The treatment of type III acromioclavicular dislocations with a modified Cadenat procedure: surgical technique and mid-term results

Cerciello, Simone; Edwards, T. Bradley; Morris, Brent J.; Cerciello, Giuliano; Walch, Gilles

doi:10.1007/s00402-014-2085-6

Cited by 10 publications

(13 citation statements)

References 29 publications

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“…Using the CAL transfer or modified Weaver-Dunn technique may yield in satisfactory results [62,66,68,83], however, to date there is only low-level evidence to support the clinical use of CAL transfer [84]. Similarly, mixed results have been reported for the treatment of type III injuries with transposition of the tip of the coracoid process [71,85,86], thus, this procedure may not be indicated in this patient cohort [43,85].…”

Section: Surgical Outcomes and Complicationsmentioning

confidence: 99%

Current concepts in acromioclavicular joint (AC) instability – a proposed treatment algorithm for acute and chronic AC-joint surgery

Berthold

Muench

Dyrna

et al. 2022

BMC Musculoskelet Disord

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Background There exists a vast number of surgical treatment options for acromioclavicular (AC) joint injuries, and the current literature has yet to determine an equivocally superior treatment. AC joint repair has a long history and dates back to the beginning of the twentieth century. Main body Since then, over 150 different techniques have been described, covering open and closed techniques. Low grade injuries such as Type I-II according to the modified Rockwood classification should be treated conservatively, while high-grade injuries (types IV-VI) may be indicated for operative treatment. However, controversy exists if operative treatment is superior to nonoperative treatment, especially in grade III injuries, as functional impairment due to scapular dyskinesia or chronic pain remains concerning following non-operative treatment. Patients with a stable AC joint without overriding of the clavicle and without significant scapular dysfunction (Type IIIA) may benefit from non-interventional approaches, in contrast to patients with overriding of the clavicle and therapy-resistant scapular dysfunction (Type IIIB). If these patients are considered non-responders to a conservative approach, an anatomic AC joint reconstruction using a hybrid technique should be considered. In chronic AC joint injuries, surgery is indicated after failed nonoperative treatment of 3 to 6 months. Anatomic AC joint reconstruction techniques along with biologic augmentation (e.g. Hybrid techniques, suture fixation) should be considered for chronic high-grade instabilities, accounting for the lack of intrinsic healing and scar-forming potential of the ligamentous tissue in the chronic setting. However, complication and clinical failure rates remain high, which may be a result of technical failures or persistent horizontal and rotational instability. Conclusion Future research should focus on addressing horizontal and rotational instability, to restore native physiological and biomechanical properties of the AC joint.

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Section: Surgical Outcomes and Complicationsmentioning

confidence: 99%

Current concepts in acromioclavicular joint (AC) instability – a proposed treatment algorithm for acute and chronic AC-joint surgery

Berthold

Muench

Dyrna

et al. 2022

BMC Musculoskelet Disord

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“…A modified Cadenat's procedure [ 17 ] was performed for the ACJ dislocation 10 days later. Kirschner wires were placed for 8 weeks, and after the implant was removed, full range of motion (ROM) exercise was allowed.…”

Section: Case Presentationmentioning

confidence: 99%

Bipolar Dislocation of the Clavicle: A Report of Two Cases with Different Injury Patterns and a Literature Review

Okano

Sawada

Inagaki

2017

Case Reports in Orthopedics

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Bipolar dislocation of the clavicle is a rare injury that is defined as a concomitant dislocation of the ipsilateral acromioclavicular joint and sternoclavicular joint. This injury is also described as a floating clavicle. Although this injury has been known for nearly two centuries, knowledge about it is limited and the treatment strategy remains controversial. Bipolar dislocation includes several combinations of both joints' injury types. We reported two patients with bipolar dislocation of the clavicle: one with an anterior dislocation and the other with a posterior dislocation of the sternoclavicular joint. After reviewing the currently available literature, we discussed these cases to highlight the necessity of a specific treatment approach that is modified based on the pattern of each joint's lesion.

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“…Imaging of chronic shoulder pain is beyond the scope of this topic and will be covered in the upcoming ACR Appropriateness Criteria Ò titled "Shoulder Pain-Atraumatic." [3,4]. A standard set of shoulder radiographs for trauma should include at least three views: The imaging procedure or treatment is indicated in the specified clinical scenarios at a favorable risk-benefit ratio for patients.…”

Section: Introduction/backgroundmentioning

confidence: 99%

“…Radiography provides good delineation of bony anatomy to assess for fracture and appropriate shoulder alignment, which are the two primary concerns in management of acute traumatic shoulder pain. Radiography should also be performed upright because malalignment of the shoulder can be underrepresented on supine radiography [3]. Additional views, such as the Bernageau view, have been shown to be effective in demonstrating the degree of bone loss of the glenoid or humeral head [7].…”

Section: Introduction/backgroundmentioning

confidence: 99%

“…MR Arthrography. MR arthrography is considered the gold standard for imaging traumatic shoulder pain [3,16,18,20]. MR arthrography is comparable with noncontrast MRI in the assessment of extra-articular soft tissues, and MR arthrography has been shown to be superior to noncontrast MRI in diagnosing intra-articular pathology such as SLAP tears, labroligamentous injuries, and partial rotator cuff tears [16,18].…”

Section: Introduction/backgroundmentioning

confidence: 99%

See 1 more Smart Citation

ACR Appropriateness Criteria ® Shoulder Pain–Traumatic

Imaging

2018

Journal of the American College of Radiology

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Traumatic shoulder pain is pain directly attributed to a traumatic event, either acute or chronic. This pain may be the result of either fracture (the clavicle, scapula, or proximal humerus) or soft-tissue injury (most commonly of the rotator cuff, acromioclavicular ligaments, or labroligamentous complex). Imaging assessment of traumatic shoulder pain begins with conventional radiography and, depending on physical examination findings, will require MRI or MR arthrography for assessment of soft-tissue injuries and CT for delineation of fracture planes. Ultrasound excels in assessment of rotator cuff injuries but has limited usefulness for assessment of the deep soft-tissues. CT angiography and conventional arteriography are helpful for assessment of vascular injury, and bone scintigraphy can be used in assessment of complex regional pain syndrome after traumatic shoulder injury. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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The treatment of type III acromioclavicular dislocations with a modified Cadenat procedure: surgical technique and mid-term results

Abstract: 4, Case series.

Cited by 10 publications

References 29 publications

Current concepts in acromioclavicular joint (AC) instability – a proposed treatment algorithm for acute and chronic AC-joint surgery

Current concepts in acromioclavicular joint (AC) instability – a proposed treatment algorithm for acute and chronic AC-joint surgery

Bipolar Dislocation of the Clavicle: A Report of Two Cases with Different Injury Patterns and a Literature Review

ACR Appropriateness Criteria ® Shoulder Pain–Traumatic

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