Complications after operative treatment of high-grade acromioclavicular injuries

Chen, Raymond E.; Gates, Stephen; Vaughan, Alayna; Santoro, Adam J.; Reddy, Yashas C.; Williams, Gerald R.; Namdari, Surena

doi:10.1016/j.jse.2023.03.019

Cited by 5 publications

(1 citation statement)

References 25 publications

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“…A prospective study of operatively treated type V injuries with a mean follow-up of 5.1 years found fair to poor outcomes in 28.6% of patients with 40% loss of surgical reduction [ 66 ]. Chen et al reported a relatively high complication rate of 35% of patients treated operatively for types III, IV, and V injuries [ 67 ].…”

Section: Management Of Acromioclavicular Joint Injuriesmentioning

confidence: 99%

Current Concepts in Management of Acromioclavicular Joint Injury

Lindborg,

Smith,

Reihl

et al. 2024

JCM

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Background: The management of acromioclavicular joint injuries requires a thorough understanding of the anatomy and biomechanics of the joint, as well as knowledge of the pertinent physical exam findings and classification to determine an appropriate treatment approach, whether operative or nonoperative. In this article, we present a narrative review of the current state of understanding surrounding these issues. Although there are a large number of options for operative intervention, we additionally present our experience with anatomic coracoclavicular ligament reconstruction (ACCR) with imbrication of the deltoid fascia. Methods: A retrospective review of prospectively collected data on a total of 45 patients who had undergone ACCR between 2003 and 2016 were collected. Results: We found that improvements were seen in American Shoulder and Elbow Surgeons Score (ASES) (53 ± 19 to 81 ± 23), Simple Shoulder Test (SST) (6 ± 3 to 12 ± 13), Constant–Murley (CM) (60 ± 18 to 92 ± 8), and Rowe (67 ± 14 to 89 ± 11) and the mean post-operative SANE score was 86 ± 17. Conclusions: ACCR has the advantage of addressing both horizontal and vertical stability with good outcomes.

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Section: Management Of Acromioclavicular Joint Injuriesmentioning

confidence: 99%