Repair of Complete Acromioclavicular Separations Using the Acromioclavicular-Hook Plate

Sim, Ernst; Schwarz, N.; Höcker, K; Berzlanovich, Andrea

doi:10.1097/00003086-199505000-00017

Cited by 125 publications

(118 citation statements)

References 0 publications

Supporting

Mentioning

106

Contrasting

Unclassified

Order By: Relevance

“…Some clinicians allow full or nearly full arm motion before removal of metallic device, 5,31,32 while others limit arm motion, e.g., under 908 of elevation, until device removal. 30,33,34 Although our results were for normal motion of the AC joint, not postoperative motion, the AC joint gradually moved as abduction angle increased with some motion (12.7 AE 5.58) even under 908 of abduction. Surgeons should give attention to radiological findings, especially until the removal of fixation, since this motion of the AC joint may cause complications such as fatigue fractures, loosening, cutout and migration of Kirschner wire, screw, and hook plate.…”

Section: Discussioncontrasting

confidence: 55%

“…Thus, operative methods requiring rigid fixation between the clavicle and scapula, e.g., the coracoclavicular screw and the hook plate, may be undesirable due to the potential for postoperative motion in the AC joint. However, considering that clinical results after these treatments have been good to excellent, 29,30 shoulder motion may be supported by a compensatively large rotation in the sternoclavicular joint. In addition, the postoperative programs after the surgery, such as the AC or CC fixation, have also been varied by surgeons.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

3D kinematic analysis of the acromioclavicular joint during arm abduction using vertically open MRI

Sahara

Sugamoto

Murai³

et al. 2006

J. Orthop. Res.

View full text Add to dashboard Cite

Many researchers have evaluated the motions of the shoulder girdle, especially scapular and humeral motion. However, few reports exist that describe motions of the acromioclavicular joint. The purpose of the present study was to analyze the 3D kinematics of the acromioclavicular joint during arm abduction using 3D MR images obtained by a vertically open MRI. Fourteen shoulders of seven volunteers were examined in seven static positions from 08 to the maximum abduction in a seated position. 3D surface models of the clavicle and scapula were created, and the movements of the acromioclavicular joint from 08 to each position were calculated using the volume-based registration technique. From these calculations, the translations were evaluated and the rotational motions were analyzed using the concept of the screw axis. In the anteroposterior direction, the clavicle translated most posteriorly (À1.9 AE 1.3 mm) at 908 of abduction and most anteriorly (1.6 AE 2.7 mm) at maximum abduction. In the superoinferior direction, the clavicle translated slightly superiorly (0.9 AE 1.9 mm). When analyzing relative motion of the scapula with respect to the clavicle, the scapula generally rotated about a specific screw axis passing through the insertions of both the acromioclavicular and the coracoclavicular ligaments on the coracoid process. The average rotation was 34.9 AE 8.48. ß

show abstract

Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

3D kinematic analysis of the acromioclavicular joint during arm abduction using vertically open MRI

Sahara

Sugamoto

Murai³

et al. 2006

J. Orthop. Res.

View full text Add to dashboard Cite

show abstract

“…This application has been extended to AC joint dislocations. It has been associated with numerous complications including Acromial Fractures, plate bending, and AC arthritis as high as 41 %, and a definite second surgery for hardware removal [14]. Hook plate eroding through acromion has been noted as early as 32 days after surgery.…”

Section: Hook Platementioning

confidence: 99%

Acromioclavicular joint dislocations

Babhulkar

Pawaskar

2014

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

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. This review of AC joint dislocations intends to analyze the available surgical options, a critical analysis of existing literature, actual technique of anatomic repair, and also accompanying complications.

show abstract

“…Unterschieden werden können operative Verfahren zur akromioklavikularen [20,29,33] sowie zur korakoklavikularen Fixation [3,6,21]. Des Weiteren unterscheiden sich die Methoden bei akuten von jenen bei chronischen Verletzungen.…”

Section: Verfahrenunclassified

Hakenplatte noch Standard bei Akromioklavikulargelenksprengung?

Bökeler

Felenda

Liener

2014

Trauma Berufskrankh

View full text Add to dashboard Cite

Verletzungen des Akromioklavikulargelenks (ACG) sind mit 9% aller Läsionen in diesem Bereich die häufigste Verletzung des Schultergürtels. Betroffen sind in erster Linie junge, sportlich aktive Män-ner zwischen dem 20. und 40. Lebensjahr [12,19]. Unfallmechanismus ist in erster Linie ein Sturz auf die superolaterale Region der Schulter, wobei die akromio-und korakoklavikularen Bänder verletzt werden [18].In der Literatur liegt weitgehend Einigkeit darüber vor, dass Verletzungen der Schweregrade Rockwood IV, V und VI operativ zu behandeln sind [4,26]. Uneinigkeit besteht weiterhin über die Therapie von Verletzungen des Grads Rockwood III [2,4,5,24], wobei hier in den letzten Jahren ein Trend zur konservativen Behandlung zu verzeichnen war [30].Wird eine operative Versorgung angestrebt, sollte diese frühelektiv durchgeführt werden, da bei verspäteter Versorgung die biologische Potenz des Gewebes abnimmt und dadurch schlechtere klinische Ergebnisse beobachtet wurden [26,32]. Die Zeitspanne zwischen dem Trauma und der Operation sollte daher mög-lichst kurz sein und 3 Wochen nicht über-schreiten [23]. Klinik und Diagnostik Hakenplatte vs. fadenbasierte StabilisierungZiel der folgenden Ausführung ist ein Vergleich der in Deutschland überwie-gend zum Einsatz kommenden Versorgung mittels Hakenplatte und der fadenbasierten Stabilisierung von ACG-Sprengungen.Bezüglich der reinen Implantatkosten sind beide Verfahren vergleichbar, reine Implantatkosten bei den Hakenplattenimplantationen lagen 2013 bei etwa 350,00 €, für eine TightRope®-Implantation (Firma Arthrex) bei etwa 305,00 €.In aktuellen Arbeiten wurden geringe Komplikations-und Reoperationsrate für die Versorgung mit "tight rope" angegeben, es fanden sich jedoch z. T. hohe Raten an heterotropen Ossifikationen, sekundärem Repositionsverlust und Implantatmigrationen (. Abb. 4,[9,22,27,28]). Zu beachten ist auch, dass die arthroskopisch gestützten anatomischen Verfahren nur in Spezialkliniken für Schulterchirurgie in nennenswerter Weise zum Einsatz kommen und innerhalb dieser Kliniken zudem auf wenige Operateure beschränkt sind.Der operative Aufwand ist zudem bei arthroskopischen Verfahren, im Vergleich zur Verwendung der Hakenplatte, deutlich erhöht. Diese Tatsachen stehen einem breiten klinischen Einsatz entgegen, der für die Behandlung dieser häu-

show abstract

Repair of Complete Acromioclavicular Separations Using the Acromioclavicular-Hook Plate

Cited by 125 publications

References 0 publications

3D kinematic analysis of the acromioclavicular joint during arm abduction using vertically open MRI

3D kinematic analysis of the acromioclavicular joint during arm abduction using vertically open MRI

Acromioclavicular joint dislocations

Hakenplatte noch Standard bei Akromioklavikulargelenksprengung?

Contact Info

Product

Resources

About