Treatment of the Acute Traumatic Acromioclavicular Separation

@article{Bishop2006TreatmentOT,
  title={Treatment of the Acute Traumatic Acromioclavicular Separation},
  author={J. Bishop and C. Kaeding},
  journal={Sports Medicine and Arthroscopy Review},
  year={2006},
  volume={14},
  pages={237-245}
}
Injuries to the acromioclavicular joint occur commonly in athletes, especially those involved in contact sports. The majority of these injuries are type I and II acromioclavicular joint separations and are treated nonoperatively with rehabilitation. A rapid and full return to play is expected. Acute types IV, V, and VI are less common and operative intervention is recommended. The type III injury is more controversial and current trends are towards initial nonoperative management. Operative… Expand
Operative and Nonoperative Treatment of Acromioclavicular Dislocation: A Critical Analysis Review
TLDR
The Upper Extremity Committee of ISAKOS (International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine) recently proposed a subclassification of the original Rockwood type-III dislocation into a new type-II, which involves disruption of the acromioclavicular and coracOClavicular ligaments. Expand
Acromioclavicular joint dislocation: pathology, diagnosis and management
TLDR
Conservative management is now also recommended as the preferred initial choice in grade 3 injuries, and research is needed to clarify the type of conservative rehabilitation that results in the optimum outcome. Expand
Chronic acromioclavicular joint dislocations treated by the GraftRope device
TLDR
The GraftRope method cannot be recommended as a treatment option for chronic acromioclavicular joint dislocations based on the results and other recent reports. Expand
Clavicle and acromioclavicular joint injuries: a review of imaging, treatment, and complications
TLDR
It is important for the radiologist to become familiar with the surgical techniques used to fixate these fractures as well as the post-operative appearance and potential complications. Expand
Acromioclavicular third degree dislocation: surgical treatment in acute cases
TLDR
The results cannot support routine use of surgery to treat type III ACJ dislocations and better subjective and radiographic results were achieved in surgically treated patients, traditional objective scores did not show significant differences between the two groups. Expand
Endoscopically assisted reconstruction of acute acromioclavicular joint dislocation using a synthetic ligament. Outcomes at 12 months.
TLDR
Clinical outcomes, radiographic results, and the complications after arthroscopic stabilization of acute stages III or IV (Rockwood classification) acromioclavicular dislocations are evaluated. Expand
Clavicular fractures following coracoclavicular ligament reconstruction with tendon graft: a report of three cases.
TLDR
A small series of patients in whom tendon graft reconstructions placed through two distinct clavicular bone tunnels resulted in fracture of the clavicle are reported on, to identify factors of which surgeons should be aware to avoid these complications. Expand
Treatment of Acromioclavicular Joint Injuries Using Clavicle Hook Plates
TLDR
Clavicle hook plate fixation for acromioclavicular joint dislocation is considered an effective method for ensuring satisfactory results both radiologically and clinically. Expand
Subcoracoid dislocation of the acromioclavicular joint.
TLDR
Treatment consisted of distal clavicular resection and coracoclavicular reconstruction with the transfer of the coracoacromial ligament over the clavicle and the patient had a pain-free shoulder after two years and was capable of performing daily activities despite the presence of coracOClavicular ossification. Expand
Management of acute acromioclavicular joint dislocation with a double-button fixation system.
TLDR
The proposed mini-open technique provides adequate exposure of the base of the coracoid with minimal damage to the soft tissues surrounding the CC ligaments while ensures an excellent cosmetic result. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 59 REFERENCES
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
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
Nonoperative treatment ofacromioclavicular joint injuries
TLDR
The primary goal of the nonoperative treatment protocol is to return the athlete to full activities as quickly and as safely as possible. Expand
Double-Loop Suture Repair for Acute Acromioclavicular Joint Disruption
TLDR
Considering the nearly anatomical reconstruction, the avoidance of hardware complications, and the low rate of recurrence, this technique may be an attractive alternative to the management of acute acromioclavicular joint separations. 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
Acromioclavicular Joint Injuries and Distal Clavicle Fractures
  • G. Nuber, M. Bowen
  • Medicine
  • The Journal of the American Academy of Orthopaedic Surgeons
  • 1997
TLDR
Because type II distal clavicle fractures are prone to nonunion, operative fixation may be advisable to avoid this complication. 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
A Modified Technique of Reconstruction for Complete Acromioclavicular Dislocation: A Prospective Study
TLDR
A new surgical technique in which the clavicle is reduced to an anatomic position, the coracoacromial ligament is transferred to theClavicle, and acromioclavicular joint fixation is accomplished with the use of absorbable, braided suture cord is presented. Expand
Shoulder strength following acromioclavicular injury
TLDR
It is concluded that nonsurgical treatment of Grade III AC injury is as effective as surgical treatment; the dilemma of Grade II AC injury continues, as shown by the findings of significant strength deficits; and patient satisfac tion following treatment of AC injury does not mirror objective strength deficits. Expand
Treatment of grade III acromioclavicular separations. Operative versus nonoperative management.
TLDR
There are benefits to both nonoperative and operative methods of treatment of Grade III acromioclavicular separations and the absolute values for peak torque, work, and power were significantly greater for all motions tested in the operative group as compared to the nonoperative group. Expand
...
1
2
3
4
5
...