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Review of Weaver and Dunn on treatment of acromioclavicular injuries, especially complete acromioclavicular separation

Daniël Emile Verstift, Matthijs P. Somford, Derek F.P. van Deurzen, Michel P.J. van den Bekerom

2020Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine13 citationsDOIOpen Access PDF

Abstract

This classic discusses the original publication “Treatment of acromioclavicular injuries, especially complete acromioclavicular separation” by Weaver and Dunn, which collaborated to develop a technique for acromioclavicular joint reconstruction in 1972. Their surgical technique described resection of 2 cm of the distal clavicle and transfer of the acromial end of the coracoacromial ligament into the medullary canal of the distal clavicle. (modified) Weaver-Dunn procedures have been regarded as one of the most effective techniques to treat complete acromioclavicular joint dislocation for a long time. However, anatomic reconstructions have taken over this position since recent biomechanical studies have demonstrated superior results. Although the Weaver-Dunn procedure has fallen out of favour, it remains of historical significance. For this reason, this review will comprise the historical overview of the Weaver-Dunn procedure, the men behind the eponym and the clinical implication then and now. This classic discusses the original publication “Treatment of acromioclavicular injuries, especially complete acromioclavicular separation” by Weaver and Dunn, which collaborated to develop a technique for acromioclavicular joint reconstruction in 1972. Their surgical technique described resection of 2 cm of the distal clavicle and transfer of the acromial end of the coracoacromial ligament into the medullary canal of the distal clavicle. (modified) Weaver-Dunn procedures have been regarded as one of the most effective techniques to treat complete acromioclavicular joint dislocation for a long time. However, anatomic reconstructions have taken over this position since recent biomechanical studies have demonstrated superior results. Although the Weaver-Dunn procedure has fallen out of favour, it remains of historical significance. For this reason, this review will comprise the historical overview of the Weaver-Dunn procedure, the men behind the eponym and the clinical implication then and now.

Topics & Concepts

Acromioclavicular jointAcromioclavicular dislocationMedicineSurgeryShoulder and Clavicle InjuriesShoulder Injury and TreatmentTrauma Management and Diagnosis
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