Treatment of acute high-grade acromioclavicular joint dislocation

Jeong, Jeung Yeol; Chun, Yong-Min

doi:10.5397/cise.2020.00150

Cited by 22 publications

(31 citation statements)

References 32 publications

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“…Horizontal instability (AC ligament disruption) has received less attention [1,9,10]. There is currently no gold standard surgical treatment for any type of AC injury, especially for horizontal ACJ instability [4,8,10,11]. This study examined the effects of two Ethibond suture techniques, the loop technique and the two holes in the clavicle technique, on the horizontal stability of the ACJ following its complete dislocation.…”

Section: Horizontal Instability After Acromioclavicular Joint Reducti...mentioning

confidence: 99%

Horizontal instability after acromioclavicular joint reduction using the two-hole technique is preferred over the loop technique: a single-blind randomized clinical trial

Mardani-Kivi

Asadi

Leili

et al. 2022

Clin Shoulder Elbow

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Background: Most acromioclavicular joint (ACJ) injuries are caused by direct trauma to the shoulders, and various methods and techniques are used to treat them; however, none of the options can be considered the gold standard. This study examines the horizontal stability of the ACJ after a complete dislocation was repaired using one of two Ethibond suture techniques, the loop technique and the two holes in the clavicle technique.Methods: In this single-blind, randomized clinical trial, 104 patients diagnosed with complete ACJ dislocation type V were treated using Ethibond sutures with either the loop technique or the two holes in the clavicle technique. Horizontal changes in the ACJ were radiographically assessed in the lateral axial view, and shoulder function was evaluated by the Constant (CS) and Taft (TS) scores at intervals of 3, 6, and 12 months after surgery. Results: The horizontal stability of the ACJ was better with the two-hole technique than the loop technique at all measurement times. CS and TS changes showed a significant upward trend over time with both techniques. The mean CS and TS at the final visit were 95.2 and 11.6 with the loop technique and 94 and 11.9 with the two-hole technique, respectively. The incidence of superficial infections caused by the subcutaneous pins was the same in the two groups.Conclusions: Due to the improved ACJ stability with the two-hole technique, it appears to be a more suitable option than the loop technique for AC joint reduction.

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Section: Horizontal Instability After Acromioclavicular Joint Reducti...mentioning

confidence: 99%

Horizontal instability after acromioclavicular joint reduction using the two-hole technique is preferred over the loop technique: a single-blind randomized clinical trial

Mardani-Kivi

Asadi

Leili

et al. 2022

Clin Shoulder Elbow

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“…Various surgical options are available for the treatment of acute AC joint dislocations. These include bandaging, fixation of the AC joint with pins, tension band wiring using the modified Weaver-Dunn procedure, fixation with washer and screw, and clavicular plate [ 5 , 7 , 13 , 27 ]. Among these, the hook plate fixation technique shows excellent security.…”

Section: Introductionmentioning

confidence: 99%

Effect of subacromial erosion shape on rotator cuff and clinical outcomes after hook plate fixation in type 5 acromioclavicular joint dislocations: a retrospective cohort study

Kim

Hyun

et al. 2022

BMC Musculoskelet Disord

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Background Surgical fixation using hook plates is widely used in the treatment of acromioclavicular (AC) joint dislocations. The purpose of this study was to evaluate the incidence and shape of subacromial erosions after removal of the hook plate in type 5 AC joint dislocations. Further, we evaluated the effect of the shape of the subacromial erosion on the rotator cuff. Methods We retrospectively reviewed 30 patients who underwent hook plate fixation for type 5 AC joint dislocations at our hospital between December 2010 and December 2018. Patients with a follow-up of at least 1 year were included. Clinical outcomes were assessed using the final follow-up Constant-Murley, Korean Shoulder, and visual analog scores. To ensure that the appropriate reduction was well maintained, the coracoclavicular distances of the injured and contralateral sides were evaluated at the last follow-up. Computed tomography was performed to investigate the presence and shape of the subacromial erosion after hook plate removal at 4 months after surgery. Ultrasonography was performed to investigate the presence of rotator cuff lesions at the last follow-up. Clinical and radiological outcomes were compared between groups divided according to the presence and types of subacromial erosions. Results Subacromial erosion was observed in 60% of patients (18/30): 13, 2, and 3 simple groove, cave, and marginal protrusion types, respectively. Four patients showed reduction loss at the final follow-up. There were no significant differences in clinical and radiological outcomes between the groups with and without subacromial erosion. Moreover, there were no significant differences between groups according to the types of subacromial erosion. There were no rotator cuff lesions, such as partial tears, in the injured shoulders. Conclusions Hook plate fixation may induce subacromial erosions. However, the subacromial erosions caused by the hook plate did not affect the clinical outcomes of type 5 AC joint dislocations. Moreover, regardless of its shape, the subacromial erosion did not affect the clinical outcomes nor cause rotator cuff lesions after plate removal.

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“…3,5 El tratamiento de una luxación AC depende de su grado de lesión de acuerdo con la clasificación de Rockwood y la demanda funcional del paciente. 6 Los mecanismos más comunes de lesión de la articulación AC incluyen caída sobre un brazo en extensión o una contusión directa con carga axial en la cara lateral del hombro con el brazo en aducción. 7 Los pacientes refieren dolor en la parte superior del hombro durante intentos de elevación de la extremidad superior; presentan dolor a la palpación de la articulación AC.…”

Section: Introductionunclassified

Restablecimiento de la estabilidad horizontal en luxaciones acromioclaviculares III-V mediante la reconstrucción anatómica de los ligamentos coracoclaviculares y acromioclaviculares; técnica quirúrgica

Gómez-Mont-Landerreche¹,

Rodríguez-Martínez²,

Flores-Carrillo³

et al. 2022

Acta Ortopédica Mexicana

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Treatment of acute high-grade acromioclavicular joint dislocation

Cited by 22 publications

References 32 publications

Horizontal instability after acromioclavicular joint reduction using the two-hole technique is preferred over the loop technique: a single-blind randomized clinical trial

Horizontal instability after acromioclavicular joint reduction using the two-hole technique is preferred over the loop technique: a single-blind randomized clinical trial

Effect of subacromial erosion shape on rotator cuff and clinical outcomes after hook plate fixation in type 5 acromioclavicular joint dislocations: a retrospective cohort study

Restablecimiento de la estabilidad horizontal en luxaciones acromioclaviculares III-V mediante la reconstrucción anatómica de los ligamentos coracoclaviculares y acromioclaviculares; técnica quirúrgica

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