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AC dislocation repair

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https://www.readbyqxmd.com/read/29679723/comparison-of-hook-plate-with-versus-without-double-tunnel-coracoclavicular-ligament-reconstruction-for-repair-of-acute-acromioclavicular-joint-dislocations-a-prospective-randomized-controlled-clinical-trial
#1
Jian Yin, Zhaoyang Yin, Ge Gong, Chao Zhu, Chao Sun, Xinhui Liu
PURPOSE: This study was designed to compare the surgical outcomes of a hook plate with double-tunnel coracoclavicular (CC) ligament reconstruction by conjoined tendon transfer versus single hook plate surgery for the repair of acute type of Rockwood type III and V acromioclavicular (AC) joint dislocations. METHODS: The study cohort included 62 patients with acute (within 6 weeks after trauma) Rockwood type III and V AC joint dislocations who underwent surgery from February 2012 to September 2015...
April 19, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29430501/modified-internal-fixation-technique-for-acromio-clavicular-ac-joint-dislocation-the-hidden-knot-technique
#2
Hamidreza Aslani, Fateme Mirzaee, Zohreh Zafarani, Shahin Salehi
Acromioclavicular (AC) joint injuries are common and often seen in contact athletes, resulting from a fall on the shoulder tip with adducted arm. This joint is stabilized by both static and dynamic structures including the coracoclavicular (CC) ligament. Most reconstruction techniques focus on CC ligament augmentation as the primary stabilizer of the AC joint. The best surgical technique for some AC joint dislocations is still controversial. In this study, we explained a modification of the CC ligament reconstruction technique described by Wellmann...
January 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29397294/a-prospective-study-of-coracoclavicular-ligament-reconstruction-with-autogenous-peroneus-longus-tendon-for-acromioclavicular-joint-dislocations
#3
Yu Zhu, Peilin Hsueh, Bingfang Zeng, Yimin Chai, Changqing Zhang, Yunfeng Chen, Yuchen Wang, Tuerxun Maimaitiaili
BACKGROUND: Anatomic coracoclavicular (CC) ligament reconstruction (ACCR) provides good outcomes for Rockwood type III and VI acromioclavicular (AC) joint dislocations. Various grafts have been used, but complications from graft harvesting are not uncommon. This study examined the clinical and radiographic outcomes of patients with AC joint dislocations repaired with the autogenous anterior half of the peroneus longus tendon (AHPLT) to achieve ACCR. METHODS: Patients with a Rockwood type III to V AC joint dislocation and magnetic resonance imaging of the disruption of the CC ligaments, as well as the AC capsule, were prospectively recruited...
June 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29354426/acromioclavicular-joint-dislocation-repair-through-open-ligament-transfer-and-nonabsorbable-suture-fixation
#4
Ricardo Canquerini da Silva, Bruno Silveira Pavei, Márcio B Ferrari, George Sanchez, Luiza Barbosa Horta Barbosa, João L Ellera Gomes
Acromioclavicular (AC) joint instability is a fairly common and particularly limiting injury that may result in persistent pain and reduced quality of life. In most cases, conservative management is successful. However, in the case of a severe AC joint dislocation, surgical intervention may be warranted. Previous surgical techniques for treatment of AC joint instability include screw fixation between the coracoid and clavicle, coracoacromial ligament transfer from its acromial insertion to the clavicle, and reconstruction of the coracoacromial and/or coracoclavicular ligaments...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29312844/new-insights-in-the-treatment-of-acromioclavicular-separation
#5
REVIEW
Christiaan J A van Bergen, Annelies F van Bemmel, Tjarco D W Alta, Arthur van Noort
A direct force on the superior aspect of the shoulder may cause acromioclavicular (AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types I and II are treated nonoperatively, while types IV, V and VI are generally treated operatively. Controversy exists regarding the optimal treatment of type III dislocations in the high-demand patient. Recent evidence suggests that these should be treated nonoperatively initially...
December 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29274862/percutaneous-minimally-invasive-repair-of-acromioclavicular-joint-dislocation-using-cannulated-screws-under-ultrasonic-vs-c-arm-navigation-a-prospective-trial
#6
X Shui, S Chen, G Huang, J Kong, C Zhou, W Lin
INTRODUCTION: To compare percutaneous minimally invasive repair (PMIR) of acute acromioclavicular (AC) joint dislocation under ultrasound guidance (PMIR-UN) vs. C-arm navigation (PMIR-CN). HYPOTHESIS: PMIR-UN has similar functional and radiographic outcomes as PMIR-CN. MATERIALS AND METHODS: We treated 48 patients with acute grade III or V AC joint dislocation with surgical reduction and fixation with Kirschner wires and cannulated screws...
December 21, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28986617/risk-of-fracture-of-the-acromion-depends-on-size-and-orientation-of-acromial-bone-tunnels-when-performing-acromioclavicular-reconstruction
#7
Felix Dyrna, Celso Cruz Timm de Oliveira, Michael Nowak, Andreas Voss, Elifho Obopilwe, Sepp Braun, Leo Pauzenberger, Andreas B Imhoff, Augustus D Mazzocca, Knut Beitzel
PURPOSE: Current techniques for anatomic repair of the dislocated acromioclavicular (AC) joint aim on reconstruction of the AC ligaments and utilize tunnels drilled through the acromion . This improves the stability of the reconstruction but might also increase the risk of fractures at the acromion. The purpose of this study was to evaluate the fracture risk for the acromion after transacromial tunnel placement for anatomic AC joint stabilization procedure. It was hypothesized that the risk of fracture of the acromion is correlated to size and orientation of bone tunnels commonly used for anatomic AC joint reconstruction...
January 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28031153/surgical-management-and-hearing-outcome-of-traumatic-ossicular-injuries
#8
Stefan Delrue, Nicolas Verhaert, Joost van Dinther, Andrzej Zarowski, Thomas Somers, Christian Desloovere, Erwin Offeciers
OBJECTIVE: The purpose of this study was to investigate etiological, clinical, and pathological characteristics of traumatic injuries of the middle ear ossicular chain and to evaluate hearing outcome after surgery. MATERIAL AND METHODS: Thirty consecutive patients (31 ears) with traumatic ossicular injuries operated on between 2004 and 2015 in two tertiary referral otologic centers were retrospectively analyzed. Traumatic events, clinical features, ossicular lesions, treatment procedures, and audiometric results were evaluated...
December 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27895001/surgical-management-and-hearing-outcome-of-traumatic-ossicular-injuries
#9
Stefan Delrue, Nicolas Verhaert, Joost van Dinther, Andrzej Zarowski, Thomas Somers, Christian Desloovere, Erwin Offeciers
OBJECTIVE: The purpose of this study was to investigate etiological, clinical, and pathological characteristics of traumatic injuries of the middle ear ossicular chain and to evaluate hearing outcome after surgery. MATERIAL AND METHODS: Thirty consecutive patients (31 ears) with traumatic ossicular injuries operated on between 2004 and 2015 in two tertiary referral otologic centers were retrospectively analyzed. Traumatic events, clinical features, ossicular lesions, treatment procedures, and audiometric results were evaluated...
November 28, 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27703932/acromioclavicular-joint-dislocation-with-ipsilateral-mid-third-clavicle-mid-shaft-humerus-and-coracoid-process-fracture-a-case-report
#10
Naveen Sharma, Avinash Mandloi, Ashish Agrawal, Shailendra Singh
INTRODUCTION: The clavicle, humerus and acromioclavicular (AC) joint separately are very commonly involved in traumatic injuries around the shoulder. Acromioclavicular joint dislocation with distal clavicle fracture is a well recognized entity in clinical practice. AC joint dislocation with mid shaft clavicle fracture is uncommon and only few cases have been reported in literature. However, to the best of our knowledge, this is the first case report to describe an acromioclavicular dislocation with ipsilateral mid shaft clavicle, mid shaft humerus and coracoid process fracture...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27600992/injury-patterns-of-the-acromioclavicular-ligament-complex-in-acute-acromioclavicular-joint-dislocations-a-cross-sectional-fundamental-study
#11
Dirk Maier, Martin Jaeger, Kilian Reising, Matthias J Feucht, Norbert P Südkamp, Kaywan Izadpanah
BACKGROUND: Horizontal instability impairs clinical outcome following acute acromioclavicular joint (ACJ) reconstruction and may be caused by insufficient healing of the superior acromioclavicular ligament complex (ACLC). However, characteristics of acute ACLC injuries are poorly understood so far. Purposes of this study were to identify different ACLC tear types, assess type-specific prevalence and determine influencing cofactors. METHODS: This prospective, cross-sectional study comprised 65 patients with acute-traumatic Rockwood-5 (n = 57) and Rockwood-4 (n = 8) injuries treated operatively by means of mini-open ACJ reduction and hook plate stabilization...
September 6, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27441942/operative-fixation-of-chronic-acromioclavicular-joint-dislocation-with-hook-plate-and-modified-ligament-transfer
#12
REVIEW
Michael D McKee
PURPOSE: The optimal treatment for acute dislocation of the acromioclavicular (AC) joint remains unclear, and prior randomized trials did not reveal any significant improvements in the operative groups. However, it is clear that some patients treated nonoperatively are dissatisfied with their outcome and request surgical correction. This video demonstrates one method of repair of a chronic dislocation of the AC joint in a patient with significant symptomatology following nonoperative treatment of a high-grade AC dislocation...
August 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27262254/help-desk-answers-surgery-vs-conservative-management-for-ac-joint-repair-how-do-the-2-compare
#13
Bruce Matchin, Bruce Yee, Timothy Mott
When not considering the grade of acromioclavicular (AC) joint dislocation, both conservative and surgical management lead to positive outcomes, although surgically managed patients require more time out of work.
April 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/26685688/acromioclavicular-joint-dislocations-coracoclavicular-reconstruction-with-and-without-additional-direct-acromioclavicular-repair
#14
Lukas Weiser, Jakob V Nüchtern, Kay Sellenschloh, Klaus Püschel, Michael M Morlock, Johannes M Rueger, Michael Hoffmann, Wolfgang Lehmann, Lars G Großterlinden
PURPOSE: To evaluate different stabilisation techniques for acromioclavicular (AC) joint separations, including direct AC repair, and to compare the properties of the stabilised and native joints. METHODS: An established in vitro testing model for the AC joint was used to analyse joint stability after surgical reconstruction [double TightRope (DTR), DTR with AC repair (DTR + AC), single TR with AC repair (TR + AC), and PDS sling with AC repair (PDS + AC)]...
July 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26632500/is-ac-tightrope-fixation-better-than-bosworth-screw-fixation-for-minimally-invasive-operative-treatment-of-rockwood-iii-ac-joint-injury
#15
COMPARATIVE STUDY
N Darabos, I Vlahovic, N Gusic, A Darabos, B Bakota, D Miklic
INTRODUCTION: Injuries to the acromioclavicular (AC) joint are common in sports participants and may lead to instability or degenerative changes that require surgical intervention. Diagnostics include X-ray projections; MRI could also be a useful method. Surgical treatment of acute Rockwood type III AC dislocation varies on a case-by-case basis and includes coracoclavicular (CC) stabilisation with two techniques of minimal invasive fixation: the Bosworth screw and AC TightRope fixation (Arthrex, US)...
November 2015: Injury
https://www.readbyqxmd.com/read/26489055/multicenter-randomized-clinical-trial-of-nonoperative-versus-operative-treatment-of-acute-acromio-clavicular-joint-dislocation
#16
RANDOMIZED CONTROLLED TRIAL
(no author information available yet)
OBJECTIVE: To perform a randomized clinical trial of operative versus nonoperative treatment of acute acromio-clavicular (AC) joint dislocations using modern surgical fixation and both patient-based and surgeon-based outcome measures to determine which treatment method was superior. DESIGN: Prospective, randomized. SETTING: Multicenter. PATIENTS/PARTICIPANTS: Eight-three patients with acute (<28 days from the time of injury) complete (grade III, IV, and V) dislocations of the AC joint...
November 2015: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/26260466/continuous-loop-double-endobutton-reconstruction-for-acromioclavicular-joint-dislocation
#17
Steven Struhl, Theodore S Wolfson
BACKGROUND: Current anatomic methods for reconstruction of the dislocated acromioclavicular (AC) joint show improved clinical results but continue to be associated with significant rates of fixation loss and complications, limiting more widespread use. PURPOSE: To determine the long-term clinical and radiologic outcomes of a novel surgical technique using a closed-loop double Endobutton device to reconstruct both acute and chronic dislocations. STUDY DESIGN: Case series; Level of evidence, 4...
October 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26052493/arthroscopically-assisted-reconstruction-of-acute-acromioclavicular-joint-dislocations-anatomic-ac-ligament-reconstruction-with-protective-internal-bracing-the-ac-recobridge-technique
#18
Kaywan Izadpanah, Martin Jaeger, Peter Ogon, Norbert P Südkamp, Dirk Maier
An arthroscopically assisted technique for the treatment of acute acromioclavicular joint dislocations is presented. This pathology-based procedure aims to achieve anatomic healing of both the acromioclavicular ligament complex (ACLC) and the coracoclavicular ligaments. First, the acromioclavicular joint is reduced anatomically under macroscopic and radiologic control and temporarily transfixed with a K-wire. A single-channel technique using 2 suture tapes provides secure coracoclavicular stabilization. The key step of the procedure consists of the anatomic repair of the ACLC ("AC-Reco")...
April 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/25896983/minimally-invasive-coracoclavicular-ligament-reconstruction-with-a-flip-button-technique-minar-clinical-and-radiological-midterm-results
#19
Steffen B Rosslenbroich, Benedikt Schliemann, Kristian N Schneider, Sebastian L Metzlaff, Clemens A Koesters, Andre Weimann, Wolf Petersen, Michael J Raschke
BACKGROUND: Acromioclavicular (AC) joint dislocation is a frequent injury in sports. HYPOTHESIS: A minimally invasive flip-button technique, MINAR (minimally invasive acromioclavicular joint reconstruction), will achieve good clinical and radiographic results in the surgical treatment of high-grade AC joint dislocations. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: In this study, 96 patients with AC joint dislocation grades III through V and minimally invasive flip-button repair were identified...
July 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25767774/all-arthroscopic-stabilization-of-acute-acromioclavicular-joint-dislocation-with-fiberwire-and-endobutton-system
#20
Marco Spoliti, Mauro De Cupis, Alessio Giai Via, Francesco Oliva
INTRODUCTION: acromioclavicular (AC) joint dislocation is common in athletes and in contact sports and about 9% of shoulder injuries involves this joint. The majority of these AC lesions can be successfully treated conservatively but high grade dislocation and some cases of type III dislocation need a surgical treatment. Many different operative techniques have been described over the years. The purpose of this study is to evaluate the results of arthroscopic stabilization of AC joint dislocation with TightRope® system...
October 2014: Muscles, Ligaments and Tendons Journal
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