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From 1988 through 1990, 9 patients with ruptured coracoclavicular ligaments were treated with a metal wire method as an initial fixation between the coracoid process and the distal end of the clavicle after primary suture, reconstruction of the coraco-clavicular ligaments (modified Weaver or modified Dewar method) or osteosynthesis of fractured clavicle. Six of these patients had dislocation of acromioclavicular joint (Tossy grade 3) and the others had the fracture of the distal end of the clavicle (Neer type 2). The average age at the time of operation was 42.2 years old (from 24 to 57 years old). The removal of wire was done within 6 monthes after operation. The length of follow-up averaged 11 months. These patients were evaluated postoperatively by physical examination, radiography and Kawabe's criteria.The results were graded excellent in 8 cases and good in 1 case by Kawabe's criteria. All cases had relief of pain and full active range during shoulder motion. There was no case of redislocation of A-C joint or non-united clavicle, though the breakage of wire was found in 2 cases. Therefore, the metal wire method as an initial fixation was useful for surgical treatment of ruptured coracoclavicular ligaments.

Surgical Treatment with Metal Wire Fixation for Rupture of the Coracoclavicular Ligaments.