint instability among ESA-ESSKA members. Knee Surg Sport Traumatol Arthrosc. 2021;29(7):2325-32. DOI: https://doi.org/10.1007%2Fs00167-020-06286-w
Beitzel K, Mazzocca AD, Bak K, Itoi E, Kibler WB, Mirzayan R, et al. ISAKOS upper extremity committee consensus statement on the need for diversification of the rockwood classification for acromioclavicular joint injuries. Arthroscopy. 2014;30(2):271-8. DOI: https://doi.org/10.1016/j.arthro.2013.11.005
Di Francesco A, Zoccali C, Colafarina O, Pizzoferrato R, Flamini S. The use of hook plate in type III and V acromio-clavicular Rockwood dislocations: Clinical and radiological midterm results and MRI evaluation in 42 patients. Injur. 2017;43(2):147-52. DOI: https://doi.org/10.1016/j.injury.2011.04.002
Hervás MT, Navarro MJ, Peiró S, Rodrigo JL, López P, Martínez I. Versión española del cuestionario DASH. Adaptación transcultural, fiabilidad, validez y sensibilidad a los cambios. Med Clin. 2006;127(12):441-7. DOI: https://doi.org/10.1157/13093053
Dyrna FGE, Imhoff FB, Voss A, Braun S, Obopilwe E, Apostolakos JM, et al. The integrity of the acromioclavicular capsule ensures physiological centering of the acromioclavicular joint under rotational loading. Am J Sports Med. 2018;46(6):1432-40. DOI: https://doi.org/10.1177/0363546518758287
Escamilla RF, Poage Ch, Brotherton S, MacLeod TD, Leddon Ch, Andrews JR. Kinematic and radiographic evaluation of acromioclavicular reconstruction with a synthetic ligament. Adv Orthoped. 2022;2022. DOI: https://doi.org/10.1155/2022/7144209
De La Espriella AF, Tanoira I, Ranalletta M, Maignon G. Luxación acromioclavicular (LAC) aguda. Resultados con técnica de doble Endobutton® sin reconstrucción ligamentaria. Rev Colomb Ortop Traumatol. 2018;32(1):5-9. DOI: http://dx.doi.org/10.1016/j.rccot.2017.07.003
Abarca C, De Bonis O, Eltit I, Cerda A, Fuentes S, Rojas G, et al. Revisión de técnicas quirúrgicas para tratamiento de luxación acromioclavicular aguda. Rev Confluencia. 2021 [acceso 16/12/2022];4(2):92-5. Disponible en: https://revistas.udd.cl/index.php/confluencia/article/view/625
Zimbrón D, Reyes R, Algarín JA, Saínos AP, Zimbrón JB, Saucedo E. Tratamiento de la luxación acromioclavicular. Comparación de tres diferentes técnicas quirúrgicas. Acta Méd Grupo Ángeles. 2018 [acceso 28/12/2022];16(1):35-40. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1870-72032018000100035
