J Korean Fract Soc.  2008 Jan;21(1):70-76. 10.12671/jkfs.2008.21.1.70.

Surgical Treatment of Acromioclavicular Dislocation: Coracoclavicular Ligament Reconstruction

• Shin SJ

• KMID: 1480968
• DOI: http://doi.org/10.12671/jkfs.2008.21.1.70

Abstract

No abstract available.

MeSH Terms

Ligaments

Figure

• 

  Fig. 1 Coracoclavicular reconstruction with 2 suture anchors and coracoacromial ligament transfer technique.

• 

  Fig. 2 (A) Preoperative radiograph of type V acromioclavicular dislocation (left shoulder). (B) Postoperative radiograph shows anatomical reduction of left acromioclavicular joint using 2 suture anchors and coracoacromial ligament transfer technique.

Reference

1. Bailey R. A dynamic repair for complete acromioclavicular joint dislocation. J Bone Joint Surg Am. 1965; 47:858.

2. Baker JE, Nicandri GT, Young DC, Owen JR, Wayne JS. A cadaveric study examining acromioclavicular joint congruity after different methods of coracoclavicular loop repair. J Shoulder Elbow Surg. 2003; 12:595–598.

3. Bargren JH, Erlanger S, Dick HM. Biomechanics and comparison of two operative methods of treatment of complete acromioclavicular separation. Clin Orthop Relat Res. 1978; 130:267–272.

4. Bearden JM, Hughston JC, Whatley GS. Acromioclavicular dislocation: method of treatment. J Sports Med. 1973; 1:5–17.

5. Bosworth B. Acromioclavicular separation: new method of repair. Surg Gynecol Obster. 1941; 73:866–871.

6. Breslow MJ, Jazrawi LM, Bernstein AD, Kummer FJ, Rokito AS. Treatment of acromioclavicular joint separation: suture or suture anchors? J Shoulder Elbow Surg. 2002; 11:225–229.

7. Browne JE, Stanley RF, Tullos HS. Acromioclavicular joint dislocations. Comparative results following operative treatment with and without primary distal clavisectomy. Am J Sports Med. 1977; 5:258–263.

8. Cook DA, Heiner JP. Acromioclavicular joint injuries. Orthop Rev. 1990; 19:510–516.

9. Cook FF, Tibone JE. The Mumford procedure in athletes. An objective analysis of function. Am J Sports Med. 1988; 16:97–100.

10. Costic RS, Jari R, Rodosky MW, Debski RE. Joint compression alters the kinematics and loading patterns of the intact and capsule-transected AC joint. J Orthop Res. 2003; 21:379–385.

11. Costic RS, Labriola JE, Rodosky MW, Debski RE. Biomechanical rationale for development of anatomical reconstructions of coracoclavicular ligaments after complete acromioclavicular joint dislocations. Am J Sports Med. 2004; 32:1929–1936.

12. Debski RE, Parsons IM 3rd, Fenwick J, Vangura A. Ligament mechanics during three degree-of-freedom motion at the acromioclavicular joint. Ann Biomed Eng. 2000; 28:612–618.

13. Debski RE, Parsons IM 4th, Woo SL, Fu FH. Effect of capsular injury on acromioclavicular joint mechanics. J Bone Joint Surg Am. 2001; 83:1344–1351.

14. Deshmukh AV, Wilson DR, Zilberfarb JL, Perlmutter GS. Stability of acromioclavicular joint reconstruction: biomechanical testing of various surgical techniques in a cadaveric model. Am J Sports Med. 2004; 32:1492–1498.

15. Ferris BD, Bhamra M, Paton DF. Coracoid process transfer for acromioclavicular dislocations. A report of 20 cases. Clin Orthop Relat Res. 1989; 242:184–194.

16. Fukuda K, Craig EV, An KN, Cofield RH, Chao EY. Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg Am. 1986; 68:434–440.

17. Harris RI, Wallace AL, Harper GD, Goldberg JA, Sonnabend DH, Walsh WR. Structural properties of the intact and the reconstructed coracoclavicular ligament complex. Am J Sports Med. 2000; 28:103–108.

18. Hessmann M, Gotzen L, Gehling H. Acromioclavicular reconstruction augmented with polydioxanonsulphate bands. Surgical technique and results. Am J Sports Med. 1995; 23:552–556.

19. Jari R, Costic RS, Rodosky MW, Debski RE. Biomechanical function of surgical procedures for acromioclavicular joint dislocations. Arthroscopy. 2004; 20:237–245.

20. Jerosch J, Filler T, Peuker E, Greig M, Siewering U. Which stabilization technique corrects anatomy best in patients with AC-separation? An experimental study. Knee Surg Sports Traumatol Arthrosc. 1999; 7:365–372.

21. Jones HP, Lemos MJ, Schepsis AA. Salvage of failed acromioclavicular joint reconstruction using autogenous semitendinosus tendon from the knee. Surgical technique and case report. Am J Sports Med. 2001; 29:234–237.

22. Kennedy J, Cameron H. Complete dislocation of the acromioclavicular joint. J Bone Joint Surg Br. 1954; 36:202–208.

23. Klimkiewicz JJ, Williams GR, Sher JS, Karduna A, Des Jardins J, Iannotti JP. The acromioclavicular capsule as a restraint to posterior translation of the clavicle: a biomechanical analysis. J Shoulder Elbow Surg. 1999; 8:119–124.

24. Kumar S, Penematsa SR, Selvan T. Surgical reconstruction for chronic painful acromioclavicular joint dislocations. Arch Orthop Trauma Surg. 2007; 127:481–484.

25. Kumar S, Sethi A, Jain AK. Surgical treatment of complete acromioclavicular dislocation using the coracoacromial ligament and coracoclavicular fixation: report of a technique in 14 patients. J Orthop Trauma. 1995; 9:507–510.

26. Lafosse L, Baier GP, Leuzinger J. Arthroscopic treatment of acute and chronic acromioclavicular joint dislocation. Arthroscopy. 2005; 21:1017.

27. Lancaster S, Horowitz M, Alonso J. Complete acromioclavicular separations. A comparison of operative methods. Clin Orthop Relat Res. 1987; 216:80–88.

28. Lee SJ, Nicholas SJ, Akizuki KH, McHugh MP, Kremenic IJ, Ben-Avi S. Reconstruction of the coracoclavicular ligaments with tendon grafts: a comparative biomechanical study. Am J Sports Med. 2003; 31:648–655.

29. Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998; 26:137–144.

30. Lom P. Acromioclavicular disjunction. I. Diagnosis and classification. Rozhl Chir. 1988; 67:253–262.

31. Lyons FA, Rockwood CA Jr. Migration of pins used in operations on the shoulder. J Bone Joint Surg Am. 1990; 72:1262–1267.

32. Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007; 35:316–329.

33. Mazzocca AD, Santangelo SA, Johnson ST, Rios CG, Dumonski ML, Arciero RA. A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med. 2006; 34:236–246.

34. Morrison DS, Lemos MJ. Acromioclavicular separation. Reconstruction using synthetic loop augmentation. Am J Sports Med. 1995; 23:105–110.

35. Motamedi AR, Blevins FT, Willis MC, McNally TP, Shahinpoor M. Biomechanics of the coracoclavicular ligament complex and augmentations used in its repair and reconstruction. Am J Sports Med. 2000; 28:380–384.

36. Neviaser JS. Acromioclavicular dislocation treated by transference of the coraco-acromial ligament. A long-term follow-up in a series of 112 cases. Clin Orthop Relat Res. 1968; 58:57–68.

37. Rockwood C, Williams G, Young D. Disorders of the acromioclavicular joint. In : Rockwwod C, editor. The shoulder. Philadelphia: Saunders;2004. p. 521–595.

38. Sim E, Schwarz N, Höcker K, Berzlanovich A. Repair of complete acromioclavicular separations using the acromioclavicular-hook plate. Clin Orthop Relat Res. 1995; 314:134–142.

39. Smith MJ, Stewart MJ. Acute acromioclavicular separations. A 20-year study. Am J Sports Med. 1979; 7:62–71.

40. Spencer EE Jr. Treatment of grade III acromioclavicular joint injuries: a systematic review. Clin Orthop Relat Res. 2007; 455:38–44.

41. Su EP, Vargas JH 3rd, Boynton MD. Using suture anchors for coracoclavicular fixation in treatment of complete acromioclavicular separation. Am J Orthop. 2004; 33:256–257.

42. Sundaram N, Patel DV, Porter DS. Stabilization of acute acromioclavicular dislocation by a modified Bosworth technique: a long-term follow-up study. Injury. 1992; 23:189–193.

43. Taft TN, Wilson FC, Oglesby JW. Dislocation of the acromioclavicular joint. An end-result study. J Bone Joint Surg Am. 1987; 69:1045–1051.

44. Tsou PM. Percutaneous cannulated screw coracoclavicular fixation for acute acromioclavicular dislocations. Clin Orthop Relat Res. 1989; 243:112–121.

45. Urist M. Complete dislocation of the acromioclavicular joint: The nature of the traumatic lesion and effective methods of treatment with an analysis of 41 cases. J Bone Joint Surg. 1946; 28:813–837.

46. Weaver JK, Dunn HK. Treatment of acromioclavicular injuries, especially complete acromioclavicular separation. J Bone Joint Surg Am. 1972; 54:1187–1194.

47. Weinstein DM, McCann PD, McIlveen SJ, Flatow EL, Bigliani LU. Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med. 1995; 23:324–331.