N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and Orthopedics0869-86782658-6738Eco-Vector3492810.17816/vto202027215-18Research ArticleThe value of the shape of the arrangement of the articular surfaces of the clavicle and acromion for the mechanism: both the dislocation of the acromial end of the clavicle and its fractureMizievIsmail A.<p>Professor, Dean of the Faculty of Medicine, Head of the Department of Faculty and Endoscopic Surgery</p>kfeh@yandex.ruBaksanovHamada D.<p>Associate Professor, Department of Faculty and Endoscopic Surgery</p>kfeh@yandex.ruAkhkubekovRustam A.<p>MD, associate professor of the department of faculty and endoscopic surgery</p>kfeh2009@gmail.comBifovaBella R.bifovabella22@gmail.comKabardino-Balkarian State University named after H.М. Berbekov0810202027215180307202021072020Copyright © 2020, Eco-Vector2020<p><strong>Objective.</strong> To prove the dependence of a fracture or dislocation of the acromial end of the clavicle on the features of the shape of the arrangement of the articular surfaces of the clavicle and acromion.</p>
<p><strong>Materials and methods. </strong>We conducted anatomical studies on 50 unfixed and unopened corpses of people of both sexes and aged 20 to 60 years. Among them, there were 35 men and 15 women. At the same time, we observed three forms of variability in the arrangement of the articular surfaces of the acromion and clavicle.</p>
<p><strong>Results.</strong> We studied the radiological forms of the location of the articular surfaces of the clavicle and acromion in 50 patients with a collarbone fracture and in 50 patients with dislocation of the acromial end of the clavicle from 20 to 55 years old, among them 30 were men, 20 women. In all cases, the trauma mechanism was indirect. A certain relationship was revealed between the frequency of a fracture or dislocation and the form of arrangement of the articular surfaces of the acromion and clavicle. Clavicle fracture more often (78.0%) occurred with a vertical arrangement of the articular surfaces of aroma and clavicle.</p>
<p><strong>Conclusion.</strong> Anatomical and clinical-radiological studies have shown the dependence of the fracture or dislocation of the acromial end of the clavicle on the peculiarities of the arrangement of the articular surfaces of the clavicle and acromion.</p>acromionclavicledislocationfracturearticular surfacesакромионключицавывихпереломсуставные поверхности[Баксанов Х.Д. Анатомо-хирургическое обоснование классификаций метода лечения вывихов акромиального конца ключицы. В кн.: Материалы 2-й Всероссийской конференции Общих хирургов. — Ростов-на-Дону; 2003. — С. 145–148. [Baksanov KhD. Anatomical and surgical substantiation of the classifications of the method of treating dislocations of the acromial end of the clavicle. In: Proceedings of the 2nd National Russian conference of general surgeons. Rostov-on-Don; 2003. P. 145-148. (In Russ.).]][Larsen E, Bierg-Nielsen A, Christensen P. Conservative or surgical treatment randomized study. J Bone Joint Surg Am. 1986;68(4):552-555.][Petrokov V. [Die acromioclaviculare Luxation. (In German).] Bruns’ Beitr Klin Chir. 1959;199(2):143-177.][Котельников Г.П., Стукалов В.С., Чернов А.П. Восстановительное лечение при травматических вывихах акромиального конца ключицы // Вестник травматологии и ортопедии им. Н.Н. Приорова — 2009. — № 3. — С. 67-71. [Kotel’nikov GP, Stukalov VS, Chernov AP. Restoration treatment of traumatic dislocation of clavicula acromion end. Vestnik travmatologii i ortopedii im. N.N. Priorova. 2009;(3):67-71. (In Russ.).]][Саядов Ш.С. Оперативное лечение тяжелых повреждений акромиального конца ключицы конструкциями с памятью формы: Автореф. дисс. ... канд. мед. наук. — Ростов-на-Дону: ГОУ ВПО РостГМУ Росздрава; 2002. — 23 c. [Sayadov ShS. Surgical treatment of severe injuries of the acromial end of the clavicle with shape memory constructs. [dissertation abstract] Rostov-on-Don: GOU VPO RostGMU Roszdrava; 2002. 23 p. (In Russ.).]]