Prevalence and pattern of glenohumeral injuries among acute high-grade acromioclavicular joint instabilities

Pauly, Stephan; Kraus, Natascha; Greiner, Stefan; Scheibel, Markus

doi:10.1016/j.jse.2012.08.016

Cited by 83 publications

(67 citation statements)

References 20 publications

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“…All patients underwent initial diagnostic arthroscopy to identify and address any concomitant intra-articular or subacromial lesions before reconstruction. [21][22][23] Arthroscopic distal clavicle An additional polydioxanone sulfate cable, composed of 9 strands of polydioxanone sulfate suture, is passed beneath the coracoid and tied over the top of the clavicle to help maintain joint reduction. excisions were routinely performed in this cohort to prevent post-traumatic osteoarthritis of the AC joint.…”

Section: Surgical Indications and Treatmentsmentioning

confidence: 99%

Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction

Millett

Warth

2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Surgical Indications and Treatmentsmentioning

confidence: 99%

Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction

Millett

Warth

2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Some authors have reported that the incidence of associated lesions in cases of high-grade ACJ dislocations is as high as 30%. 17 Regarding the tunneling of the coracoid, there is a potential risk of fracture creation if the tunnel placement is improper. Use of our technique should be considered only by experienced arthroscopic surgeons to avoid these complications and thus guarantee the safety of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Anatomic Reconstruction of Chronic Coracoclavicular Ligament Tears: Arthroscopic-Assisted Approach With Nonrigid Mechanical Fixation and Graft Augmentation

Natera

Reiriz

Abat³

2014

Arthroscopy Techniques

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It has recently been suggested that all coracoclavicular ligament tears could be considered for surgery because nonoperative management might result in irreversible changes in the scapular position that could lead to muscle kinematic alterations that would perturb the shoulder girdle function and result in pain. In this technical note we describe an anatomic technique for the treatment of chronic coracoclavicular ligament tears that overcomes the issues related to open surgery, metal hardware, the inferior resistance to secondary displacement of only grafting and nonanatomic techniques, and the saw effect and anterior loop translation that can be seen in systems that surround the base of the coracoid. Our technique incorporates the use of a tendon graft and a nonrigid mechanical stabilizer that protects the graft from stretching during the process of healing and integration into bone, guaranteeing the maintenance of a reduced acromioclavicular joint.

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“…It is important to address and treat concomitant intraarticular pathologies because they have been reported in up to 30% of patients with AC dislocations. 8 An accessory lateral portal is established when access to the subacromial space is necessary for the treatment of rotator cuff or other subacromial pathologies.…”

Section: Surgical Techniquementioning

confidence: 99%

Arthroscopically Assisted Anatomic Coracoclavicular Ligament Reconstruction Technique Using Coracoclavicular Fixation and Soft-Tissue Grafts

Millett

Warth

Greenspoon

2015

Arthroscopy Techniques

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Acromioclavicular joint injuries are common and are often seen in contact athletes. Good to excellent clinical results have been reported using soft-tissue grafts to reconstruct the coracoclavicular ligaments; however, complications remain. Some complications are unique to the surgical technique, particularly clavicle and coracoid fractures that are associated with drilling large or multiple bone tunnels. The described technique allows for an anatomic coracoclavicular reconstruction using a large soft-tissue graft while minimizing the risk of clavicle fracture by avoiding large bone tunnels.

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Prevalence and pattern of glenohumeral injuries among acute high-grade acromioclavicular joint instabilities

Cited by 83 publications

References 20 publications

Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction

Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction

Anatomic Reconstruction of Chronic Coracoclavicular Ligament Tears: Arthroscopic-Assisted Approach With Nonrigid Mechanical Fixation and Graft Augmentation

Arthroscopically Assisted Anatomic Coracoclavicular Ligament Reconstruction Technique Using Coracoclavicular Fixation and Soft-Tissue Grafts

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