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https://www.readbyqxmd.com/read/28511468/tuberculosis-of-acromioclavicular-joint
#1
Archit Agarwal, Amish Bhandari, Rajesh Maheshwari
Tuberculosis (TB) arthritis accounts for approximately 1%-3% of all cases of TB and for approximately 10%-11% of extra pulmonary cases. Isolated acromioclavicular joint TB has been reported rarely with varied presentations as case series of one to three cases none of them being large studies. In our case, patient presented with pain in left shoulder since one month. Patient was investigated and was diagnosed to have acromioclavicular joint TB on basis of positive Acid Fast Bacilli (AFB) stain and cytology. Patient recovered well with antitubercular therapy...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28489626/general-health-status-after-non-operative-versus-operative-treatment-for-acute-complete-acromio-clavicular-joint-dislocation-results-of-a-multicenter-randomized-clinical-trial
#2
Jeffrey M Mah
OBJECTIVE: To assess the general health status of patients following non-operative (Non-op) versus operative (OP) treatment for acromioclavicular (AC) joint dislocations. DESIGN: Multicenter, randomized controlled clinical trial. SETTING: Eleven Canadian trauma centers. PARTICIPANTS: Eighty-three patients with acute (≤ 28 days old), complete (Rockwood grades III, IV, or V) dislocations of the AC joint. INTERVENTION: Participants were randomized to non-operative treatment or operative treatment with hook plate fixation...
May 5, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28480089/atraumatic-acromioclavicular-dislocation-a-case-report-and-review-of-the-literature
#3
Nasrat Sadeghi, Pieter Stijn Haen, Ron Onstenk
Acromioclavicular dislocation (AC dislocation) is a common injury of the shoulder. In contrast to a traumatic cause, nontraumatic dislocation is very rare. We report on a 17-year-old female that presented with voluntary recurrent dislocation of the right AC joint followed by recurrent pain without instability of the ipsilateral shoulder. Clinical examination showed crepitation as well as palpitation pain and dislocation of the AC joint. There were no symptoms of Marfan or Ehlers-Danlos syndrome as other joint examinations were also negative for hypermobility...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28455736/concomitant-glenohumeral-pathologies-associated-with-acute-and-chronic-grade-iii-and-grade-v-acromioclavicular-joint-injuries
#4
Gunnar Jensen, Peter J Millett, Dimitri S Tahal, Mireille Al Ibadi, Helmut Lill, Jan Christoph Katthagen
PURPOSE: The purpose of this study was to identify the risk of concomitant glenohumeral pathologies with acromioclavicular joint injuries grade III and V. METHODS: Patients who underwent arthroscopically-assisted stabilization of acromioclavicular joint injuries grade III or grade V between 01/2007 and 12/2015 were identified in the patient databases of two surgical centres. Gender, age at index surgery, grade of acromioclavicular joint injury (Rockwood III or Rockwood V), and duration between injury and index surgery (classified as acute or chronic) were of interest...
April 28, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28454194/-influence-of-operative-and-conservative-therapy-on-the-ability-to-work-of-patients-with-subacromial-impingement-a-prospective-clinical-comparative-study
#5
Christoph Schulze, Hans Christian Köhler, Alexander Kaltenborn, André Gutcke, Thomas Tischer
Background Subacromial impingement is a common reason for pain in the shoulder. Treatment is difficult and patients are not able to work for a long time. An increasing number of operative treatments can be observed although conservative treatment is effective, too. There is no study that observed how operative and conservative treatment influence ability to work. Methods 86 persons were included in this prospective study. Surgery was performed with an arthroscopy of the shoulder. Conservative treatment was carried out by a physiotherapist under control of the physician...
April 28, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28435576/a-new-technique-for-solving-tightrope-cutout-during-acromioclavicular-joint-fixation-a-case-report
#6
B W Ng, A F Abdullah, S Nadarajah
Acromioclavicular joint (ACJ) dissociation is one of the common injuries affecting adults. The stability of ACJ largely depends on the integrity of acromioclavicular ligament, coracoclavicular ligament, capsule, trapezius muscle and deltoid muscle. The injury has been classified by Rockwood into six types and treatment options can be guided by the classification. TightRope fixation is one of the many surgical procedures available to address acromioclavicular joint separation. It consists of tensioning of a no...
March 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28434037/open-capsular-and-ligament-reconstruction-with-semitendinosus-hamstring-autograft-successfully-controls-superior-and-posterior-translation-for-type-v-acromioclavicular-joint-dislocation
#7
Raffaele Garofalo, Enrico Ceccarelli, Alessandro Castagna, Vittorio Calvisi, Brody Flanagin, Marco Conti, Sumant G Krishnan
PURPOSE: Appropriate surgical management for type V complete acromioclavicular (AC) joint dislocation remains controversial. The purpose of this paper is to retrospectively report the clinical and radiographic outcomes of an open surgical technique consisting for AC joint ligamentous and capsular reconstruction using autologous hamstring tendon grafts and semi-permanent sutures. METHODS: Between January 2005 and December 2011, 32 consecutive patients with symptomatic type V complete AC joint dislocation underwent surgical treatment using the same technique...
April 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28434036/acromion-morphology-and-bone-mineral-density-distribution-suggest-favorable-fixation-points-for-anatomic-acromioclavicular-reconstruction
#8
Andreas Voss, Felix Dyrna, Andrea Achtnich, Alex Hoberman, Elifho Obopilwe, Andreas B Imhoff, Augustus D Mazzocca, Knut Beitzel
PURPOSE: Recent techniques for acromioclavicular (AC) joint reconstruction focus on additional AC cerclage to coracoclavicular (CC)-reconstructions. Due to the specific slim bone morphology at the acromion, there are concerns regarding these additional bone tunnels, as they may predispose to fracture and break out. The purpose of this study was to investigate anatomic properties of the acromion which may help improve surgical techniques directed at injuries to the AC joint. It was hypothesized that via measurements of thickness and density points of increased strength and support could be identified on the acromion...
April 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28427871/arthroscopic-assisted-coracoclavicular-ligament-reconstruction-for-acute-acromioclavicular-dislocation-using-2-clavicular-and-1-coracoid-cortical-fixation-buttons-with-suture-tapes
#9
Sang-Jin Shin, Yoon Sang Jeon, Rag Gyu Kim
PURPOSE: To introduce an arthroscopically assisted coracoclavicular (CC) fixation technique using a cortical fixation button device and to evaluate the clinical and radiologic outcomes in patients with acute acromioclavicular (AC) dislocation who were treated with the technique. METHODS: Twenty-one consecutive patients with grade III and V acute AC dislocation who underwent arthroscopically assisted CC ligament reconstruction using a cortical fixation button device were prospectively enrolled...
April 17, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28417201/quantification-of-dynamic-posterior-translation-in-modified-bilateral-alexander-views-and-correlation-with-clinical-and-radiological-parameters-in-patients-with-acute-acromioclavicular-joint-instability
#10
Marvin Minkus, Carmen Hann, Markus Scheibel, Natascha Kraus
INTRODUCTION: Classification of AC-joint instability is based on radiologic evaluation of anteroposterior (a.p.) stress views of both shoulders, neglecting the horizontal component of instability. Recent studies have proposed an association of dynamic posterior translation (DPT) and inferior clinical results. The purpose of this study was to quantify DPT in modified Alexander views and correlate it with other radiological and clinical data. MATERIALS AND METHODS: Thirty-two patients (4 f, 28 m, mean age 34...
April 17, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28413226/grade-v-acromioclavicular-joint-separation-in-a-57-year-old-mountain-biker
#11
Peter C Emary, Kylie M Watkins, John A Taylor
Patients rarely present to a chiropractic office setting during the acute stage of a high-grade (i.e. Rockwood types IV-VI) separation of the acromioclavicular (AC) joint. Moreover, such cases are non-existent in the peer-reviewed chiropractic literature. Some controversy exists over the optimal (surgical vs. non-surgical) treatment of severe AC joint injuries. Published reports of nonoperative management for grade V injuries of the AC joint are also scarce. This case review highlights the plain film imaging and conservative management of a 57-year-old patient diagnosed with an acute Rockwood type V AC joint separation...
March 2017: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/28409140/osteoid-osteoma-of-the-distal-clavicle
#12
Bernardo Barcellos Terra, Leandro Marano Rodrigues, David Victoria Hoffmann Padua, Tannous Jorge Sassine, José Maria Cavatte, Anderson De Nadai
The osteoid osteoma is a bone tumor that accounts for 10% of benign tumors. It was described in 1935 by Jaffe, as a tumor that affects the young adult population, with a predominance of males. This study aims to present a case of late diagnosis of a patient with osteoid osteoma of the distal clavicle region. Female patient, 44 years old, non-professional volleyball player, reported pain in the anterior and superior region of the shoulder girdle, specifically in the acromioclavicular joint, which worsened at night and had been treated for nine months as tendinitis of the rotator cuff and acromioclavicular joint arthritis...
March 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28409097/arthroscopic-technique-for-stabilization-of-chronic-acromioclavicular-joint-instability-with-coracoclavicular-and-acromioclavicular-ligament-reconstruction-using-a-gracilis-tendon-graft
#13
Nina Pühringer, Jens Agneskirchner
We present an arthroscopic technique for stabilization of chronic acromioclavicular (AC) joint instability using a transclavicular-transcoracoidal button technique, combined with a coracoclavicular and AC ligament reconstruction using the gracilis tendon. This arthroscopic technique achieves an anatomic reduction of the clavicle without further implant removal. It ensures vertical and horizontal stabilization of the AC joint. Using a horizontal drill hole through the clavicle and looping the gracilis tendon graft around the coracoid avoids weakening of the coracoid with the risk of fracture...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28406877/scapulothoracic-dissociation-evaluation-and-management
#14
Andrew M Choo, Patrick C Schottel, Andrew R Burgess
Scapulothoracic dissociation is a rare, potentially limb- and life-threatening injury of the shoulder girdle. The injury is characterized by lateral displacement of the scapula resulting from traumatic disruption of the scapulothoracic articulation. The typical physical examination findings consist of substantial swelling of the shoulder girdle, along with weakness, numbness, and pulselessness in the ipsilateral upper extremity. Radiographic evaluation includes measurement of the scapular index on a nonrotated chest radiograph and assessment for either a distracted clavicle fracture or a disrupted acromioclavicular or sternoclavicular joint...
May 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28402702/comparison-of-the-tight-rope-technique-and-clavicular-hook-plate-for-the-treatment-of-rockwood-type-iii-acromioclavicular-joint-dislocation
#15
Leyi Cai, Te Wang, Di Lu, Wei Hu, Jianjun Hong, Hua Chen
AIM: Acromioclavicular joint dislocation is one of the most common shoulder problems and may lead to instability or degenerative changes. The aim of this study was to compare the clinical outcomes of the Tight Rope system and clavicular hook plate for Rockwood type III acromioclavicular joint dislocation in adults. MATERIALS AND METHODS: This was a prospective, randomized study in a hospital setting. From January 2012 to December 2014, 69 patients with type III injury were reviewed...
April 12, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28395420/-application-of-the-method-of-anatomic-coracoclavicular-ligament-reconstruction-for-distal-clavicle-fractures
#16
J H Fang, G L Tang, H Chen, L J Song, X Li
Objective: To assess the clinical results of the method of anatomic coracoclavicular ligament reconstruction for distal clavicle fractures. Methods: From August 2013 to January 2015, the super image system was used to measure the CT data of 16 patients suffering distal clavicle fractures before operation in Department of Orthopaedics , the First Affiliated Hospital of Nanjing Medical Univerisity. The fractures' morphological features and acromioclavicular dislocation degree were assessed. By referring to the data collected by the my research group on Chinese people's coracoclavicular ligament, the injuries of the coracoclavicular ligament were estimated, which was then to verify the actual injuries detected during operation...
April 4, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28373938/arthroscopic-acromioclavicular-joint-reconstruction-using-knotless-coracoclavicular-fixation-and-soft-tissue-anatomic-coracoclavicular-ligament-reconstruction
#17
Travis J Menge, Dimitri S Tahal, J Christoph Katthagen, Peter J Millett
Acromioclavicular joint injuries are one of the most common shoulder injuries, and there are a variety of treatment options. Recently, there have been newer arthroscopic techniques that have addressed coracoid and clavicle fracture risk by using a knotted suture-button fixation through a single, small bone tunnel with additional looped soft-tissue graft stabilization. Although clinical outcomes have been good to excellent, there have still been instances of knot and hardware irritation. The described technique builds on the latest advances and achieves an anatomic coracoclavicular (CC) reconstruction through a single knotless CC fixation device with additional soft-tissue allograft reconstruction of the CC ligaments...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28373936/arthroscopic-distal-clavicle-and-medial-border-of-acromion-resection-for-symptomatic-acromioclavicular-joint-osteoarthritis
#18
Adinun Apivatgaroon, Prakasit Sanguanjit
Acromioclavicular joint osteoarthritis can lead to persistent shoulder pain. Distal clavicle excision is the most common operative procedure in patients with failed, conservative symptomatic acromioclavicular joint osteoarthritis treatment, with some reports of complications. This report describes an alternative procedure that can be used to excise the distal clavicle together with the medial border of the acromion. This technique is a simple procedure because the standard distal clavicle excision can preserve the acromioclavicular ligament, as well as the joint capsule, and achieve an adequate resection length...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28372971/the-anterior-borders-of-the-clavicle-and-the-acromion-are-not-always-aligned-in-the-intact-acromioclavicular-joint-a-cadaveric-study
#19
Johannes Barth, Achilleas Boutsiadis, Pablo Narbona, Alexandre Lädermann, Paolo Arrigoni, Christopher R Adams, Stephen S Burkhart, Patrick J Denard
BACKGROUND: The aim of this study was to find reliable anatomic landmarks of the normal acromioclavicular joint (ACJ) that could enable the precise evaluation of the horizontal displacement of the clavicle after dislocation. The hypothesis was that the anterior borders of the acromion and the clavicle are always aligned in intact ACJs. MATERIALS AND METHODS: In 30 cadaveric specimens, the anterior and posterior borders of the ACJ's articular facets and the most prominent anterior and posterior bony landmarks of the acromion and the clavicle were identified...
March 31, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28372966/palmaris-longus-tendon-graft-versus-modified-weaver-dunn-procedure-via-dynamic-button-system-for-acromioclavicular-joint-reconstruction-in-chronic-cases
#20
Baris Kocaoglu, Tekin Kerem Ulku, Arel Gereli, Mustafa Karahan, Metin Türkmen
BACKGROUND: The hypothesis of this clinical study was that coracoclavicular (CC) reconstruction using autogenic palmaris longus graft through the GraftRope (PLG) system (Arthrex, Inc., Naples, FL, USA) would provide superior clinical and radiologic results compared with modified Weaver-Dunn procedure with the dynamic TightRope (Arthrex, Inc.) system (WDT). METHODS: Between 2008 and 2013, 32 patients (average age, 39.7 years; range, 22-60 years) underwent surgical reconstruction of chronic acromioclavicular (AC) joint dislocation...
March 31, 2017: Journal of Shoulder and Elbow Surgery
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