2000 Volume 24 Issue 3 Pages 283-287
The outcome of surgical treatment of acromioclavicular joint dislocation (Tossy type III) is generally satisfactory, but not in patients aged 40 years or more.
Twenty-five patients aged 40 years or more (18 men and 7 women), who underwent the modified Cadenat procedure for acromioclavicular joint dislocation (Tossy type III), were followed-up from 10 to 65 months after surgery.
The therapeutic results were almost satisfactory, with the rating being “excellent” in 21, “good” in 3 and “fair” in 1.There was no limitation to range of motion 3 or 4 months after surgery. Postoperative residual subluxation occurred in 5 patients, but OA changes occurred in only 3 patients. Findings obtained during surgery included a marked thickening of the synovial membrane in 11 of the 25 patients, a partial thickness cuff tear in 1, and a full thickness cuff tear in 4.
The results of surgery may be poor in patients aged 40 years or more because of complications such as thickening of the synovial membrane and a cuff tear. Therefore, the modified Cadenat procedure is recommended for these patients.
