keyword
https://read.qxmd.com/read/38390563/double-figure-of-eight-technique-using-fiber-tape-for-acute-high-grade-acromioclavicular-joint-dislocations-reconstruction-technique
#1
REVIEW
Prahalad Kumar Singhi, Sivakumar Raju, Ajay Gowtham
Acromioclavicular (AC) joint dislocations are not uncommon injuries. High-grade dislocations can be managed by arthroscopic as well as open techniques, but the most important thing is to address both vertical and horizontal stability. The purpose of this study is to evaluate the functional outcome of a cost effective double figure of eight technique of stabilizing both coracoclavicular and acromioclavicular ligaments in acute high-grade disruption (Type IIIB -VI) using fibre tape. This study was performed at our tertiary care centre from 2017 to 2020 after appropriate IRB approval and patient consent...
March 2024: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38387735/coracoclavicular-and-acromioclavicular-ligament-reconstruction-with-a-double-bundle-semitendinosus-autograft-and-cortical-buttons-for-chronic-acromioclavicular-joint-dislocations-clinical-and-imaging-outcomes
#2
JOURNAL ARTICLE
Daisuke Mori, Homare Nishiyama, Shin Haku, Noboru Funakoshi, Fumiharu Yamashita, Masahiko Kobayashi
BACKGROUND: There are few clinical and radiographic studies of coracoclavicular (CC) ligament reconstruction in chronic acromioclavicular (AC) joint dislocation. Additionally, reported AC joint reduction rates vary. HYPOTHESIS: Arthroscopically assisted double-bundle semitendinosus tendon autografts with CC and AC ligament reconstruction for AC joint reconstruction provide AC joint stability and improved function at the final visit. METHODS: In this retrospective study of prospectively collected data, 21 patients surgically treated for chronic AC joint dislocation (Rockwood III-V) were assessed clinically and radiographically preoperatively, and at day 1, 3 months, 12 months, and at a final visit (> 24 months) postoperatively...
February 20, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38313753/long-term-functional-outcomes-and-athletic-ability-in-shoulder-sports-after-anatomic-coracoclavicular-ligament-reconstruction-for-chronic-type-3-and-5-acromioclavicular-joint-injuries
#3
JOURNAL ARTICLE
Lukas N Muench, Daniel P Berthold, Marco-Christopher Rupp, Caitlin G Dorsey, Benjamin Hawthorne, Maxwell T Trudeau, John D Wolf, Ian Wellington, Augustus D Mazzocca
BACKGROUND: Promising short- and midterm outcomes have been seen after anatomic coracoclavicular ligament reconstruction (ACCR) for chronic acromioclavicular joint (ACJ) injuries. PURPOSE/HYPOTHESIS: To evaluate long-term outcomes and shoulder-related athletic ability in patients after ACCR for chronic type 3 and 5 ACJ injuries. It was hypothesized that these patients would maintain significant functional improvement and sufficient shoulder-sport ability at a long-term follow-up...
February 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38233358/a-self-designed-endobutton-installation-device-for-coracoclavicular-stabilization-in-acute-rockwood-type-iii-acromioclavicular-joint-dislocation
#4
JOURNAL ARTICLE
Ma Jie, Tang Yang, Wang Xiang
OBJECTIVE: Endobutton technique could provide flexible coracoclavicular (CC) stabilization for acromioclavicular joint (ACJ) dislocation and achieved good clinical outcomes. However, the difficult part of this technique was placement of the Endobutton to the coracoid base. In this study, we designed an Endobutton installation device to place the Endobutton at the coracoid base. And we examined the clinical and radiographic outcomes of patients with acute Rockwood type III ACJ dislocation repaired with Endobutton using this device...
January 17, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38225163/anatomic-acromioclavicular-and-coracoclavicular-ligament-reconstruction-with-allograft-is-effective-for-the-management-of-non-acute-acromioclavicular-dislocations
#5
JOURNAL ARTICLE
Miguel Angel Ruiz Ibán, Raquel Ruiz Díaz, Ignacio de Rus Aznar, Carlos Vaquero Comino, Jorge Diaz Heredia
OBJECTIVE: to analyze the short-term outcomes of an anatomical technique that reconstructs both the acromioclavicular and coracoclavicular ligaments with the help of a tendon allograft for the management of non-acute acromioclavicular dislocations. METHODS: this is a prospective longitudinal study of a case series of subjects with symptomatic non-acute (>3 weeks) acromioclavicular dislocations surgically managed with an anatomical reconstruction of both the acromioclavicular and coracoclavicular ligaments using tibial tendon allografts...
December 2023: Injury
https://read.qxmd.com/read/38196860/arthroscopic-anatomic-knotless-coracoclavicular-ligament-repair-without-coracoid-drilling
#6
JOURNAL ARTICLE
Bryan G Adams, Bobby G Yow, William B Roach, Matthew A Posner, Michael A Donohue
Acromioclavicular joint injuries are common in young active patients. A wide variety of surgical techniques exist to address specific complications associated with surgery. Complications after surgery include loss of reduction, fracture of the clavicle or coracoid, failure of fixation, and prominent and symptomatic hardware. This technique aims to reduce these complications with an arthroscopic anatomic coracoclavicular ligament repair using knotless adjustable loop buttons with fifth-generation suture tape and no drilling of the coracoid...
December 2023: Arthroscopy Techniques
https://read.qxmd.com/read/38158998/-the-use-of-sodium-hyaluronate-to-treat-upper-limb-disease-a-review
#7
JOURNAL ARTICLE
Y S Filatova, M V Ilyin
The most common diseases of the upper limb are osteoarthritis (OA) of the joints of the hands, lateral epiconlitis, tendinitis of the shoulder muscles, adhesive capsulitis. OA of the shoulder and acromioclavicular joints is less common. The development of acute and subacute pain in the elbow and shoulder joints in the vast majority of cases is determined by the pathology of soft tissues: muscles, ligamentous apparatus and related synovial bags, making it difficult to diagnose. A clinical and radiological heterogeneity of OA of the joints of the hands is a very complex pathology for the study, and also to create a unified algorithms for therapy...
July 16, 2023: Terapevticheskiĭ Arkhiv
https://read.qxmd.com/read/38154784/sensory-innervation-of-the-human-shoulder-joints-in-healthy-and-in-chronic-pain-shoulder-syndromes
#8
JOURNAL ARTICLE
Abel Martínez-Gago, Yolanda García-Mesa, Patricia Cuendias, José Martín-Cruces, Juan F Abellán, Olivia García-Suárez, José A Vega
BACKGROUND: Afferent innervation of shoulder joints plays a fundamental role in nociception and mechanoception and its alteration result in shoulder´s disease that course with pain and functional disability. METHODS: Joints shoulder from healthy subjects (n = 20) and with chronic pain shoulder syndromes (n = 17) were analyzed using immunohistochemistry for S100 protein to identify nerve structures (nerve fibers and sensory corpuscles), coupled with a quantification of the sensory formations...
February 2024: Annals of Anatomy
https://read.qxmd.com/read/38070729/quality-and-stability-of-reduction-of-operated-acromioclavicular-dislocation-using-dual-acromioclavicular-and-coracoclavicular-stabilization
#9
JOURNAL ARTICLE
Laurentiu-Cosmin Focsa, Marie Plomion, Julien Vignes, Marc-Antoine Rousseau, Patrick Boyer
INTRODUCTION: Dual stabilization is advocated in acute acromioclavicular dislocation (ACD), but has been little assessed. OBJECTIVE: This preliminary study performed clinical and radiological assessment of dual acromioclavicular (AC) and coracoclavicular (CC) stabilization in acute ACD. The study hypothesis was that dual stabilization allows satisfactory reduction that remains stable over time. MATERIALS AND METHODS: A button was used under endoscopy for CC stabilization...
December 7, 2023: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/38008754/presurgical-perspective-and-postsurgical-evaluation-of-acromioclavicular-joint-instability
#10
REVIEW
Alexeys Perez Yubran, Luis Cerezal Pesquera, Eva Llopis San Juan, Fernando Idoate Saralegui, Alvaro Cerezal Canga, Antonio Cruz Camara, Gustavo Matheus Valdivieso
Acromioclavicular joint (ACJ) dislocations are a common cause of pain in patients of any age. Athletes who participate in contact sports, such as hockey, football, rugby, and soccer, are particularly susceptible to such injuries. The ACJ has an important role in the function of the upper limb, and its complexity of movement makes it susceptible to acute injuries and chronic dysfunction with debilitating effects that must be treated appropriately and promptly to preserve function. Recently, ACJ has received increasing attention due to the development of new surgical techniques for the restoration of normal function and stability...
November 27, 2023: Skeletal Radiology
https://read.qxmd.com/read/37998547/adhesive-capsulitis-of-the-shoulder-current-concepts-on-the-diagnostic-work-up-and-evidence-based-protocol-for-radiological-evaluation
#11
REVIEW
Riccardo Picasso, Federico Pistoia, Federico Zaottini, Giovanni Marcenaro, Maribel Miguel-Pérez, Alberto Stefano Tagliafico, Carlo Martinoli
Adhesive capsulitis is an idiopathic and disabling disorder characterized by intense shoulder pain and progressive limitation of active and passive glenohumeral joint range of motion. Although adhesive capsulitis has been traditionally considered a diagnosis of exclusion that can be established based on a suggestive medical history and the detection of supporting findings at the physical exam, imaging studies are commonly requested to confirm the diagnostic suspicion and to exclude other causes of shoulder pain...
November 9, 2023: Diagnostics
https://read.qxmd.com/read/37977250/clavicular-tunnel-widening-after-coracoclavicular-stabilization-surgery-a-systematic-review-and-meta-analysis
#12
REVIEW
Ausberto Velasquez Garcia, Andres Franco Abache, Liborio Ingala Martini
PURPOSE: This systematic review and meta-analysis aimed to (1) estimate the prevalence of clavicular tunnel widening (TW) after coracoclavicular stabilization surgery and its risk factors and (2) assess whether TW is correlated with clavicle fracture or loss of reduction of the acromioclavicular joint (ACJ). METHODS: In January 2023, three electronic databases were searched to collect data on postoperative clavicular TW, its prevalence, magnitude, and correlation with fracture and ACJ loss of reduction...
November 15, 2023: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/37957882/effect-of-cigarette-smoking-on-the-maintenance-of-reduction-after-treatment-of-acute-acromioclavicular-joint-dislocation-with-hook-plate-fixation
#13
JOURNAL ARTICLE
Jee-Hoon Choi, Yong-Min Chun, Tae-Hwan Yoon
BACKGROUND: The purpose of this study was to determine the association between smoking and clinical outcomes of hook plate fixation for acute acromioclavicular (AC) joint injuries. METHODS: This study retrospectively investigated 82 patients who underwent hook plate fixation for acute AC joint dislocation between March 2014 to June 2022. The patients were grouped by smoking status, with 49 in group N (nonsmokers) and 33 in group S (smokers). Functional scores and active range of motion were compared among the groups at the 1-year follow-up...
November 3, 2023: Clinics in shoulder and elbow
https://read.qxmd.com/read/37928985/tunnel-free-acromioclavicular-joint-reconstruction-is-associated-with-improved-initial-reduction-and-higher-patient-satisfaction
#14
JOURNAL ARTICLE
Brittany A Olsen, Joshua W Rollins, Daniel H Ngo, James M Gregory
BACKGROUND: Many surgical techniques have been described for acromioclavicular (AC) joint reconstruction. Creation of bone tunnels through the clavicle or coracoid has been shown to be a risk factor for fracture. Use of an AC reconstruction technique that does not create bone tunnels may obviate this risk. This study aims to evaluate clinical outcomes of AC joint reconstruction using a tunnel-free technique compared to reconstruction using a cortical button and clavicular drill holes...
November 2023: JSES Rev Rep Tech
https://read.qxmd.com/read/37916522/acromioclavicular-joint-mobilizations-for-the-management-of-grade-i-sternoclavicular-joint-sprain-a-case-report
#15
JOURNAL ARTICLE
Rosemary Helvey-Byers, Jeffrey O'Laughlin, Nicole Dickson, Reuben Myer, Michael Gross
OBJECTIVE: Injury to the sternoclavicular joint is a rare phenomenon that has implications for the shoulder complex. Limited literature exists on optimal physical therapy rehabilitation after a sternoclavicular ligament sprain. This case report details the physical therapy management and outcomes of a patient with a posterior sternoclavicular joint sprain. CASE DESCRIPTION: The patient was a 34-year-old female who sustained a grade I posteriorly directed sternoclavicular sprain during a motor vehicle accident...
November 2, 2023: Physiotherapy Theory and Practice
https://read.qxmd.com/read/37866870/editorial-commentary-tunnel-widening-and-loss-of-reduction-may-be-inevitable-after-acromioclavicular-stabilization-with-cortical-suspensory-devices-whether-inset-top-hats-or-onlay-buttons
#16
EDITORIAL
Brian R Waterman
Despite widely varying techniques, coracoclavicular (CC) stabilization after traumatic, unstable acromioclavicular (AC) joint dislocations shows notable rates of perioperative complications, radiographic loosening, and, ultimately, loss of anatomic reduction. Loss of reduction can occur in upward of 40% of cases after CC repair or reconstruction. Complications and unplanned reoperations can approach 30% and 1.2% to 5.4%, respectively. While we posit that AC joint congruity confers greater shoulder function, anatomic reduction does not always correlate with patient satisfaction or favorable outcomes, which is estimated in up to 88% of surgically treated cases...
November 2023: Arthroscopy
https://read.qxmd.com/read/37840901/assessment-of-coracoclavicular-ligament-healing-on-mri-after-arthroscopic-tightrope-fixation-for-acute-acromioclavicular-joint-dislocation
#17
JOURNAL ARTICLE
Mohamed Fathy Elhalawany, Usama Gaber Abdalla, Lotfy Shwitter, Mohammed Said ElAttar, Fahmy Samir Fahmy
BACKGROUND: Arthroscopic-assisted fixation of acute high-grade acromioclavicular (AC) joint dislocation has gained popularity in the last decade. Coracoclavicular (CC) fixation using the TightRope device is a less invasive technique. PURPOSE: To investigate CC ligament healing and functional outcomes after arthroscopic fixation using the TightRope device for acute AC joint disruption. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The study retrospectively analyzed the data of patients admitted for arthroscopic surgical treatment of acute AC joint injury using a single TightRope device...
October 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37752567/bibliometric-and-visualized-analysis-of-arthroscopic-treatment-of-acromioclavicular-joint-injury
#18
JOURNAL ARTICLE
Jian Zhang, Mingjun Li, Yuxia Yang, Wenkang Liu, Xiangji Meng, Wenyong Fei, Jingcheng Wang
BACKGROUND: Since arthroscopy was discovered to treat acromioclavicular joint injury, people have had great interest and attention to this beautiful and minimally invasive operation, and related research has been increasing worldwide. At present, there is no bibliometric and visualized analysis in this field. The purpose of this study is to explore the research hotspots and trends of arthroscopic treatment of acromioclavicular joint injury through bibliometric and visualized analysis and look forward to the future development direction of clinical practice...
September 26, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/37716726/surgical-pearls-and-pitfalls-for-anatomic-acromioclavicular-coracoclavicular-ligament-reconstruction
#19
REVIEW
Peter S Chang, Colin P Murphy, Ryan J Whalen, John M Apostolakos, Matthew T Provencher
Injuries to the acromioclavicular (AC) joint are common shoulder injuries in contact/collision athletes. There are a number of different surgical options that can be used to treat these injuries. The majority of these injuries can be treated nonoperatively with an early return to play for type I and II injuries. Surgical intervention and AC/CC (coracoclavicular) ligament reconstruction have excellent postoperative outcomes if complications can be avoided. This review will focus on the pearls and pitfalls for anatomic AC and CC ligament reconstruction for high-grade AC joint injuries...
October 2023: Clinics in Sports Medicine
https://read.qxmd.com/read/37716724/arthroscopic-repair-and-reconstruction-of-coracoclavicular-ligament
#20
REVIEW
Jeffrey D Hassebrock, Daniel J Stokes, Tyler R Cram, Rachel M Frank
Acromioclavicular joint separations are common shoulder injuries that require prompt recognition, diagnosis, and treatment. Deciding on a treatment algorithm relies on a detailed knowledge of anatomy and a thorough understanding of the specific functional demands of the patient in question. When a repair or reconstruction is indicated, arthroscopic assistance can be a helpful tool to ensure a safe, anatomic reconstruction that minimizes morbidity and maximizes the potential return to high-level function.
October 2023: Clinics in Sports Medicine
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