Arthroscopic-Assisted Acromioclavicular Joint Dislocation Repair: A Modified Technique for Horizontal Stabilization Using Suture Anchors

Abstract

Acromioclavicular (AC) dislocation is a common lesion often resulting from a sports injury. Nowadays, treatment is still controversial mainly in grade III lesions according to the Rockwood classification. For most surgically treated AC acute dislocations, treatment is performed with an arthroscopic procedure that anatomically reconstructs the coracoclavicular ligaments. Increasing knowledge about AC joint biomechanics has underlined the importance of its horizontal stability through the superior and inferior AC ligaments. Moreover, the pattern of lesion tends to repeat itself, with the superior AC ligament being torn most frequently from the clavicular side in a peeling fashion. Therefore, the purpose of this note is to describe the technical aspects of additional horizontal stability through superior AC ligament repair using suture anchors.

Arthroscopically Assisted Double-Loop Suture Repair for Acute Acromioclavicular Joint Disruption

“…Numerous surgical techniques have been described for the treatment of acute AC joint dislocation. 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 The goals of the new anatomic CC ligament reconstruction techniques are to achieve anatomic reduction of the ACJ and adequate fixation in order to allow and facilitate primary healing of AC and CC ligaments, and also to minimize the risk of associated complications.…”

“…Biomechanical and clinical studies have confirmed that good to excellent results are expected with these techniques. 9 , 10 , 11 , 12 , 13 , 14 , 15 A skillful arthroscopic surgeon can take advantage of recent advances in implant designs and perform arthroscopically assisted or fully endoscopically assisted procedures such the anatomic ACJ stabilization procedure. These arthroscopic techniques have the advantage of a minimally invasive approach, facilitate management of associated intraarticular lesions, and offer adequate visualization of the coracoid.…”

“…These arthroscopic techniques have the advantage of a minimally invasive approach, facilitate management of associated intraarticular lesions, and offer adequate visualization of the coracoid. 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 However, these new methods have resulted in some new complications such as tunnel widening, coracoid or clavicle fractures, and implant failure additionally to the already known complications of loss of reduction and redislocation. 2…”

Surge of Arthroscopic assisted and endoscopic surgical Universe in Arthroscopic Shoulder Metaverse

“…The have improvised with arthroscopic assisted double row repair AC joint injuries trying to stabilisze the vertical and horizontal s t a b i l i t y a n d r e p l i c a t e t h e coracoclavicular ligament function. [20,21].…”