The anatomic coracoclavicular ligament reconstruction: Surgical technique and indications

Carofino, Brad; Mazzocca, Augustus D.

doi:10.1016/j.jse.2010.01.004

Cited by 215 publications

(226 citation statements)

References 36 publications

Supporting

Mentioning

217

Contrasting

Unclassified

Order By: Relevance

“…The techniques for reconstructing the coracoclavicular ligaments through transferring the coracoacromial ligament or using biological or synthetic grafts present the complication of loss of reduction. This has been found in up to 24% of the cases treated using the Weaver-Dunn method (15,22) . The lower resistance of the coracoacromial ligament and the change in direction of the force vector in relation to the coracoclavicular ligaments are the main causes of this complication (23) .…”

Section: Discussionmentioning

confidence: 97%

“…More than 75 techniques have been described for surgically treating acromioclavicular dislocation, but none of them has been established as the gold standard (9) . The techniques include fixation of the acromioclavicular joint using wires or a plate (10,11) , transfer of the coracoacromial ligament (12) , fixation of the coracoacromial interval using a screw, suturing anchors or lashing with suturing wires (13,14) and reconstruction of the coracoclavicular and acromioclavicular ligaments (15) . The modifications to the techniques for fixing the clavicle to the coracoid process go from use of screws or subcoracoid lashings to use of anchors and material of Endobutton ® type (flip-button ® ), which can be used as open, minimally invasive or arthroscopic procedures (16)(17)(18) .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Via de acesso cirúrgico posterossuperior para o tratamento das luxações acromioclaviculares: resultados de 84 casos operados

et al. 2012

View full text Add to dashboard Cite

Objective: To evaluate the results from surgical treatment of 84 cases of acute acromioclavicular dislocation, using a posterosuperior access route. Methods: Eighty-four cases of acute acromioclavicular dislocation (grade III in the Allman-Tossy classification) operated between November 2002 and May 2010 were evaluated. The patients' mean age was 34 years. The diagnoses were made using clinical and radiographic evaluations. The patients were operated by the same surgical team, within three weeks of the date of the trauma, using a posterosuperior approach to the shoulder to access the top of the base of the coracoid process for placement of two anchors, which were used in reducing the dislocation. The minimum follow-up was 12 months. The postoperative clinicalradiographic evaluation was done using the modified Karlsson criteria and the University of California at Los Angeles (UCLA) score. Results: 92.8% of the 84 patients treated presented good or excellent results, and 7.2% presented fair or poor results, using the UCLA assessment score. According to the modified Karlsson criteria, 76.2% were assessed as grade A, 17.9% as grade B and 5.9% as grade C. Conclusion: The posterosuperior access route to the shoulder is a new option for accessing the coracoid process and treating acromioclavicular dislocation, with clinical and radiographic results equivalent to those in the literature.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Via de acesso cirúrgico posterossuperior para o tratamento das luxações acromioclaviculares: resultados de 84 casos operados

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Good to excellent clinical outcomes have been reported, yet complications do occur [14,15,[59][60][61].…”

Section: Outcomes and Complications Of The Modern Anatomic Reconstrucmentioning

confidence: 99%

Acromioclavicular joint separations

Warth

Martetschläger

Gaskill

et al. 2012

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

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.

show abstract

“…4 However, this ligament is not as strong as the native CC ligaments and does not reconstruct the acromioclavicular ligaments (Table 2). 11,12 Anatomic CC ligament reconstruction may be performed in both acute and chronic cases. [13][14][15] However, …”

mentioning

confidence: 99%

Acromioclavicular Joint Reconstruction

Scillia

Cain

2015

Arthroscopy Techniques

View full text Add to dashboard Cite

Our technique for acromioclavicular joint reconstruction provides a variation on coracoclavicular ligament reconstruction to also include acromioclavicular ligament reconstruction. An oblique acromial tunnel is drilled, and the medial limb of the gracilis graft, after being crossed and passed beneath the coracoid and through the clavicle, is passed through this acromial tunnel and sutured to the trapezoid graft limb after appropriate tensioning. Tenodesis screws are not placed in the bone tunnels to avoid graft fraying, and initial forces on the graft are offloaded with braided absorbable sutures passed around the clavicle.

show abstract

The anatomic coracoclavicular ligament reconstruction: Surgical technique and indications

Cited by 215 publications

References 36 publications

Via de acesso cirúrgico posterossuperior para o tratamento das luxações acromioclaviculares: resultados de 84 casos operados

Via de acesso cirúrgico posterossuperior para o tratamento das luxações acromioclaviculares: resultados de 84 casos operados

Acromioclavicular joint separations

Acromioclavicular Joint Reconstruction

Contact Info

Product

Resources

About