# Evaluating a simple modified button approach in acromio-clavicular joint injury: Case report

**Authors:** Romy Deviandri, Dimas Harendra, Muhammad Hafiz Putratama, Ukhty Muslimah Syahrianti, Rima Farahdina, Muhammad Wiranata

PMC · DOI: 10.1016/j.ijscr.2025.110946 · International Journal of Surgery Case Reports · 2025-01-27

## TL;DR

A 30-year-old man with an acromioclavicular joint injury was treated with a modified button surgical technique, showing promising recovery outcomes.

## Contribution

The study presents a case report demonstrating the effectiveness of the Simple Modified Button Technique for treating AC joint injuries.

## Key findings

- The Simple Modified Button Technique adequately treated the AC joint injury in the patient.
- The Oxford Shoulder Score and Visual Analog Scale showed promising recovery outcomes.
- The procedure is described as simple, effective, and associated with fewer complications.

## Abstract

Shoulder stability is crucial, and appropriate therapy is essential for improving patient outcomes following an injury.

A 30-year-old male was admitted to the clinic after lifting heavy objects at the fitness center. The physical examination reveals a decreased range of motion (ROM) and impaired flexion and external rotation of the shoulder joint. The left shoulder X-ray shows moderate soft tissue swelling without discontinuities of the bone, although elevation of the distal clavicle is prominent. After a comprehensive examination, the patient was diagnosed with an acromioclavicular (AC) joint injury.

We use a mini-open surgical method called a Simple Modified Button Technique (SMB) to maintain shoulder function. The Visual Analog Scale (VAS) and Oxford Shoulder Score (OSS) were measured to evaluate the patient's outcome.

The SMB procedure could adequately treat AC joint injuries. Measurement tools such as VAS and OSS have shown promising results. Adequate treatment will appropriately manage prolonged pain in AC joint injuries.

•A young male patient sustained an acute acromioclavicular (AC) joint injury.•The surgical intervention performed was a simple modified button technique (SMB).•The SMB is a simple and effective procedure with fewer complications for treating the AC injury case.•The Oxford Shoulder Score and Visual Analog Scale (VAS) were used to measure outcomes.

A young male patient sustained an acute acromioclavicular (AC) joint injury.

The surgical intervention performed was a simple modified button technique (SMB).

The SMB is a simple and effective procedure with fewer complications for treating the AC injury case.

The Oxford Shoulder Score and Visual Analog Scale (VAS) were used to measure outcomes.

## Full-text entities

- **Diseases:** swelling (MESH:D004487), acromio-clavicular joint injury (MESH:C536428), decreased range of motion (MESH:D009041), pain (MESH:D010146), impaired flexion and external rotation of the shoulder joint (MESH:D020069), injury (MESH:D014947), AC joint injuries (MESH:D000092464)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC11848089/full.md

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Source: https://tomesphere.com/paper/PMC11848089