Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
The ACJ is the most peripheral joint component of the upper extremity appendicular linkage . All significant mechanical forces applied directly to or through the upper extremity are ultimately transmitted across that linkage .
OBJECTIVE:
We try to see the outcome of both conservative and operative treatment on dislocated acromioclavicular joint {ACJ}
METHODS:
From September 2005 – June 2008, 14 patients with ACJ dislocation were seen at AL-Hay hospital wasset , the patient age, sex , occupation, injured side and manner of injury were recorded. The patients were chosen randomly to operative or conservative treatment according to type of injury and will of patients and studied in form of indication tactile approaches to treatment and results were described and discussed in some details.
RESULTS:
Conservatively treated patient regained movement significantly more quickly and fully returned to work earlier and had fewer unsatisfactory results than having early operation. however for severe dislocation with coracolavicullar displacement of 2cm and more, early surgery produced better results.
CONCLUSION:
Conservative management is best for most acute dislocation but younger patients with severe displacement may benefit from early reduction and stabilization.
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