Arthroscopic Acromioclavicular Joint Reconstruction With TightRope and FiberTape Loop

Marsalli, Michael; Moran, Nicolás; Laso, José Ignacio

doi:10.1016/j.eats.2018.07.005

Cited by 7 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13,14 This technique relies on a CC guide that is centered on the inferior surface of the coracoid base and on the superior surface of the clavicle. 15 A guide pin is then drilled from the clavicle into the coracoid and over reamed with a cannulated drill bit. 15 This technique is based on the assumption that by centering the inferior tunnel exit results in a centered superior coracoid tunnel entry.…”

Section: Discussionmentioning

confidence: 99%

“…15 A guide pin is then drilled from the clavicle into the coracoid and over reamed with a cannulated drill bit. 15 This technique is based on the assumption that by centering the inferior tunnel exit results in a centered superior coracoid tunnel entry. Unfortunately, the morphology of the coracoid varies substantially, is not of a typical rectangular shape, and is not positioned parallel to the clavicle, thereby reducing the likelihood of a centered coracoid tunnel.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transcoracoid Drilling for Coracoclavicular Ligament Reconstructions in Patients With Acromioclavicular Joint Dislocations Result in Eccentric Tunnels

Molepo,

Hohmann,

Oduoye

et al. 2023

Bone Joint J

View full text Add to dashboard Cite

This study aimed to describe the morphology of the coracoid process and determine the frequency of commonly observed patterns. The second purpose was to determine the location of inferior tunnel exit with superior based tunnel drilling and the superior tunnel exit with inferior based tunnel drilling.A sample of 100 dry scapulae for the morphology aspect and 52 cadaveric embalmed shoulders for tunnel drilling were used. The coracoid process was described qualitatively and categorized into 6 different shapes. A transcoracoid tunnel was drilled at the centre of the base. Twenty-six shoulders were used for the superior-inferior tunnel drilling approach and 26 for the inferior-superior tunnel drilling approach. The distances to the margins of the coracoid process, from both the entry and exit points of the tunnel, were measured.Eight coracoid processes were of convex shape, 31 of hooked shape, 18 of irregular shape, 18 of narrow shape, 25 of straight shape, and 13 of wide shape. The mean difference for the distances between superior entry and inferior exit from the apex was Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation 3.65+3.51mm (p=0.002); 1.57+2.27mm for the lateral border (p=0.40) and 5.53+3.45mm for the medial border (p=0.001). The mean difference for the distances between inferior entry and superior exit from the apex was 16.95+3.11mm (p=0.0001); 6.51+3.2mm for the lateral border (p=0.40) and 1.03+2.32 mm for the medial border (p=0.045).The most common coracoid process shape observed was a hooked pattern. Both superior to inferior and inferior to superior tunnel drilling directed the tunnel from a more anterior and medial entry to a posterior-lateral exit. Superior to inferior drilling resulted in a more posteriorly angled tunnel. With inferior to superior tunnel drilling cortical breaks were observed at the inferior and medial margin of the tunnel.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Transcoracoid Drilling for Coracoclavicular Ligament Reconstructions in Patients With Acromioclavicular Joint Dislocations Result in Eccentric Tunnels

Molepo,

Hohmann,

Oduoye

et al. 2023

Bone Joint J

View full text Add to dashboard Cite

show abstract

“…Arthroscopic techniques have purported advantages of less soft tissue dissection and the ability to concomitantly treat intra-articular pathology and preserve normal joint motion. There are numerous described methods including the dog bone button [ 75 ] and the TightRope system, with single or double systems [ 76 ]. Suture augmentation and synthetic devices can be extraosseous, intraosseous, or transosseous [ 1 ].…”

Section: Surgical Techniquesmentioning

confidence: 99%

Current Concepts in Management of Acromioclavicular Joint Injury

Lindborg,

Smith,

Reihl

et al. 2024

JCM

View full text Add to dashboard Cite

Background: The management of acromioclavicular joint injuries requires a thorough understanding of the anatomy and biomechanics of the joint, as well as knowledge of the pertinent physical exam findings and classification to determine an appropriate treatment approach, whether operative or nonoperative. In this article, we present a narrative review of the current state of understanding surrounding these issues. Although there are a large number of options for operative intervention, we additionally present our experience with anatomic coracoclavicular ligament reconstruction (ACCR) with imbrication of the deltoid fascia. Methods: A retrospective review of prospectively collected data on a total of 45 patients who had undergone ACCR between 2003 and 2016 were collected. Results: We found that improvements were seen in American Shoulder and Elbow Surgeons Score (ASES) (53 ± 19 to 81 ± 23), Simple Shoulder Test (SST) (6 ± 3 to 12 ± 13), Constant–Murley (CM) (60 ± 18 to 92 ± 8), and Rowe (67 ± 14 to 89 ± 11) and the mean post-operative SANE score was 86 ± 17. Conclusions: ACCR has the advantage of addressing both horizontal and vertical stability with good outcomes.

show abstract

“…Moreover, the coracoacromial ligament, a sturdy triangular band connecting the coracoid process to the acromion, also aids in vertical stability. (5) (6) Acromioclavicular (AC) joint injuries are frequently encountered among athletes and young people, constituting over forty percent of shoulder injuries. While minor injuries typically don't result in significant health issues, severe cases can lead to notable decreases in shoulder strength and function.…”

Section: Introductionmentioning

confidence: 99%

Manual Therapy Techniques for the Acromioclavicular Joint Dysfunction – A Narrative Review

Nallapareddygari Bhavya Sree,

Dr Senthil Kumar,

Dr Shwetha Sashidharan

2024

EPRA

View full text Add to dashboard Cite

INTRO/BACK GROUND Ac joint dysfunction is a prevalent cause of shoulder discomfort. As far as we are aware, there are currently no published studies focused on the manual therapy management of AC joint dysfunction. However, manual physical therapy has proven successful in treating various other shoulder conditions. To address this, recent research has started to investigate whether manual techniques are more effective in treating ac joint dysfunction. OBJECTIVE Aim of this study on the literature review pointing on the available evidence for the manual therapy interventions in acromioclavicular joint dysfunction patients. METHODS Research involved a computerized data base used for searching articles were Science direct, Pedro, PubMed, goggle scholar search pertaining to studies that include the manual therapy among acromioclavicular joint dysfunction Patients RESULTS: These 10 studies were based on the inclusion exclusion criteria were included in this review the methods used in all these studies were strengthening exercises , transverse friction massage, joint mobilization, myofascial release techniques, active passive motion exercises, scapulothoracic exercises, peri joint muscle exercises, joint stability exercises with different sets of exercises for muscle activation and range of motion and function these manual therapy techniques aims to alleviate inflammation recover the shoulder pain free rom and restore the proper function of soft tissue and joint. CONCLUSION: We conclude from this review that a variety of manual treatment procedures have been shown to be useful and effective in treating patients with AC joint dysfunction. There is, however, a dearth of data on the use of manual therapy procedures or interventions to treat ac joint dysfunction. More investigation is required to determine the precise role that manual therapy strategies may play in managing ac joint dysfunction.

show abstract

Arthroscopic Acromioclavicular Joint Reconstruction With TightRope and FiberTape Loop

Cited by 7 publications

References 11 publications

Transcoracoid Drilling for Coracoclavicular Ligament Reconstructions in Patients With Acromioclavicular Joint Dislocations Result in Eccentric Tunnels

Transcoracoid Drilling for Coracoclavicular Ligament Reconstructions in Patients With Acromioclavicular Joint Dislocations Result in Eccentric Tunnels

Current Concepts in Management of Acromioclavicular Joint Injury

Manual Therapy Techniques for the Acromioclavicular Joint Dysfunction – A Narrative Review

Contact Info

Product

Resources

About