الفهرس 
The Clavicle
Modified Dewar’s procedureOnly 14 pages are availabe for public view
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Abstract
Acromioclavicular joint dislocations may not be a common injury, yet it may cause limitations in activities. Acromioclavicular joint injuries may occur as a result of a direct force applied to the tip of the shoulder with the arm adducted or due to indirect trauma such as a fall on the outstretched hand.(4) Acromioclavicular joint dislocations are classified according to Post classification 1985 (5) and Rockwood 1996 (6) into six classes. The surgical treatment is indicated in types IV, V, and VI where there is complete separation of the joint. Although some cases of type III may be candidate for surgery after failure of conservative treatment. (4,5,6) Many procedures have been described for the treatment of complete Acromioclavicular joint separations through literatures. But the most widespread technique is fixation across the Acromioclavicular joint with wires, threaded pins, screws or hooked plates. (7) The main advantage of that technique is that the surgeon can control both the anteroposterior and vertical displacement, placing the clavicle at its anatomical position and allowing the disrupted ligaments to heal easily. Also the use of the non-absorbable suture allow avoidance of the metallic implants with the various side effects and re-operation for removal.