Postoperative coracoid fracture after transcoracoid acromioclavicular joint reconstruction

Gerhardt, David C.; VanDerWerf, Joshua D.; Rylander, Lucas S.; McCarty, Eric C.

doi:10.1016/j.jse.2011.01.017

Cited by 57 publications

(34 citation statements)

References 18 publications

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“…The authors found no calcifications of the CC ligaments and no coracoid fractures were observed. However, the risk of a coracoid fracture through a drill hole is reported in the literature [12] and therefore, the authors avoid transcoracoidal drilling.…”

Section: Discussionmentioning

confidence: 99%

Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage

Martetschläger

Kraus

Schiele

et al. 2012

Knee Surg Sports Traumatol Arthrosc

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Purpose The purpose of the current study was to assess the clinical and radiological results after locking T-plate osteosynthesis with coracoclavicular augmentation of unstable and displaced distal clavicle fractures (Neer type 2). Methods Thirty patients, treated between January 2007 and January 2010 were followed up after a median followup time of 12.2 months (range 4.7-37.2). The Constant and DASH scores were used to evaluate the clinical outcome, and anterior-posterior and 30°cephalic view radiographs were performed to assess the bony healing. Results In all patients, the fracture healing was achieved within the first 10 weeks after surgery. All patients regained good or excellent shoulder function and returned to previous occupation and activity levels. The mean Constant and DASH scores were 92.3 points and 6.2 points, respectively. We did not observe any severe intra-or post-operative complication within the time of followup. ConclusionThe presented technique turned out to be a reliable method providing good results without showing severe complications. Level of evidence Case series, Level IV.

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Section: Discussionmentioning

confidence: 99%

Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage

Martetschläger

Kraus

Schiele

et al. 2012

Knee Surg Sports Traumatol Arthrosc

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“…Many studies used non-resorbable sutures, which are generally stiffer than resorbable sutures like PDS® (Ethicon, Norderstedt/ Germany) and might therefore lead to stress fractures of the coracoid process as described in literature [29]. Anyway, we did not find any fractures or erosions of the coracoid process in the evaluated patients.…”

Section: Discussionmentioning

confidence: 45%

Reconstruction of displaced acromio-clavicular joint dislocations using a triple suture-cerclage: description of a safe and efficient surgical technique

et al. 2012

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PurposeIn this retrospective study we investigated the clinical and radiological outcome after operative treatment of acute Rockwood III-V injuries of the AC-joint using two acromioclavicular (AC) cerclages and one coracoclavicular (CC) cerclage with resorbable sutures.MethodsBetween 2007 and 2009 a total of 39 patients fit the inclusion criteria after operative treatment of acute AC joint dislocation. All patients underwent open reduction and anatomic reconstruction of the AC and CC-ligaments using PDS® sutures (Polydioxane, Ethicon, Norderstedt, Germany). Thirty-three patients could be investigated at a mean follow up of 32±9 months (range 24–56 months).ResultsThe mean Constant score was 94.3±7.1 (range 73–100) with an age and gender correlated score of 104.2%±6.9 (88-123%). The DASH score (mean 3.46±6.6 points), the ASES score (94.6±9.7points) and the Visual Analogue Scale (mean 0.5±0,6) revealed a good to excellent clinical outcome. The difference in the coracoclavicular distance compared to the contralateral side was <5 mm for 28 patients, between 5-10 mm for 4 patients, and more than 10 mm for another patient. In the axial view, the anterior border of the clavicle was within 1 cm (ventral-dorsal direction) of the anterior rim of the acromion in 28 patients (85%). Re-dislocations occured in three patients (9%).ConclusionOpen AC joint reconstruction using AC and CC PDS cerclages provides good to excellent clinical results in the majority of cases. However, radiographically, the CC distance increased significantly at final follow up, but neither the amount of re-dislocation nor calcifications of the CC ligaments or osteoarthritis of the AC joint had significant influence on the outcome.Level of evidenceCase series, Level IV

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“…While most injuries can be managed non-operatively, high-grade separations may result in persistent pain or functional decline and require surgical intervention [4][5][6][7][8][9]. Many surgical techniques have been described to stabilize the AC joint, however, the utility of many of these techniques are limited secondary to reported failure and complication rates [8,[10][11][12][13]. More recently, open or arthroscopically-assisted anatomic reconstruction of the coracoclavicular (CC) ligaments have been introduced and early follow-up appears encouraging [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Acromioclavicular joint separations

Warth

Martetschläger

Gaskill

et al. 2012

Curr Rev Musculoskelet Med

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Acromioclavicular (AC) joint separations are common injuries of the shoulder girdle, especially in the young and active population. Typically the mechanism of this injury is a direct force against the lateral aspect of the adducted shoulder, the magnitude of which affects injury severity. While low-grade injuries are frequently managed successfully using non-surgical measures, high-grade injuries frequently warrant surgical intervention to minimize pain and maximize shoulder function. Factors such as duration of injury and activity level should also be taken into account in an effort to individualize each patient's treatment. A number of surgical techniques have been introduced to manage symptomatic, high-grade injuries. The purpose of this article is to review the important anatomy, biomechanical background, and clinical management of this entity.

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Postoperative coracoid fracture after transcoracoid acromioclavicular joint reconstruction

Cited by 57 publications

References 18 publications

Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage

Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage

Reconstruction of displaced acromio-clavicular joint dislocations using a triple suture-cerclage: description of a safe and efficient surgical technique

Acromioclavicular joint separations

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