Arthroscopic Anatomic Coracoclavicular Ligament Repair Using a 6-Strand Polyester Suture Tape and Cortical Button Construct

Min, Kyong S.; Rumley, Jacob; Wilson, David J.; Arrington, Edward D.

doi:10.1016/j.eats.2015.07.023

Cited by 9 publications

(5 citation statements)

References 10 publications

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“…It should be kept in mind that all described arthroscopic techniques have reported pitfalls, including implant migration, need for implant removal, failure of reduction and fracture of coracoid and clavicle. 32 …”

Section: Arthroscopic Techniquementioning

confidence: 99%

Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures

2018

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Acromioclavicular (AC) joint injury is a frequent diagnosis after an acute shoulder trauma – often found among athletes and people involved in contact sports.This injury occurs ﬁve times more frequently in men than in women, with the highest incidence in the 20- to 30-year-old age group. Patients usually complain of pain and tenderness over the shoulder, particularly over the AC joint.Depending on the degree of injury, the clavicle may become prominent on the injured site.The original classification was described by Rockwood and Green according to the injured ligament complex and degree and direction of clavicular displacement.Many surgical procedures have been described; among these are screws, plates, muscle transfer, ligamentoplasty procedures and ligament reconstruction using either autograft or allografts.With the advancement of shoulder arthroscopy, surgeons are much more capable of performing mini-open or arthroscopically-assisted procedures, allowing patients an earlier return to their daily living activities. However, the results of conventional open techniques are still comparable.The introduction of new arthroscopic equipment provides a great variety of surgical procedures, though every new technique has its own advantages and pitfalls. Currently there is no gold standard for the surgical treatment of any type of AC injury, though it should be remembered that whenever an arthroscopic technique is chosen, the surgeon’s expertise is likely to be the most significant factor affecting outcome.Cite this article: EFORT Open Rev 2018;3:426-433. DOI: 10.1302/2058-5241.3.170027

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Section: Arthroscopic Techniquementioning

confidence: 99%

Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures

2018

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“…Typical open surgery methods include the Phemister method 14 or Neviaser method 11 to repair the acromioclavicular ligament, the Bosworth method 5 for inter-coracoclavicular fixation, the Weaver-Dunn method 25 or Cadenat method 6 using the coracoacromial ligament as a substitute ligament for the coracoclavicular ligament, and the Dewar method 8 for treatment by dynamic stabilization with the conjoined tendon. In contrast, Salzmann et al, 16 Scheibel et al, 17 Balog et al, 2 De Beer et al, 7 and Takase and Yamamoto 21 have reported methods for anatomically reconstructing the trapezoid and conoid ligaments with arthroscopic surgery. Furthermore, Scheibel et al reported that posterior instability of the ACJ may remain with vertical stabilization alone and it is important to reconstruct the acromioclavicular ligament simultaneously, which reduces posterior instability.…”

Section: Discussionmentioning

confidence: 99%

Treatment of acromioclavicular joint separations in Japan: a survey

Takase¹,

Hata²,

Morisawa³

et al. 2021

JSES International

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Background Treatment options for acromioclavicular joint (ACJ) separations are highly dependent on severity, as well as the patient’s background. Furthermore, some patients can be switched from conservative to surgical treatment. In this study, we conducted a mail-based questionnaire survey of members of the Japan Shoulder Society on the administration of treatments for ACJ separations. Methods A questionnaire survey with 5 categories was mailed to all 1655 members of the Japan Shoulder Society (including 59 councilors): initial treatment, whether surgery was performed, indications for surgery based on severity, switching from conservative to surgical treatment, and surgical methods. Results Altogether, 183 members, including 56 councilors, responded. Regarding the initial treatment, 17 respondents opted for treatment without immobilization or fixation and 166 opted for immobilization or fixation. Of the members, 11 opted for only conservative treatment whereas 172 chose surgery depending on the case; of the latter, 9 considered it for patients with a Rockwood classification of type 2 or higher; 120, for patients with type 3 or higher; and 172, for patients with types 4-6. Furthermore, 75 of 172 members had experience switching to surgical treatment during conservative treatment. For 64 of 172 members, the modified Cadenat method was the most common surgical method. Conclusions Only 11 members opted for conservative treatment of ACJ separations, and approximately 95% of physicians chose surgery. Furthermore, >70% of physicians considered surgery for an injury classified as type 3 or higher, and 37% of members performed the modified Cadenat method. However, the popularization of arthroscopic surgery may affect the selection of surgical methods in the future.

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“…10 There are multiple open and arthroscopic-assisted methods for fixation now available for higher grade separations or chronic grade III separations that produce good clinical results that are lasting. [11][12][13][14] Overall, conservative treatment is recommended for lower grade (I, II) separations, early operative treatment is recommended for higher grade (IV-VI) separations and no definitive management of grade III injuries is universally agreed upon. 15 The efficacy of weighted AC joint radiographs has been evaluated previously.…”

Section: Discussionmentioning

confidence: 99%

Stress radiographs for evaluating acromioclavicular joint separations in an active-duty patient population: What have we learned?

Shaw

Synovec

Eichinger

et al. 2018

Journal of Orthopaedics

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This study identified substantial practice variation amongst military surgeons treating a relatively homogenous population with AC joint separations, reflective of a lack of definitive evidence to guide diagnosis and treatment. Overall, nonoperative management is the preferred initial approach for Type III injuries and operative treatment is the preferred initial approach for Type V injuries. The diagnostic evaluation varied across the surgeon cohort, but 87% elected against the use of weighted stress radiographs for the evaluation of AC joint separations, with only 10% relying upon them to dictate their recommended treatment. Future research identifying optimal diagnosis and treatment of AC joint separations is needed.

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Arthroscopic Anatomic Coracoclavicular Ligament Repair Using a 6-Strand Polyester Suture Tape and Cortical Button Construct

Cited by 9 publications

References 10 publications

Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures

Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures

Treatment of acromioclavicular joint separations in Japan: a survey

Stress radiographs for evaluating acromioclavicular joint separations in an active-duty patient population: What have we learned?

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