Arthroscopic Stabilization of Acute Acromioclavicular Joint Dislocation Using the Tightrope System

Richards, Andrew; Tennent, T.D.

doi:10.1097/bte.0b013e31816624b6

Cited by 30 publications

(28 citation statements)

References 2 publications

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“…CC fixation using an adjustableeloop-length suspensory fixation device showed promising results in previous studies. [7][8][9][10] However, some problems associated with the adjustableeloop-length suspensory fixation device were also reported, including increased CC distance over time, pullout of the clavicular or coracoid buttons at the attachment sites, and fracture of the clavicle. [9][10][11][12][13] The purpose of this study was to evaluate radiological and clinical outcomes after arthroscopically assisted CC fixation using a single adjustableeloop-length suspensory fixation device for acute AC dislocation and to report intraoperative and postoperative complications.…”

mentioning

confidence: 95%

Complications After Arthroscopic Coracoclavicular Reconstruction Using a Single Adjustable–Loop-Length Suspensory Fixation Device in Acute Acromioclavicular Joint Dislocation

Shin

Kim

2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

108

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mentioning

confidence: 95%

Complications After Arthroscopic Coracoclavicular Reconstruction Using a Single Adjustable–Loop-Length Suspensory Fixation Device in Acute Acromioclavicular Joint Dislocation

Shin

Kim

2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

108

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“…A literatura confirma a eficácia do sistema Tight Rope -Arthrex ® com resultados semelhantes aos nossos o que vem a reforçar a eficácia do método e assim incentivar a aplicação deste procedimento minimamente invasivo (19,20) .…”

Section: Discussionunclassified

Tratamento artroscópico da luxação acromio-clavicular pelo método "tight rope" (arthrex®)

Vieira¹,

Visco²,

Fernandes³

et al. 2009

Rev. bras. ortop.

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Objetivo: Apresentar a técnica cirúrgica artroscópica pelo método "Tight Rope" e a avaliação dos resultados com esta técnica no tratamento da luxação acrômio-clavicular aguda. Métodos: entre agosto de 2006 e maio de 2007, 10 ombros de 10 pacientes com luxação acrômio-clavicular aguda foram submetidos a tratamento artroscópcio pela técnica Tight Rope-Arthrex ® . O seguimento mínimo foi de 12 meses, com média de 15 meses. A idade variou de 26 e 42 anos com média de 34 anos. Todos os pacientes eram do sexo masculino. Todos os pacientes foram atendidos na fase aguda da lesão sendo avaliados por radiologia simples (série trauma). Os pacientes foram acompanhados semanalmente no primeiro mês e a cada três meses após o procedimento artroscópico. A avaliação clínica foi feita por meio dos critérios da University of Califórnia at Los Angeles (UCLA). Resultados: Todos os pacientes operados agudamente encontravam-se satisfeitos com os resultados do tratamento cirúrgico artroscópico com uma média de 32,5 pontos na escala de avaliação da UCLA. Conclusão: O tratamento artroscópico da luxação acrômio-clavicular aguda pelo método "Tight Rope" é uma técnica cirúrgica minimamente invasiva que mostrou-se eficiente para o tratamento destas lesões. Descritores

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“…Richards and Tennent reported their results in ten patients treated with the TightRope system [51]. At a mean of 15 months, the mean Constant score was 93, and seven of ten ACJs had no change in reduction.…”

Section: Tightrope Systemmentioning

confidence: 96%

Management of the Acromioclavicular Joint Problems

Tetik

2011

Sports Injuries

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The acromioclavicular joint (ACJ) is composed of the distal end of the clavicle and the acromion. Its function is to anchor the clavicle to the scapula and to the shoulder girdle. The subcutaneous location of this joint makes it vulnerable to injury. It is approximately 9% of all the shoulder injuries. The majority of the injuries occur in men with a male to female ratio of approximately 5:1, and patients in their 20s are the most affected age group [53]. Because of the high incidence of these injuries, orthopedists, sports medicine doctors, emergency physicians, and physical therapists should be aware of the management of these injuries [56]. AnatomyThe ACJ is subcutaneous and has little protection by soft tissues. It is composed of the distal end of the clavicle and the acromion and serves to anchor the clavicle to the scapula and the shoulder girdle. This is an inherently unstable articulation. ACJ capsule and the strong coracoclavicular (CC) ligaments, conoid ligament medially and trapezoid ligament laterally, support the joint and provide static stability. The dynamic stabilizers are the trapezius and deltoid muscles. The distal ends of the clavicle and the acromion are lined with hyaline cartilage, and there is a meniscal structure intraarticularly. The role of this meniscus is negligible, and generally it is thought to be degenerated during the fourth decade [56].The clavicular origin of the conoid ligament originates an average of 46 mm medial to the ACJ, and the trapezoid ligament originates 26 mm medial to the ACJ. The conoid is more posterior compared with the trapezoid origin at the mid-portion of the inferior surface of the clavicle [52]. The superior, inferior, and posterior acromioclavicular (AC) ligaments insert an average of 16-20 mm medial to the ACJ on the clavicle. The importance of this anatomic observation is that aggressive distal clavicle excision (DCE) can destabilize the ACJ and lead to symptomatic posterior impingement against the acromion if that ranges were exceeded.

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Arthroscopic Stabilization of Acute Acromioclavicular Joint Dislocation Using the Tightrope System

Cited by 30 publications

References 2 publications

Complications After Arthroscopic Coracoclavicular Reconstruction Using a Single Adjustable–Loop-Length Suspensory Fixation Device in Acute Acromioclavicular Joint Dislocation

Complications After Arthroscopic Coracoclavicular Reconstruction Using a Single Adjustable–Loop-Length Suspensory Fixation Device in Acute Acromioclavicular Joint Dislocation

Tratamento artroscópico da luxação acromio-clavicular pelo método "tight rope" (arthrex®)

Management of the Acromioclavicular Joint Problems

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