Evaluation and Treatment of Acromioclavicular Joint Injuries

@article{Mazzocca2007EvaluationAT,
  title={Evaluation and Treatment of Acromioclavicular Joint Injuries},
  author={A. Mazzocca and R. Arciero and James Bicos},
  journal={The American Journal of Sports Medicine},
  year={2007},
  volume={35},
  pages={316 - 329}
}
Acromioclavicular joint injuries and, more specifically, separations are commonplace both in general practice and during athletic participation. [...] Key Method The clinical results (largely retrospective), including acromioclavicular joint repair, reconstruction and augmentation with the coracoclavicular ligament, supplemental sutures, and the use of free autogenous grafts, are summarized. Finally, complications and the concept of the failed distal clavicle resection and reconstruction are addressed. The…Expand
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References

SHOWING 1-10 OF 159 REFERENCES
Acromioclavicular joint instability—reconstruction indications and techniques
TLDR
The purpose of this paper is to review the basic anatomy, biomechanics, and treatment of acromioclavicular joint instability. Expand
Salvage of Failed Acromioclavicular Joint Reconstruction Using Autogenous Semitendinosus Tendon from the Knee
TLDR
A case of failed acromiOClavicular reconstruction is presented in which salvage surgery was performed to reconstruct the coracoclavicular ligaments with a loop of autogenous semitendinosus tendon from the patient’s ipsilateral knee. Expand
Arthroscopic treatment of acromioclavicular joint injuries and results.
TLDR
To the accomplished arthroscopic shoulder surgeon, arthro Scopic resection of the symptomatic AC joint gives excellent clinical results that allow a compromised athlete a relatively quick return to desired sport activities. Expand
The Evaluation and Treatment of the Injured Acromioclavicular Joint in Athletes
  • M. Lemos
  • Medicine
  • The American journal of sports medicine
  • 1998
TLDR
This review will clarify the current concepts in the management and treatment of acromioclavicular injuries in the athlete and Galen, one of the earliest noncompliant patients, will be clarified. Expand
Treatment of acromioclavicular injuries, especially complete acromioclavicular separation.
TLDR
A schema of treatment of the three types of acromioclavicular injuries, based on pathological change in each, is presented and results in both acute and chronic cases have been quite good. Expand
[Treatment of acromioclavicular joint separations. Central Kirschner- wire and PDS-augmentation].
TLDR
The results confirm the operative regime for separations of the acromioclavicular joint and suggest the method of operation belongs to the better ones without showing a clear advantage and should be modified to decrease the rate of subluxations. Expand
Stability of Acromioclavicular Joint Reconstruction
TLDR
This study suggests that when performing acromioclavicular reconstruction, supplemental fixation should be used because it provides more stability and pull-out strength than the Weaver-Dunn reconstruction alone. Expand
Operative treatment of acromioclavicular joint injuries and results.
TLDR
The acromioclavicular joint can be reapproximated using one of three stabilization techniques, which may be combined in a single operative setting to produce a final construct with superior mechanical stability. Expand
Surgical treatment of acute type-V acromioclavicular injuries in athletes
TLDR
No correlation was seen between the overall scores at follow-up and the degree of residual dislocation, between theOverall scores and the presence of coracoclavicular calcifications or ossifications, betweenThe overall scores andThe development of post-traumatic arthritic changes, or between the Overall scores andthe presence of osteolysis of the distal clavicle. Expand
Biomechanical function of surgical procedures for acromioclavicular joint dislocations.
  • R. Jari, Ryan S. Costic, M. Rodosky, R. Debski
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2004
TLDR
The results may lead to the design and development of new repairs, reconstructions, and rehabilitation protocols for AC joint dislocation and suggest that the Rockwood Screw provides a highly rigid fixation and may explain the complications frequently seen in clinical practice. Expand
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