[Clinicopathological status and treatment of XXXX with special reference to Tossy's grade III].

@entity1 @entity164 @entity2720 @entity3029
Seventy @entity1 classified as Tossy's Grade III @entity3029 were studied clinically and radiographically, and treated conservatively. Twenty @entity2720 from 11 cadavers were dissected for a detailed anatomical evaluation of @entity2720 . Anatomical findings showed that the conoid ligament played an important role for the fixation of the clavicular end to the acromion. @entity1 with dislocation classified as Tossy's Grade III were divided into two subtypes, A and B, according to the distance between the clavicle and acromion on the radiograph. Arthorography was performed on 22 @entity1 . The arthograms were classified into three types, I, II and III, depending on the leak spread and flow of the contrast medium around the @entity2720 . Types I and II arthorograms were seen in all cases classified as Type A on X-rays, most of the @entity164 were seen in cases classified as Type B. Favorable results were obtained in eighty-six per cent of Type A cases. Fair to poor results, however, were achieved in 60% of type B cases. From the result of this study, the author concludes that Tossy's Grade III, complete dislocation, should be classified into two subtypes and surgical treatment should be considered for Type B or complete dislocation.
