Injuries of the acromioclavicular joint and current treatment options

Rollo, Johnathon C.; Raghunath, J; Porter, Keith

doi:10.1191/1460408605ta349oa

Cited by 14 publications

(2 citation statements)

References 23 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 9 , 28 , 36 In compliant patients, reduction might be achieved over a questionable amount of time, but complications like skin irritation or even skin necrosis are reported. 22 , 34 Our presented series showed no complications. Nevertheless, patients should be counseled about possible skin irritation and pressure areas.…”

Section: Discussionmentioning

confidence: 49%

Conservative treatment of Rockwood type III acromioclavicular joint separation: a randomized controlled trial sling vs. brace

Finsterwald¹,

Trong²,

Hollo³

et al. 2023

JSES International

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 49%

Conservative treatment of Rockwood type III acromioclavicular joint separation: a randomized controlled trial sling vs. brace

Finsterwald¹,

Trong²,

Hollo³

et al. 2023

JSES International

View full text Add to dashboard Cite

“…Currently, there is a heated debate on whether coracoclavicular ligament reconstruction is necessary for clavicular hook plate fixation 18 . If the ligaments around the AC joint are not repaired, redislocation of the joint may occur after removal of the internal fixation.…”

Section: The Clavicular Hook Plate Fixation and Ligament Reconstructi...mentioning

confidence: 99%

Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation

Tuxun

Keremu

Aila

et al. 2022

Orthopaedic Surgery

View full text Add to dashboard Cite

Objective: To evaluate the clinical efficacy of Arbeitsgemeinschaft für Osteosynthesefragen (AO) clavicular hook plate (CHP) combined with coracoacromial ligament transposition for Rockwood III-V dislocation of AC joint, providing an alternative choice for AC joint dislocation treatment.Methods: Twenty-five patients diagnosed with Rockwood III-V dislocation of acromioclavicular (AC) joint, including 18 males and seven females, aged 43.5 AE 2.4 years old on average, who had undergone open reduction and AO CHP in combination with coracoacromial (CC) ligament transposition between January 2010 and December 2015, were retrospectively analyzed. Among them, 17 cases were diagnosed as type III, five cases were type IV, and three cases were type V. The surgery mainly included three main steps: bone flap incision, drilling in the clavicle, and hook plate fixation and AC joint reposition. The treatment efficacy was evaluated through clinical examinations and imaging studies for the shoulder joint, including gross observation and measuring coracoid clavicle distance (CC-Dist) using orthophoria X-ray before and 1 year after the surgery, and University of California (UCLA) shoulder rating scale.Results: All the patients were followed up three to four times in 18 months (12-24 months) on average, and the UCLA rating results showed that there were 17 excellent cases (68%), five good cases (20%), and three fair cases (12%). The CC-Dist values after the surgery reduced to 9.7 AE 0.7 mm, which was significantly (P < 0.05) lower compared to that before the surgery (15.8 AE 1.6 mm). Most (88%) of the cases showed almost normal joint function and good anatomical arrangement of the acromioclavicular joint, without any secondary dislocation, and for them, 12 AE 2 weeks on average were needed to regain the normal function of shoulder joint movement. Conclusion:Due to the stable fixation, fewer complications, and satisfactory therapeutic effect with great clinical value, the combination of AO CHP and CC ligament transposition is expected to be used for treating Rockwood III-V dislocation of AC joint.

show abstract