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AC dislocation repair

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
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...
2016: BMC Musculoskeletal Disorders
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
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
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)]...
December 19, 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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
(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
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
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
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
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
Ferran Abat, Juan Sarasquete, Luis Gerardo Natera, Ángel Calvo, Manuel Pérez-España, Néstor Zurita, Jesús Ferrer, Juan Carlos del Real, Eva Paz-Jimenez, Francisco Forriol
BACKGROUND: The best treatment option for some acromioclavicular (AC) joint dislocations is controversial. For this reason, the aim of this study was to evaluate the vertical biomechanical behavior of two techniques for the anatomic repair of coracoclavicular (CC) ligaments after an AC injury. MATERIALS AND METHODS: Eighteen human cadaveric shoulders in which repair using a coracoclavicular suspension device was initiated after injury to the acromioclavicular joint were included in the study...
September 2015: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
S Metzlaff, S Rosslenbroich, P H Forkel, B Schliemann, H Arshad, M Raschke, W Petersen
PURPOSE: This study was performed to compare the clinical results of a minimally invasive technique for acute acromioclavicular (AC) joint dislocation repair with the traditional hook plate fixation. METHODS: Forty-four patients with an acute (within 2 weeks after trauma) complete AC joint separation (35 male, nine female; median age 36.2 years, range 18-56) underwent surgical repair with either a minimally invasive AC joint repair or a conventional hook plate...
June 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Cori Grantham, Nathanael Heckmann, Lawrence Wang, James E Tibone, Steven Struhl, Thay Q Lee
PURPOSE: Recently, many acromioclavicular-coracoclavicular (AC-CC) ligament reconstruction techniques address only the CC ligament. However, many of these techniques are costly, time-consuming, and require the use of allogenic grafts, making them prone to creep and failure or novel devices making them challenging for orthopaedic surgeons. The purpose of this study was to compare the biomechanical characteristics of a double endobutton technique using a standard endobutton CL with those of a coracoid cerclage sling (CS) for reconstruction of the CC ligaments...
June 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Knut Beitzel, Elifho Obopilwe, John Apostolakos, Mark P Cote, Ryan P Russell, Ryan Charette, Hardeep Singh, Robert A Arciero, Andreas B Imhoff, Augustus D Mazzocca
BACKGROUND: Many reconstructions of acromioclavicular (AC) joint dislocations have focused on the coracoclavicular (CC) ligaments and neglected the functional contribution of the AC ligaments and the deltotrapezial fascia. PURPOSE: To compare the modifications of previously published methods for direct AC reconstruction in addition to a CC reconstruction. The hypothesis was that there would be significant differences within the variations of surgical reconstructions...
September 2014: American Journal of Sports Medicine
Ashish Babhulkar, Aditya Pawaskar
Acromioclavicular (AC) dislocation is a common injury especially among sportsmen. There is still a lack of consensus on whether to conserve or operate type III AC joint dislocations. Even among surgeons inclined to operate AC joint dislocations there is no unanimity on which surgical technique. There are a plethora of choices between mechanical fixation or synthetic materials or biologic anatomic reconstructions. Even among surgeons, there is a choice between open repairs and the latest-arthroscopic reconstructions...
March 2014: Current Reviews in Musculoskeletal Medicine
Xudong Liu, Xiaoqiao Huangfu, Jinzhong Zhao
PURPOSE: Coracoclavicular (CC) ligament augmentation has been a method to treat acromioclavicular (AC) joint dislocation in recent years. The purpose of this paper is to describe our arthroscopic CC ligament augmentation technique in treating type III and V acute AC joint dislocations and to report the early clinical and radiological results. METHODS: From 2010 to 2011, twelve patients suffering from acute type III or V AC joint dislocations were arthroscopically treated in our department, by CC ligament augmentation after AC joint reduction...
May 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Francesco Fauci, Giovanni Merolla, Paolo Paladini, Fabrizio Campi, Giuseppe Porcellini
BACKGROUND: Acromioclavicular (AC) dislocation involves complete loss of articular contact; it is defined as chronic when it follows conservative management or unsuccessful surgical treatment. MATERIALS AND METHODS: The study compared the clinical and radiographic outcomes of AC joint stabilization performed in 40 patients with chronic dislocation using a biological allograft (group A) or a synthetic ligament (group B). Demographic data included: M/F: 25/15; mean age: 35 ± 3...
December 2013: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
Mark Tauber
Acromioclavicular joint (ACJ) injuries represent a common injury to the shoulder girdle. In the management algorithm of acute ACJ injuries complete radiological evaluation represents the key to a successful therapy. According to the classification of Rockwood the presence of a horizontal component in addition to vertical instability has to be detected. Using axillary functional views or Alexander views dynamic horizontal ACJ instability can be diagnosed in a simple, efficient and cost-effective manner reducing the number of mis-/underdiagnosed ACJ injuries...
July 2013: Archives of Orthopaedic and Trauma Surgery
Jakob V Nüchtern, Kay Sellenschloh, Nick Bishop, Sabrina Jauch, Daniel Briem, Michael Hoffmann, Wolfgang Lehmann, Klaus Pueschel, Michael M Morlock, Johannes M Rueger, Lars G Großterlinden
BACKGROUND: Traumatic acromioclavicular (AC) joint dislocations can be addressed with several surgical stabilization techniques. The aim of this in vitro study was to evaluate biomechanical features of the native joint compared with 3 different stabilization methods: locking hook plate (HP), TightRope (TR), and bone anchor system (AS). HYPOTHESIS: The HP provides higher stiffness than the anatomic reconstruction techniques. STUDY DESIGN: Controlled laboratory study...
June 2013: American Journal of Sports Medicine
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