J Korean Orthop Assoc.  1979 Dec;14(4):674-680. 10.4055/jkoa.1979.14.4.674.

Treatment of Acromioclavicular Joint Dislocation by Dewar and Barrington Procedure

• Chang KD
• Chung TY
• Kwon CS
• Seo KY

• KMID: 2460269
• DOI: http://doi.org/10.4055/jkoa.1979.14.4.674

Abstract

There are many procedures described for the treatment of acromioclavicular joint dislocation. Most of them, however, have elther technical difficulties or many complications following the operation. Dewar and Barrington procedure was described originally for the old dislocation of the acromio-clavicular joint. However, we have had applied it for the fresh dislocation of the acromioclavicular joint as well as for old one. So far, we have treated 18 cases of fresh dislocations of the acromioclavicular joint together with 3 case of old dislocations from March 1976 to June 1979. The brief summary of the observatlons made are as follows: 1. Among 21 cases, all were grade III by Allman. The age distribution was from 19 to 65 years old. The most common cause of the injury was a traffic accident and the most frequent mechanism of injury was a direct blow. 2. All were treated with Dewar and Barrington procedure and 11 excellent, 7 good, 2 fair and one poor cases were observed in the end result. 3. The impression was that Dewar and Barrington procedure was a excellent procedure for the treatment of fresh acromioclavicular joint dislocation as well as old one.

MeSH Terms

Accidents, Traffic
Acromioclavicular Joint*
Age Distribution
Dislocations*
Joints