Volume 28, Issue 150, August 2024

Unsuccessful surgical treatment with Kirschner wires grade 3 AC joint separation: A review

Cezary Bochyński¹, Dominika Kropidłowska^2♦, Anna Józefiak³, Magdalena Szczepanik⁴, Gabriela Mazurek⁵, Patryk Góralski⁶, Jolanta Mazurek⁷

¹Department of Internal Medicine, Railway Hospital. Włodzimierz Roefler, MD, PhD in Pruszków, Warsztatowa 1, 05-800 Pruszków, Poland
²Polish Red Cross Maritime Hospital in Gdynia, Powstania Styczniowego 1, 81-519 Gdynia, Poland
³Department of Internal Diseases and Endocrinology, Gabriel Narutowicz Municipal Specialist Hospital in Cracow, Prądnicka 35-37, 31-202 Cracow, Poland
⁴Department of Pediatrics, District Hospital in Chrzanów, Topolowa 16, 32-500 Chrzanów, Poland
⁵Department of Cardiology and Internal Diseases, Gabriel Narutowicz Municipal Specialist Hospital in Cracow, Prądnicka 35-37, 31-202 Cracow, Poland
⁶University Clinical Center in Gdańsk, Dębinki 7, 80-952 Gdańsk, Poland
⁷Primary Health Care, Private health care facility "ALMUS" Jacek Pieniazek, Białoboki 137, 37-207 Gać, Poland

^♦Corresponding Author
Polish Red Cross Maritime Hospital in Gdynia, Powstania Styczniowego 1, 81-519 Gdynia, Poland

ABSTRACT

Introduction: The acromioclavicular joint is where the acromion, a part of the shoulder blade (scapula), meets the outer end of the collarbone (clavicle). This spherical joint allows for the lowering and raising of the scapula, its forward and backward extension, and rotational movements. Falls on the elbow, shoulder, or hand are among the most common causes of injury to this joint. The aim: This article presents the case of a patient who experienced unsuccessful surgical treatment with Kirschner wires for a grade 3 AC joint separation. Case report: A 25-year-old patient experienced a dislocation of the right acromioclavicular (AC) joint after a fall from a height of five meters. Results: The diagnosis was based on a thorough medical history, patient examination, and X-ray examination of both acromioclavicular joints. Conclusions: Kirschner wires are an old method of surgical treatment for grade 3 AC joint separation. The patient should be under orthopedic supervision, and the hand's joint and range of motion should be monitored. Newer and better treatment methods, such as arthroscopy, are available.

Keywords: Kirschner wire, Grade 3 AC joint dislocation, AC Joint, joint dislocation

Medical Science, 2024, 28, e111ms3420

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DOI: https://doi.org/10.54905/disssi.v28i150.e111ms3420

Published: 25 August 2024