Incidence of Associated Injuries with Acute Acromioclavicular Joint Dislocations Types III through V

Tischer, Thomas; Salzmann, Gian M.; El-Azab, Hosam; Vogt, Stephan; Imhoff, Andreas B.

doi:10.1177/0363546508322891

Cited by 174 publications

(128 citation statements)

References 23 publications

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“…3,7 Because concomitant injuries to the shoulder girdle are frequent, any successful AC joint surgery demands complete and accurate diagnosis of all pathology involved, which is possible through the use of such arthroscopic procedures. 8 In addition, surgeons should be aware of the importance of the superior and posterior AC ligaments and should avoid sacrificing their competence in surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopically Assisted Treatment of Acute Dislocations of the Acromioclavicular Joint

Braun

Beitzel

Buchmann

2015

Arthroscopy Techniques

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Arthroscopically assisted treatments for dislocations of the acromioclavicular joint combine the advantages of exact and visually controlled coracoid tunnel placement with the possibility of simultaneous treatment of concomitant injuries. The clinical results of previous arthroscopically assisted techniques have been favorable at midterm and long-term follow-up. The presented surgical technique combines the advantages of arthroscopically positioned coracoclavicular stabilization with an additional suture cord cerclage of the acromioclavicular joint capsule for improved horizontal stability.

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Section: Discussionmentioning

confidence: 99%

Arthroscopically Assisted Treatment of Acute Dislocations of the Acromioclavicular Joint

Braun

Beitzel

Buchmann

2015

Arthroscopy Techniques

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“…An understanding of this classification system will assist in guiding patient expectations, discussion of available treatment options, and formulating a proper surgical plan to address the associated injuries. While MRI examinations are not standard for all types of AC injuries, concomitant intraarticular glenohumeral pathologies have been shown to occur from 15 to 18.2 % of patients with type III or greater severity of AC joint injuries [8,9]. Thus, MRI should be considered in patients presenting with high-grade AC injuries or clinical exam suspicious for intraarticular shoulder pathology.…”

Section: Classification Of Acromioclavicular Injuriesmentioning

confidence: 99%

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Smith

et al. 2015

Curr Rev Musculoskelet Med

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Complications of the acromioclavicular joint injuries can occur as a result of the injury itself, conservative management, or surgical treatment. Fortunately, the majority of acromioclavicular surgeries utilizing modern techniques and instrumentation result in successful outcomes. However, clinical failures do occur with frequency. The ability to identify the causative factor of failures makes revision surgery more likely to be successful. The purposes of this review are to highlight common problems that can occur following acromioclavicular joint surgery and discuss techniques that can be utilized in revision surgery.

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“…While concomitant injuries have been reported to occur with rates as high as 20% in AC joint separations, we did not encounter such pathologies in our study group. 16) Due to the acute nature of the AC separations, no graft augmentations were performed. We believe that the support function of a single TightRope is sufficient for healing the AC ligaments after acute injury.…”

Section: Discussionmentioning

confidence: 99%

All-arthroscopic, Guideless Single Suture-button Fixation of Acute Acromioclavicular Joint Dislocation: A Description of the Technique and Early Treatment Results

Altıntaş

Yıldız

Uzer

et al. 2017

Clinics in Shoulder and Elbow

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Background: The purpose of this study was to examine the clinical and radiological results of the all-arthroscopic, suture-button fixation technique to treat acute acromioclavicular (AC) joint separations. Methods: All patients with acute AC joint separations received all-arthroscopic, single suture-button (TightRope) procedure without a special guide. Postoperative Constant score (CS), pain level according to visual analogue scale, and range of motion (ROM) were evaluated. For radiological evaluation, coracoclavicular distances were measured bilaterally. Results: Between December 2010 and June 2012, 18 consecutive patients (4 women and 14 men; mean age, 29.3 years) with acute AC joint separations underwent surgical treatment after 6.4 days (range, 2-20 days) following the initial trauma. The average postoperative follow-up was 16.9 months. The mean CS was 92.4 (range, 84-96). The mean external rotation, forward flexion, and abduction were 75.8° (range, 50°-90°), 170° (range, 150°-180°), and 163.8° (range, 140°-180°), respectively. Five patients exhibited coracoclavicular ossifications. In two patients, superficial wound infections were successfully treated with antibiotic therapy. In one patient, a coracoid fracture was observed. No significant differences were found regarding pain, ROM, or strength parameters between both sides. The coracoclavicular distance was discovered to be approximately 2.8 mm greater on the affected side; however, this minimal reduction loss did not affect the functional results. Conclusions: The findings of this study suggests that all-arthroscopic treatment of AC joint separations using the single suture-button technique without a drill guide is safe, yielding good to excellent clinical results. (Clin Shoulder Elbow 2017;20(2):59-67)

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Incidence of Associated Injuries with Acute Acromioclavicular Joint Dislocations Types III through V

Cited by 174 publications

References 23 publications

Arthroscopically Assisted Treatment of Acute Dislocations of the Acromioclavicular Joint

Arthroscopically Assisted Treatment of Acute Dislocations of the Acromioclavicular Joint

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

All-arthroscopic, Guideless Single Suture-button Fixation of Acute Acromioclavicular Joint Dislocation: A Description of the Technique and Early Treatment Results

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