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acromioclavicular joint

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https://read.qxmd.com/read/30900030/clavicle-and-coracoid-process-periprosthetic-fractures-as-late-post-operative-complications-in-arthroscopically-assisted-acromioclavicular-joint-stabilization
#1
Siva Thangaraju, Mark Tauber, Peter Habermeyer, Frank Martetschläger
PURPOSE: Arthroscopic-assisted stabilization surgery for acute acromioclavicular joint (ACJ) disruption shows excellent and reliable clinical outcomes. However, characteristic complications such as fracture of the clavicle and coracoid have been reported to occur during the early post-operative period. The main goal of this study was to highlight the occurrence of fractures as a late post-operative complication. The secondary goals were to describe possible fracture morphologies and treatment outcomes...
March 21, 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://read.qxmd.com/read/30899666/primary-acromioclavicular-coracoclavicular-reconstruction-using-2-allografts-tightrope-and-stabilization-to-the-acromion
#2
Daniel B Haber, Petar Golijanin, Genevra L Stone, Anthony Sanchez, Colin P Murphy, Liam A Peebles, Connor G Ziegler, Jonathan A Godin, Jake A Fox, Matthew T Provencher
Acromioclavicular (AC) joint injuries are a common cause of shoulder pain, particularly among young athletes participating in contact sports. Injuries to the AC joint most commonly occur from direct impact at the acromion and are classified as types I to VI. Although most AC joint injuries can be treated nonoperatively, types IV to VI are best treated with surgery, with type III being controversial and most surgeons recommending an initial trial of nonoperative treatment. Although numerous surgical techniques have been described, no gold standard technique has been established...
February 2019: Arthroscopy Techniques
https://read.qxmd.com/read/30898573/upper-limb-deep-vein-thrombosis-as-complication-of-acromioclavicular-joint-dislocation
#3
M Osca Guadalajara, A Urgel Granados, M Royo Agustín
Around 5%-10% of deep vein thrombosis occurs in the upper limb. Its most frequent cause is usually cancer, central venous catheter, radio-chemotherapy or hormonal treatment. Less commonly, trauma around the shoulder region can also be a cause of deep vein thrombosis. Its diagnosis is probably more complex than in the lower limb due to its low frequency and clinical suspicion, as well as the clinical presentation, 50% of the cases being asymptomatic or presenting only with mild neck pain or omalgia. Because of their infrequency, therapeutic recommendations are based on indirect evidence from studies of deep vein thrombosis of the lower limb, considering oral anticoagulation the best treatment...
March 18, 2019: Revista Española de Cirugía Ortopédica y Traumatología
https://read.qxmd.com/read/30892184/the-diagnosis-and-treatment-of-acute-dislocation-of-the-acromioclavicular-joint
#4
Frank Martetschläger, Natascha Kraus, Markus Scheibel, Jörg Streich, Arne Venjakob, Dirk Maier
BACKGROUND: The acromioclavicular joint (ACJ) is one of the more common sites of shoulder girdle injury, accounting for 4-12% of all such injuries, with an incidence of 3-4 cases per 100 000 persons per year in the general population. Current topics of debate include the proper standard diagnostic evaluation, the indications for surgery, and the best operative method. METHODS: This review is based on publications retrieved by a selective literature search. RESULTS: Mechanical trauma of the ACG can tear the ligamentous apparatus that holds the acromion, clavicle, and coracoid process together...
February 8, 2019: Deutsches Ärzteblatt International
https://read.qxmd.com/read/30890856/clinical-outcomes-of-arthroscopic-assissted-fixation-of-acute-high-grade-acromioclavicular-joint-disruption
#5
Fahmy Samir Fahmy, Hossam Fathi, Mohammad ElAttar
Background: Management of high grade acute acromioclavicular (AC) joint dislocation is considered a surgical dilemma. Open methods of fixation are the gold standard but the morbidities are frequent. The goal of this study was to evaluate the results of arthroscopic fixation of acute high grade (AC) joint dislocation. Methods: A series of 24 patients with acute high grade acromioclavicular joint dislocation were fixed arthroscopically using TightRope device. The study was done between February 2013 and February 2017...
March 2019: Journal of Orthopaedics
https://read.qxmd.com/read/30885102/do-intra-articular-pathologies-accompanying-symptomatic-acromioclavicular-joint-degeneration-vary-across-age-groups
#6
Mustafa Özer, Muhammet Baybars Ataoğlu, Mehmet Çetinkaya, Tacettin Ayanoğlu, Ahmet Yiğit Kaptan, Ulunay Kanatlı
OBJECTIVES: This study aims to evaluate the accompanying intra-articular pathologies in patients who underwent arthroscopic distal clavicle resection (DCR) for symptomatic acromioclavicular (AC) joint degeneration based on age groups and to reveal which additional pathologies should be considered across different age groups during physical examination of patients suspected of AC joint degeneration. PATIENTS AND METHODS: The study included 156 patients (55 males, 101 females; mean age 57...
April 2019: Joint Diseases & related Surgery
https://read.qxmd.com/read/30876712/outcomes-and-function-of-conoid-ligament-on-the-basis-of-postoperative-radiographic-findings-of-arthroscopic-stabilization-for-the-distal-clavicle-fractures
#7
Katsumi Takase, Kengo Yamamoto
PURPOSE: Distal clavicle fractures are divided into three types according to Neer's classification. These fractures are usually treated with a sling to immobilize the upper extremity, however, the treatment of type 2 fractures remain controversial. We focused on the anatomical basis of these fractures in which disruptions in the conoid ligament led to the distraction between the two bony fragments. In this study, we report an arthroscopic procedure for conoid ligament reconstruction and its therapeutic outcomes, and discuss the function of the reconstructed conoid ligament...
March 12, 2019: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/30819682/effect-of-autologous-adipose-derived-mesenchymal-stem-cell-therapy-in-the-treatment-of-acromioclavicular-joint-osteoarthritis
#8
Julien Freitag, James Wickham, Kiran Shah, Abi Tenen
The aim of this case report is to evaluate the efficacy of mesenchymal stem cell (MSC) therapy in the treatment of small joint osteoarthritis (OA). Acromio-clavicular (AC) joint OA is an under-diagnosed and yet frequent source of shoulder pain. MSCs have shown evidence of benefit in the treatment of knee OA. This is the first report to describe the use of MSC therapy in OA of the upper limb. A 43-year-old patient presents with painful AC joint OA and undergoes MSC therapy. The patient reported pain and functional improvement as assessed by the Disability of Arm, Shoulder and Hand Score and Numeric Pain Rating Scale...
February 27, 2019: BMJ Case Reports
https://read.qxmd.com/read/30815725/primary-versus-revision-arthroscopically-assisted-acromio-and-coracoclavicular-stabilization-of-chronic-ac-joint-instability
#9
Natascha Kraus, Carmen Hann, Marvin Minkus, Nina Maziak, Markus Scheibel
BACKGROUND: A gracilis tendon autograft with TightRope-augmentation can be used for arthroscopically-assisted acromioclavicular (AC)- and coracoclavicular (CC-)stabilization of chronic bidirectional AC-joint instability after failed primary treatment. The impact of failed initial treatment on postoperative outcome is unclear. Hence, the purpose of this study was to evaluate it. METHODS: Twenty-seven of 38 patients suffering from chronic AC-joint instability after either failed conservative (group 1) or surgical treatment (group 2) treated in the above-mentioned technique were finally included in this study...
February 28, 2019: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/30806899/acromioclavicular-joint-injuries-in-overhead-athletes-a-concise-review-of-injury-mechanisms-treatment-options-and-outcomes
#10
REVIEW
Christopher F Deans, Joseph M Gentile, Matthew A Tao
PURPOSE OF THE REVIEW: To review the relevant literature surrounding acromioclavicular (AC) joint injuries particularly pertaining to overhead athletes. RECENT FINDINGS: The AC joint is a unique anatomic and biomechanical portion of the shoulder that can be problematic for athletes, particularly throwers, when injured. Treatment of these injuries remains a topic in evolution. Low-grade injuries (Rockwood types I & II) are typically treated non-operatively while high-grade injuries (types IV, V, and VI) are considered unstable and often require operative intervention...
February 26, 2019: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/30798777/the-epidemiology-of-acromioclavicular-joint-excision
#11
Michael McLean, Katie Hoban, Rohit Gupta, Anthony Gibson, Andrew J Brooksbank, Umberto G Fazzi, Angus Arthur, David Martin, Paul J Jenkins, Neal L Millar
BACKGROUND: With the development of arthroscopic procedures such as subacromial decompression (ASAD) and rotator cuff repair (RCR), it is hypothesized that there may have been a similar rise in the performance of acromioclavicular joint excision (ACJE). The purpose of this study was to investigate the epidemiology of ACJE to examine incidence, surgical technique, age, gender of patients and associated procedures in an urban population. METHODS: A prospectively collected surgical database was retrospectively examined to identify patients undergoing ACJE...
January 2019: Journal of Orthopaedic Surgery
https://read.qxmd.com/read/30798737/the-medium-term-results-of-acromioclavicular-joint-arthroscopy-with-chondral-and-meniscal-debridement
#12
Simon Bell, Jason Old, Emma Lewis, Jennifer Coghlan
PURPOSE: Surgical management of a young patient with a stable but painful acromioclavicular (AC) joint but normal imagining is a challenging problem. A standard arthroscopic excision of distal clavicle seems too aggressive. An alternative procedure is arthroscopic debridement of the joint, particularly the often torn meniscus, and chondroplasty. This study demonstrates in younger patients the medium-term result of arthroscopic debridement of a painful AC joint. METHODS: Fifty-three young adult patients with a stable but painful AC joint, and virtually normal magnetic resonance imaging (MRI) scan, had arthroscopic debridement of the AC joint...
January 2019: Journal of Orthopaedic Surgery
https://read.qxmd.com/read/30789366/use-and-outcome-of-local-anesthetic-painkilling-injections-in-athletes-a-systematic-review
#13
Sinem Gultekin, Mohammad Chaker Jomaa, Rebekah Jenkin, John W Orchard
BACKGROUND: The use of local anesthetic painkilling injections to improve player availability is common practice in elite-level sport. OBJECTIVE: To document the published use of local anesthetic injections in sport, according to number of injections, sites of injections, and complications reported. DATA SOURCES: A systematic search of MEDLINE, Embase, CINAHL, AMED, Cochrane Database of Systematic reviews, SportDiscus, EBSCO Host, and Google Scholar...
February 13, 2019: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://read.qxmd.com/read/30777362/analysis-of-risk-factors-for-loss-of-reduction-after-acromioclavicular-joint-dislocation-treated-with-the-suture-button
#14
Liao-Jun Sun, Di Lu, Zhen-Yu Tao, Xian-Bin Yu, Wei Hu, Yun-Fei Ma, Bin Yu
BACKGROUND: The most commonly reported complication after acromioclavicular (AC) joint dislocation treated with the Suture-button is loss of reduction. Loss of reduction is a major factor influencing the patient's joint function and subjective satisfaction. The objective of this study is to analyze the risk factors causing loss of reduction after AC joint dislocation treated with the Suture-button. METHODS: One hundred and thirty patients with AC joint dislocation who were surgically treated the Suture-button in our hospital from February 2009 to February 2015, were recorded their age, sex, BMI, time from injury to surgery, Rockwood's classification, with or without osteoporosis, double or triple button technique, position of the clavicle tunnel, tunnel diameter, coracoid button position, alignment of the button, acromioclavicular ligament repair or not, different methods of postoperative limb immobilization, and so on...
February 16, 2019: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://read.qxmd.com/read/30767028/-acromioclavicular-joint-the-forgotten-joint
#15
C Krestan, B Pretterklieber, M Pretterklieber, J Kramer
Besides osteoarthritic changes, traumatic and posttraumatic lesions are the most frequent alterations of the acromioclavicular (AC) joint. The Rockwood classification is used to describe posttraumatic lesions. The most important screening modality is anteroposterior x‑ray imaging, preferably with weight bearing and side to side comparison. Magnetic resonance imaging (MRI) without weight bearing is superior to x‑rays in analyzing and classifying AC joint dislocations. Postoperative imaging and assessment of arthritic alterations are usually carried out using x‑ray images and MRI is used as an additional examination modality...
February 14, 2019: Der Radiologe
https://read.qxmd.com/read/30755238/return-to-work-after-acromioclavicular-joint-stabilization-a-retrospective-case-control-study
#16
Felix Porschke, Marc Schnetzke, Stefan Studier-Fischer, Paul Alfred Gruetzner, Thorsten Guehring
BACKGROUND: Considering the epidemiology of acromioclavicular (AC) dislocation related to young and active patients, the impact on working capacity is highly relevant. The purpose of this study was to determine the capacity of work and time to return to work (RTW) after AC joint stabilization. We hypothesized that manual working patients show more restrictions returning to work. METHODS: In this retrospective case series, pre- and posttraumatic working capacity of 54 patients (FU-rate 80...
February 12, 2019: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/30739190/biomechanical-comparison-of-two-biplanar-and-one-monoplanar-reconstruction-techniques-of-the-acromioclavicular-joint
#17
Michael O Schär, Stefanie Jenni, Gion Fessel, Jess G Snedeker, Markus Scheibel, Matthias A Zumstein
INTRODUCTION: The purpose of this proof-of-concept study was to investigate the biomechanical performance of two surgical techniques, namely (1) the double Tight-Rope fixation with an additional acromioclavicular FiberTape fixation (DTRC) and (2) the fixation of the clavicle to the acromion and coracoid in a bipodal manner (Bipod) using a Poly-Tape and FiberTape. Both techniques intend to address vertical and horizontal instability after acromioclavicular dislocation. They were compared with the commonly used (3) double Tight-Rope (DTR) technique, which only stabilizes the clavicle to the coracoid...
February 9, 2019: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/30717689/tuberculosis-of-acromioclavicular-joint-a-case-report
#18
Jian Cheng, Shiming Feng, Huining Lei, Weiling Huo, Huanhuan Feng
BACKGROUND: Osteoarticular tuberculosis is a great masquerader presenting in varied forms and in atypical locations, and it is prone to misdiagnosis and missed diagnosis. Isolated acromioclavicular joint tuberculosis has been reported rarely. CASE PRESENTATION: A 19-year-old man presented with a chronic, mild pain, non-healing ulcer in right shoulder. Imaging of the shoulder revealed destruction of the acromioclavicular joint and histopathology confirmed the diagnosis of acromioclavicular tuberculosis...
February 4, 2019: BMC Infectious Diseases
https://read.qxmd.com/read/30704915/do-elderly-patients-gain-as-much-benefit-from-arthroscopic-rotator-cuff-repair-as-their-younger-peers
#19
Caroline Witney-Lagen, Georgios Mazis, Juan Bruguera, Ehud Atoun, Giuseppe Sforza, Ofer Levy
BACKGROUND: This study was conducted to ascertain whether patients aged older than 75 years achieve outcomes after arthroscopic rotator cuff repair comparable to younger patients. METHODS: Arthroscopic cuff repair was performed in 60 shoulders of 59 patients aged older than 75 years. A control group of 60 younger patients, matched for sex, tear size, and American Society of Anesthesiology Functional Classification grade were included. Surgery occurred from 2006 to 2016...
January 28, 2019: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/30696778/paediatric-shoulder-injury-don-t-get-sucked-in
#20
Peter Michael Kilgour, Lesley Watson, Marc Williams
CLINICAL INTRODUCTION: A healthy 8-year-old boy presented to the ED with acute left shoulder pain. He had been playing football and his left arm was pulled by an opposition team member. He fell to the ground and landed on his left shoulder causing pain. On examination after analgesia, active and passive movement of the shoulder joint was possible in all directions but range of motion was limited by pain. There was no visible swelling or bruising throughout the shoulder girdle. A radiograph of the shoulder was obtained (figure 1)...
February 2019: Emergency Medicine Journal: EMJ
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