Restorative treatment for traumatic dislocations of the acromial end of the clavicle

On the base of clinical and radiologic examination of 143 patients with traumatic dislocation of clavicula acromion end a new classification was elaborated. Two groups of injuries were marked out: the first group — disturbances of ligaments without degenerative changes of the shoulder girdle structures; the second group — disturbances with degenerative dystrophic changes of shoulder girdle structures. Two new signs of clavicula dislocation were described: «symptom of crossed hands» and «key» late symptom. The complex of rehabilitation treatment included preoperative preparation, ligaments plasty, postoperative rehabilitation. Fifty-five patients with traumatic dislocation of clavicula acromion end were operated on using elaborated technique. Follow-up period ranged from 8 months to 3 years. Favorable results were achieved in 98.2% of patients.