1,804 results match your criteria Acromioclavicular Joint Injury


Paediatric shoulder injury: don't get sucked in!

Emerg Med J 2019 Feb;36(2):77-88

Radiology, Wigan and Leigh Foundation Trust, Wigan, UK.

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. Read More

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http://dx.doi.org/10.1136/emermed-2018-207987DOI Listing
February 2019
2 Reads

Ultrasound of horizontal instability of the acromioclavicular joint : A simple and reliable test based on a cadaveric study.

Wien Klin Wochenschr 2019 Feb 7;131(3-4):81-86. Epub 2019 Jan 7.

Department of Orthopaedic Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Background: Horizontal instability influences the clinical outcome after acromioclavicular joint (ACJ) injuries and in joint degeneration. A standardized, dynamic examination of the horizontal instability has not been described before. This current study presents a sonographic method to analyze the dynamics between the clavicle and acromion in the horizontal plane. Read More

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http://link.springer.com/10.1007/s00508-018-1433-x
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http://dx.doi.org/10.1007/s00508-018-1433-xDOI Listing
February 2019
4 Reads

Three intrasubstance failures of a LARS™ ligament used for ligament reconstruction.

Ann R Coll Surg Engl 2019 Jan 3:e1-e5. Epub 2019 Jan 3.

Aneurin Bevan University Health Board , UK.

We report three cases of intrasubstance failure of a LARS™ (Ligament Augmentation and Reconstruction System) artificial ligament used for acromioclavicular joint reconstruction. The LARS™ ligament failed within four months of the index procedure. All patients underwent a revision procedure following an unsuccessful trial of conservative management. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0212DOI Listing
January 2019
3 Reads

Clavicle duplication following physeal injury.

Surg Radiol Anat 2018 Dec 8. Epub 2018 Dec 8.

Department of Radiology, Uludag University Faculty of Medicine, Bursa, Turkey.

Clavicle duplication is a rare entity with limited number of cases reported. Congenital origin and trauma related mechanisms are the main hypotheses to explain this anatomical variation. In skeletally immature patient, trauma may cause physeal-metaphyseal injury in the distal clavicle rather than acromioclavicular strain. Read More

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http://dx.doi.org/10.1007/s00276-018-2151-9DOI Listing
December 2018
3 Reads

[Complex fractures of the clavicles lateral third].

Acta Ortop Mex 2018 May-Jun;32(3):140-144

Módulo de Cirugía de Hombro y Codo, Hospital General Xoco. Av. México Coyoacán S/N, Col. General Anaya, Deleg. Benito Juárez, CP 03340, Ciudad de México, México.

Background: Fractures of the lateral third of the clavicle represent 18% of all clavicle fractures. Even though non-displaced fractures can be managed conservatively, displaced fractures have a non-union percentage of 30%. Multiple approaches have been proposed to manage the displaced fractures. Read More

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December 2018
10 Reads

[Clavicular fractures : Diagnostics, management and treatment].

Unfallchirurg 2018 Dec;121(12):983-998

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Clavicular fractures account for approximately 6% of bony injuries of the shoulder girdle. Patients suffering from this type of injury show 2 peaks (at the 2nd and 8th decades of life) where the majority occur in young active patients during recreational and sports activities. Besides an accurate patient history with a focus on the trauma mechanism, the clinical and radiological investigations are the cornerstones of the diagnostics. Read More

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http://dx.doi.org/10.1007/s00113-018-0575-7DOI Listing
December 2018
2 Reads

Open Reduction and Tunneled Suspensory Device Fixation Compared with Nonoperative Treatment for Type-III and Type-IV Acromioclavicular Joint Dislocations: The ACORN Prospective, Randomized Controlled Trial.

J Bone Joint Surg Am 2018 Nov;100(22):1912-1918

The University of Edinburgh, Edinburgh, United Kingdom.

Background: Nonoperative management of complete acromioclavicular (AC) joint dislocation has yielded reasonable results, although patients may report dissatisfaction with the outcome. The purpose of this prospective, randomized, controlled trial was to compare patient outcome following nonoperative care versus operative treatment with open reduction and tunneled suspension device (ORTSD) fixation for acute, type-III or IV disruptions of the AC joint.

Methods: Sixty patients aged 16 to 35 years with an acute type-III or IV disruption of the AC joint were randomized to receive ORTSD fixation or nonoperative treatment, following a power analysis to determine sample size. Read More

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http://Insights.ovid.com/crossref?an=00004623-201811210-0000
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http://dx.doi.org/10.2106/JBJS.18.00412DOI Listing
November 2018
22 Reads

Editorial Commentary: Double Bundle the Coracoclavicular Ligaments for Success: The More the Better?

Arthroscopy 2018 Nov;34(11):2992-2993

Redwood City, California.

Injuries to the acromioclavicular joint are common across all levels of sport and activity. Overall, a consensus exists regarding Rockwood grade I and II injuries (conservative approach) and Rockwood grades IV to VI (best treated surgically). However, grade III injuries are heterogeneous and thus respond differently to nonoperative and operative treatment. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.08.015DOI Listing
November 2018
4 Reads

A novel hybrid fixation (coracoclavicular screw supplemented with K-wire) for the treatment of acute acromioclavicular joint dislocation: A prospective study.

Int J Surg 2018 Nov 3;59:61-66. Epub 2018 Oct 3.

Department of Orthopaedic Surgery, The Dingli Clinical Institute of Wenzhou Medical University (Wenzhou Central Hospital), Wenzhou, Zhejiang, 325000, PR China. Electronic address:

Objective: The aim of this study was to compare the radiological and clinical outcomes of clavicular hook plate fixation and the coracoclavicular lag screw supplemented with K-wire fixation in the treatment of acute acromioclavicular joint dislocation.

Methods: Between January 2012 to December 2015, 81 patients with acute acromioclavicular joint dislocation were included in this prospective study. 43 patients were treated with clavicular hook plate fixation (Group A) and 38 patients were treated with coracoclavicular lag screw supplemented with K-wire fixation (Group B). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17439191183164
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http://dx.doi.org/10.1016/j.ijsu.2018.09.019DOI Listing
November 2018
12 Reads

Current Concepts in the Operative Management of Acromioclavicular Dislocations: A Systematic Review and Meta-analysis of Operative Techniques.

Am J Sports Med 2018 Oct 1:363546518795147. Epub 2018 Oct 1.

Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.

Background: Acromioclavicular (AC) instability is a frequent injury affecting young and athletic populations. Symptomatic, high-grade dislocations may be managed by a myriad of operative techniques that utilize different grafts to achieve reduction. Comparative data are lacking on the ability of these techniques to achieve excellent patient outcomes and stable AC reduction and to minimize complications. Read More

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http://dx.doi.org/10.1177/0363546518795147DOI Listing
October 2018
8 Reads

Acromioclavicular joint cyst formation in a patient with rotator cuff-tear arthropathy: a rare cause of shoulder discomfort.

BMJ Case Rep 2018 Sep 27;2018. Epub 2018 Sep 27.

Department for Shoulder and Elbow Surgery, Charite Universitatsmedizin Berlin Campus Virchow-Klinikum, Berlin, Germany.

We report a case of a 77-year-old man who presented to our shoulder department with a soft tissue mass on his right acromioclavicular (AC) joint. Previously attempted puncture aspiration had revealed serous fluid retention which recurred after each of several drainage attempts. Conventional radiography and MRI of the affected shoulder joint demonstrated a progressed cuff-tear arthropathy with an irreparable tear of the supraspinatus tendon, static superior migration of the humeral head, opening of the AC joint capsule and a superior joint-fluid 'eruption' and accumulation called 'Geyser sign'. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22618
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http://dx.doi.org/10.1136/bcr-2018-226188DOI Listing
September 2018
2 Reads

Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures.

EFORT Open Rev 2018 Jul 17;3(7):426-433. Epub 2018 Jul 17.

Marmara University Pendik Research and Teaching Hospital, Department of Orthopaedics and Traumatology, Turkey.

Acromioclavicular (AC) joint injury is a frequent diagnosis after an acute shoulder trauma - often found among athletes and people involved in contact sports.This injury occurs five times more frequently in men than in women, with the highest incidence in the 20- to 30-year-old age group. Patients usually complain of pain and tenderness over the shoulder, particularly over the AC joint. Read More

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http://dx.doi.org/10.1302/2058-5241.3.170027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129955PMC
July 2018
8 Reads

Challenges in Treating Acromioclavicular Separations: Current Concepts.

J Am Acad Orthop Surg 2018 Oct;26(19):669-677

From the Department of Orthopaedics, the Winn Army Community Hospital, Fort Stewart, Georgia (Dr. Cook), and the Department of Orthopaedics, the Tripler Army Medical Center, Honolulu, Hawaii (Dr. Krul).

Injuries to the acromioclavicular joint constitute approximately 3.2% of shoulder injuries. Although the overall goal of treatment continues to be return to activity with a pain-free shoulder, the treatment of acromioclavicular joint separations has been fraught with conflict since the earliest reports in both ancient and modern literature. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00776DOI Listing
October 2018
3 Reads

Arthroscopic Coracoclavicular Ligament Reconstruction for Acromioclavicular Joint Dislocation.

J Nippon Med Sch 2018 ;85(3):166-171

Department of Orthopaedic Surgery, Nippon Medical School.

Background: The purpose of this study was to evaluate mid- and long-term clinical and radiologic outcomes of arthroscopic coracoclavicular ligament reconstruction (ACCLR) with an artificial ligament for acute dislocation of the acromioclavicular joint (ACJ).

Methods: Twelve male patients (average age at the time of surgery: 40.8 years, range: 21-64 years) underwent ACCLR with an artificial ligament for acute dislocation of the ACJ type III or type V according to the Rockwood classification. Read More

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http://dx.doi.org/10.1272/jnms.JNMS.2018_85-24DOI Listing
October 2018
2 Reads

[Effectiveness of anatomical locking plate internal fixation combined with coracoclavicular ligament reconstruction for Neer type b distal clavicle fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1181-1186

Department of Orthopaedics, Jiading Center Hospital, Shanghai, 201800,

Objective: To investigate the effectiveness of anatomical locking plate internal fixation combined with coracoclavicular ligament reconstruction in treatment of the Neer type Ⅱb distal clavicle fractures by comparing with the simple anatomical locking plate internal fixation.

Methods: The clinical data of 40 patients with Neer type Ⅱb distal clavicle fractures who met the criteria between February 2013 and January 2017 were analyzed. Eighteen cases were treated with anatomical locking plate internal fixation and coracoclavicular ligament reconstruction by using a suture anchor (reconstruction group), and 22 cases were treated only with anatomical locking plate internal fixation (non-reconstruction group). Read More

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http://dx.doi.org/10.7507/1002-1892.201803127DOI Listing
September 2018
3 Reads

Stabilization of Acute High-Grade Acromioclavicular Joint Separation: A Prospective Assessment of the Clavicular Hook Plate Versus the Double Double-Button Suture Procedure.

Am J Sports Med 2018 Sep 14;46(11):2725-2734. Epub 2018 Aug 14.

Department of Trauma and Orthopedic Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany.

Background: The stabilization strategy for acute high-grade acromioclavicular (AC) joint separations with AC-stabilizing clavicular hook plate (cHP) or coracoclavicular (CC)-stabilizing double double-button suture (dDBS) is still under consideration.

Hypothesis: The CC-stabilizing dDBS is superior to the cHP according to an AC-specific radiologic assessment and score system.

Study Design: Cohort study; Level of evidence, 2. Read More

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http://journals.sagepub.com/doi/10.1177/0363546518788355
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http://dx.doi.org/10.1177/0363546518788355DOI Listing
September 2018
16 Reads

Low prevalence of relevant associated articular lesions in patients with acute III-VI acromioclavicular joint injuries.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 10. Epub 2018 Aug 10.

Hospital Asepeyo Coslada, Madrid, Spain.

Purpose: To define the prevalence of associated articular injuries in patients with severe (Rockwood's III-VI) acute acromioclavicular joint injuries and to find out how many of these were associated with the traumatic event and required surgical treatment.

Methods: Retrospective observational multicentric study performed in ten centres included patients who required surgery for acute acromioclavicular joint injuries between 2010 and 2017. The inclusion criteria were: presence of an acute acromioclavicular joint injury (grades III-IV-V-VI) and surgical treatment within 3 weeks of injury that included a full arthroscopic evaluation of the shoulder. Read More

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http://dx.doi.org/10.1007/s00167-018-5089-xDOI Listing
August 2018
5 Reads

Fifteen-degree clavicular hook plate achieves better clinical outcomes in the treatment of acromioclavicular joint dislocation.

J Int Med Res 2018 Nov 9;46(11):4547-4559. Epub 2018 Aug 9.

1 Department of Orthopedic Surgery, The Third Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, China.

Objective: Clavicular hook plate application is one of the most commonly used treatment methods for acromioclavicular (AC) joint dislocation, although it may cause multiple postoperative complications. We modified the regularly used 0° hook plate to 15° and compared the clinical outcomes of these two hook plates for treatment of AC joint dislocation.

Methods: Forty-three patients with acute AC joint dislocation were randomly enrolled (0° hook plate, 20 patients; 15° hook plate, 23 patients). Read More

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http://dx.doi.org/10.1177/0300060518786910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259358PMC
November 2018
15 Reads

Functional Outcome of Modified Weaver Dunn Technique for Acromioclavicular Joint Dislocation.

Indian J Orthop 2018 Jul-Aug;52(4):418-422

Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.

Background: The debate about the ideal surgical procedure for acromioclavicular joint (ACJ) dislocation is still unresolved and newer techniques are being evolved continuously. The present study evaluates functional outcome of ACJ reconstruction using the modified procedure.

Materials And Methods: 35 patients (26 males, 9 females) with ACJ dislocation, between the age group of 18-48 years (mean age 31 years), were operated using modified procedure at our center from May 2005 to June 2010. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_469_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055455PMC
August 2018
3 Reads
0.624 Impact Factor

Treatment of Grade III Acromioclavicular Separations in Professional Baseball Pitchers: A Survey of Major League Baseball Team Physicians.

Am J Orthop (Belle Mead NJ) 2018 Jul;47(7)

Midwest Orthopaedics at Rush, Chicago, IL.

Despite advancements in surgical technique and understanding of throwing mechanics, controversy persists regarding the treatment of grade III acromioclavicular (AC) joint separations, particularly in throwing athletes. Twenty-eight major league baseball (MLB) orthopedic team physicians were surveyed to determine their definitive management of a grade III AC separation in the dominant arm of a professional baseball pitcher and their experience treating AC joint separations in starting pitchers and position players. Return-to-play outcomes were also evaluated. Read More

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http://dx.doi.org/10.12788/ajo.2018.0051DOI Listing
July 2018
3 Reads

Bipolar Injury of the Clavicle.

Orthopedics 2018 Sep 27;41(5):e681-e688. Epub 2018 Jul 27.

Eleven patients with bipolar clavicle injuries, including dislocation of both ends of the clavicle, dislocation of the sternoclavicular joint with distal clavicle fracture, dislocation of the acromioclavicular joint with medial clavicle fracture, and segmental fracture of the clavicle, were retrospectively reviewed. The purpose of this study was to report the clinical outcomes and a literature review of bipolar clavicle injury. Nonoperative treatment was performed for 5 patients and surgical treatment for 6 patients. Read More

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http://dx.doi.org/10.3928/01477447-20180724-02DOI Listing
September 2018
13 Reads

Acromioclavicular Joint Stabilisation Using the Internal Brace Principle.

Surg Technol Int 2018 Nov;33:294-298

Orthopaedics Department, Ross Hall Hospital, Glasgow, Scotland.

Introduction: Injury of the acromioclavicular joint (AC joint) is one of the most common conditions affecting the shoulder girdle in athletes, particularly in contact sports. It is generally agreed that surgical management provides superior outcomes in high-grade injuries (Rockwell Grades IV-VI), with nonoperative management preferred in low-grade injuries (Grades I-II). Controversy still exists regarding the optimal treatment for Grade III injuries, with various sources reporting quicker return to activity and reduced complications with nonoperative management, but superior long-term function and satisfaction in cases managed surgically. Read More

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November 2018
10 Reads

Treatment of AC dislocation by reconstructing CC and AC ligaments with allogenic tendons compared with hook plates.

J Orthop Surg Res 2018 Jul 11;13(1):175. Epub 2018 Jul 11.

Department of Hand Surgery, Affiliated Hospital of Nantong University, 20# West Temple Road, Nantong, 226001, People's Republic of China.

Background: The purpose of this study was to compare outcomes between allograft reconstruction and hook plate fixation for acute dislocation of the acromioclavicular joint with a minimum 2-year follow-up.

Methods: A retrospective comparative study of patients treated for acute acromioclavicular joint dislocation from February 2010 to December 2014 in our hospital, consisting of 16 patients who were followed-up, was performed. Eight patients were treated for acute AC dislocation and underwent surgical reconstruction as follows: the coracoclavicular and acromioclavicular ligaments were reconstructed with the allogenic tendon. Read More

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http://dx.doi.org/10.1186/s13018-018-0879-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6042288PMC
July 2018
8 Reads

Return to sport after acute acromioclavicular stabilization: a randomized control of double-suture-button system versus clavicular hook plate compared to uninjured shoulder sport athletes.

Knee Surg Sports Traumatol Arthrosc 2018 Dec 6;26(12):3832-3847. Epub 2018 Jul 6.

Department of Sporttraumatology-Knee- and Shoulder-Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt, Germany.

Purpose: Traumatic high-grade acromioclavicular joint (ACJ) separations can be surgically stabilized by numerous anatomic and non-anatomic procedures. The return to sport (Maffe et al. in Am J Sports Med 23:93-98, 1995] and remaining sport-associated impairments after acute ACJ stabilization has not yet been investigated. Read More

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http://dx.doi.org/10.1007/s00167-018-5044-xDOI Listing
December 2018
8 Reads

Epidemiology of Upper Extremity Injuries in NCAA Men's and Women's Ice Hockey.

Am J Sports Med 2018 Aug 5;46(10):2521-2529. Epub 2018 Jul 5.

Department of Orthopaedic Surgery, School of Medicine, Tulane University, New Orleans, Louisiana, USA.

Background: Ice hockey is a physically demanding sport where athletes are susceptible to a variety of injuries. Several studies reported the overall injury rates in ice hockey; however, there is a paucity of information on upper extremity (UE) injuries among collegiate ice hockey players.

Purpose: To describe the epidemiology of UE injuries among collegiate male and female ice hockey players with NCAA (National Collegiate Athletic Association) injury surveillance data from 2004-2005 to 2013-2014. Read More

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http://dx.doi.org/10.1177/0363546518781338DOI Listing
August 2018
18 Reads

Nonoperative treatment of five common shoulder injuries: A critical analysis.

Obere Extrem 2018 19;13(2):89-97. Epub 2018 Feb 19.

1Steadman Philippon Research Institute, 181 West Meadow Drive suite 1000, 81657 Vail, CO USA.

Economic pressure highlights the critical need for appropriate diagnosis and treatment of various shoulder pathologies since under-diagnosis and under-treatment can result in increased costs to society in the form of disability and lost production. On the other hand, aggressive over-treatment can further inflate already burgeoning health-care costs and potentially harm the patient. Therefore, it is crucial to distinguish the indications between operative and nonoperative management, especially in common shoulder pathologies such as rotator cuff tears, anterior shoulder instability, biceps tendinitis, lesions to the acromioclavicular joint, and proximal humeral fractures. Read More

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http://dx.doi.org/10.1007/s11678-018-0449-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976697PMC
February 2018
34 Reads

Biplanar fixation of acromio-clavicular joint dislocation associated with coracoid process fracture: Case report.

Trauma Case Rep 2018 Jun 25;15:4-7. Epub 2018 Apr 25.

Ain-Shams University Hospital, 56, Ramsis St., El Abbasia, 11566 Cairo, Egypt.

Introduction: Acromioclavicular (AC) joint injury associated with coracoid process (CP) fracture is a rare injury and only case reports had been published in the literature. Although AC joint injury is not uncommon, there is controversy as regard the best stabilization method whether to use wires, hook plate, arthroscopic reconstruction or the recently described techniques of anatomic restoration of both the coracoclavicular (CC) and acromioclavicular (AC) ligaments to add stability in both the vertical as well as the horizontal plane for the AC joint. Isolated CP fracture rarely necessitates surgical intervention; but in association with AC joint injury; a controversy as regard best management, surgical approach, technique of stabilization and implant used is present due to paucity of literature. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987262PMC
June 2018
37 Reads

The Adjustable Locking Suspension Sling Technique for Fixation of the Tibial Eminence Fracture in Adolescents.

Arthrosc Tech 2018 May 16;7(5):e491-e497. Epub 2018 Apr 16.

Department of Orthopaedic Surgery, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Mansoura, Dakahlia, Egypt.

Avulsion fractures of the tibial eminence, although generally a rare injury pattern, are more common in children and adolescents than in adults. Many open and arthroscopic techniques are available with variable degrees of satisfying results and incidence of complications and adverse effects. Arthroscopic fixation appeared to improve the functional outcomes with fewer complications than the open fixation. Read More

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http://dx.doi.org/10.1016/j.eats.2017.12.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984354PMC
May 2018
24 Reads

The Rockwood classification in acute acromioclavicular joint injury does not correlate with symptoms.

J Orthop Surg (Hong Kong) 2018 May-Aug;26(2):2309499018777886

2 The Arm Clinic, The Wilmslow Hospital, Wilmslow, Cheshire, UK.

Purpose: Rockwood classified acromioclavicular (AC) joint injuries by displacement of the joint on radiographs. This classification has driven the management dogma of acute AC dislocation. The correlation between Rockwood grade and symptoms has not been described in acute injury. Read More

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http://dx.doi.org/10.1177/2309499018777886DOI Listing
May 2018
5 Reads

Single coracoclavicular suture fixation with Mersilene tape versus hook plate in the treatment of acute type V acromioclavicular dislocation: a retrospective analysis.

J Orthop Surg Res 2018 May 16;13(1):110. Epub 2018 May 16.

Department of Orthopedics, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Rd, Kaohsiung, 81346, Taiwan, Republic of China.

Background: Here, we compared the clinical and radiographic outcomes between coracoclavicular (CC) fixation with Mersilene tape and hook plate for acute unstable acromioclavicular (AC) joint dislocation treatment.

Methods: We enrolled 49 patients with unstable acute AC dislocation who, between January 2010 and January 2014, underwent surgery with single CC suture fixation with Mersilene tape (M group, 25 cases) or clavicle hook plate (H group, 24 cases). In M and H groups, the average age was 43. Read More

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http://dx.doi.org/10.1186/s13018-018-0831-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956760PMC
May 2018
7 Reads

ACR Appropriateness Criteria Shoulder Pain-Traumatic.

J Am Coll Radiol 2018 May;15(5S):S171-S188

Specialty Chair, Mayo Clinic, Phoenix, Arizona.

Traumatic shoulder pain is pain directly attributed to a traumatic event, either acute or chronic. This pain may be the result of either fracture (the clavicle, scapula, or proximal humerus) or soft-tissue injury (most commonly of the rotator cuff, acromioclavicular ligaments, or labroligamentous complex). Imaging assessment of traumatic shoulder pain begins with conventional radiography and, depending on physical examination findings, will require MRI or MR arthrography for assessment of soft-tissue injuries and CT for delineation of fracture planes. Read More

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http://dx.doi.org/10.1016/j.jacr.2018.03.013DOI Listing
May 2018
5 Reads

Comparison of hook plate with versus without double-tunnel coracoclavicular ligament reconstruction for repair of acute acromioclavicular joint dislocations: A prospective randomized controlled clinical trial.

Int J Surg 2018 Jun 19;54(Pt A):18-23. Epub 2018 Apr 19.

Department of Orthopedics, The Affiliated Jiangning Hospital with Nanjing Medical University, Nanjing 211100, China. Electronic address:

Purpose: This study was designed to compare the surgical outcomes of a hook plate with double-tunnel coracoclavicular (CC) ligament reconstruction by conjoined tendon transfer versus single hook plate surgery for the repair of acute type of Rockwood type III and V acromioclavicular (AC) joint dislocations.

Methods: The study cohort included 62 patients with acute (within 6 weeks after trauma) Rockwood type III and V AC joint dislocations who underwent surgery from February 2012 to September 2015. The patients were randomly allocated to the ligament reconstruction group (LR group, n = 31) or the single hook plate group (HP group, n = 31). Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.04.017DOI Listing
June 2018
5 Reads

Stress radiographs for evaluating acromioclavicular joint separations in an active-duty patient population: What have we learned?

J Orthop 2018 Mar 2;15(1):159-163. Epub 2018 Feb 2.

Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA, USA; Medical University of South Carolina, Charleston, SC, USA; Fort Belvoir Community Hospital, Fort Belvoir, VA, USA; Madigan Army Medical Center, Fort Lewis, WA, United States.

Introduction: Acromioclavicular (AC) joint separation is a common entity in athletic patient populations. The surgical treatment of these injuries varies based upon extent of injury, with numerous imaging modalities recommended to differentiate injury severity and treatment options. The use of weighted stress radiographs is controversial in the diagnostic evaluation of AC separation with previous consensus recommending against their use. Read More

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http://dx.doi.org/10.1016/j.jor.2018.01.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895893PMC
March 2018
4 Reads

Clinical Applications of Ultrasonography in the Shoulder and Elbow.

J Am Acad Orthop Surg 2018 May;26(9):303-312

From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center for Sports Surgery, Pittsburgh, PA.

In the past 30 years, the use of ultrasonography in the field of orthopaedics has evolved. As ultrasonography has been refined, smaller machines with higher fidelity and better transducers have become available at a lower cost. Diagnostic and therapeutic applications of ultrasonography in the shoulder and elbow have expanded imaging options and provided alternatives to surgical management. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00257DOI Listing
May 2018
3 Reads

Shoulder and elbow injuries in soccer goalkeepers versus field players in the National Collegiate Athletic Association, 2009-2010 through 2013-2014.

Phys Sportsmed 2018 09 19;46(3):304-311. Epub 2018 Apr 19.

a Department of Orthopaedics , Rhode Island Hospital/Brown University , Providence , RI , USA.

Objectives: Examination of the incidence of shoulder and elbow injuries in the collegiate soccer player population is limited, as is comparison between goalkeepers and field players. We hypothesized that goalkeepers would have a higher incidence of shoulder and elbow injuries than field players. Furthermore, we sought to determine the incidence of shoulder and elbow injuries among National Collegiate Athletic Association (NCAA) soccer players, and to determine injury risk factors. Read More

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http://dx.doi.org/10.1080/00913847.2018.1462083DOI Listing
September 2018
20 Reads

Acromioclavicular joint dislocation: a Dog Bone button fixation alone versus Dog Bone button fixation augmented with acromioclavicular repair-a finite element analysis study.

Eur J Orthop Surg Traumatol 2018 Aug 20;28(6):1095-1101. Epub 2018 Mar 20.

Department of Orthopedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Background: Suspension suture button fixation was frequently used to treat acromioclavicular joint (ACJ) dislocation. However, there were many studies reporting about complications and residual horizontal instability after fixation. Our study compared the stability of ACJ after fixation between coracoclavicular (CC) fixation alone and CC fixation combined with ACJ repair by using finite element analysis (FEA). Read More

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http://link.springer.com/10.1007/s00590-018-2186-y
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http://dx.doi.org/10.1007/s00590-018-2186-yDOI Listing
August 2018
16 Reads

[74-year-old man with a complex acromio-clavicular disjunction].

Rev Med Brux 2018;39(1):50-54

Service de Chirurgie orthopédique et Traumatologie, C.H.U. Tivoli, La Louvière.

Acromioclavicular dislocation is a frequent pathology commonly encountered in traumatology. Therefore, its management is generally standardized, guided by clinical and radiological evaluation. This can range from conservative treatment by limb immobilization and functional rehabilitation, to surgical treatment by using minimally invasive techniques. Read More

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http://dx.doi.org/10.30637/2018.17-014DOI Listing
September 2018
7 Reads

Shoulder Acromioclavicular and Coracoclavicular Ligament Injuries: Common Problems and Solutions.

Clin Sports Med 2018 Apr;37(2):197-207

Department of Orthopedic Surgery, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030, USA. Electronic address:

Injuries to the acromioclavicular joint and coracoclavicular ligaments are common. Many of these injuries heal with nonoperative management. However, more severe injuries may lead to continued pain and shoulder dysfunction. Read More

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http://dx.doi.org/10.1016/j.csm.2017.12.002DOI Listing
April 2018
6 Reads

Shoulder Injuries in National Collegiate Athletic Association Quarterbacks: 10-Year Epidemiology of Incidence, Risk Factors, and Trends.

Orthop J Sports Med 2018 Feb 22;6(2):2325967118756826. Epub 2018 Feb 22.

Department of Orthopedic Surgery, Mayo Clinic, Phoenix, Arizona, USA.

Background: Up to 50% of National Collegiate Athletic Association (NCAA) football players have a history of shoulder injuries. The quarterback position has been shown to have a high prevalence of these injuries because of its unique exposures. There is little information regarding the shoulder injury type and mechanism in NCAA quarterbacks. Read More

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http://dx.doi.org/10.1177/2325967118756826DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826001PMC
February 2018
38 Reads

Shoulder MRI Abnormalities in Asymptomatic Little League Baseball Players.

Orthop J Sports Med 2018 Feb 23;6(2):2325967118756825. Epub 2018 Feb 23.

Primary Care Sports Medicine, University of California-San Diego, San Diego,California, USA.

Background: Youth baseball is extremely popular in the United States, but it has been associated with shoulder pain and injury. The incidence of shoulder abnormalities in this athletic population has yet to be defined.

Purpose: To examine abnormalities noted on magnetic resonance imaging (MRI) in the shoulders of asymptomatic Little League baseball players and to correlate these findings with the players' throwing history and physical examinations. Read More

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http://dx.doi.org/10.1177/2325967118756825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826014PMC
February 2018
7 Reads

Operative Versus Non-operative Treatment of Grade III Acromioclavicular Joint Dislocations and the Use of SurgiLig: a Retrospective Review.

Ortop Traumatol Rehabil 2017 Dec;19(6):523-530

Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston Trauma and Orthopaedics Department.

Background: Acromioclavicular joint dislocations are common shoulder girdle injuries. The treatment of grade III acromioclavicular joint dislocations is controversial. Furthermore, the literature on the use of the Sur-giligTM synthetic ligament for reconstruction of dislocations is sparse. Read More

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https://ortopedia.com.pl/gicid/01.3001.0010.8043
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http://dx.doi.org/10.5604/01.3001.0010.8043DOI Listing
December 2017
23 Reads

Evolving Treatment Patterns of NFL Players by Orthopaedic Team Physicians Over the Past Decade, 2008-2016.

Sports Health 2018 Sep/Oct;10(5):453-461. Epub 2018 Feb 22.

Department of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado.

Background: Previous studies have analyzed the treatment patterns used to manage injuries in National Football League (NFL) players.

Hypothesis: Treatment patterns for injuries in NFL players will have changed over the study period.

Study Design: Descriptive epidemiology study. Read More

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http://dx.doi.org/10.1177/1941738118758312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116103PMC
September 2018
3 Reads

[Outcomes and complications of Tightrope button plate for repairing acromioclavicular dislocation].

Zhongguo Gu Shang 2017 Oct;30(10):946-951

Department of Orthopaedics, The First People's Hospital of Wenling Affiliated to Wenzhou Medical College, Wenling 317500, Zhejiang, China.

Objective: To study the clinical outcome and complications of Tightrope button plate for repairing acromioclavicular dislocation of Rockwood type III to V.

Methods: From May 2014 to December 2016, 17 patients with acromioclavicular dislocation of type III-V were treated with Tightrope button plate including 10 males and 7 females with an average age 39.8 years old ranging from 20 to 68 years old. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.10.013DOI Listing
October 2017
14 Reads

Comprehensive Examination of the Athlete's Shoulder.

Sports Health 2018 Jul/Aug;10(4):366-375. Epub 2018 Feb 14.

Section of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.

Context: Shoulder pain and dysfunction are common, with patients presenting complaints to both primary and orthopaedic physicians. History and physical examination remain essential to creating a differential diagnosis, even as noninvasive imaging has improved.

Evidence Acquisition: Literature was obtained through keyword searches based on the pathology in question (eg, rotator cuff) and the keywords physical examination using PubMed from January 1, 1980, through September 20, 2017. Read More

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http://dx.doi.org/10.1177/1941738118757197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044121PMC
July 2018
11 Reads

Modified Internal Fixation Technique for Acromio-Clavicular (AC) joint dislocation: The "Hidden Knot Technique".

Arch Bone Jt Surg 2018 Jan;6(1):81-84

Knee and Sport Medicine Research Center, Milad hospital, Tehran, Iran.

Acromioclavicular (AC) joint injuries are common and often seen in contact athletes, resulting from a fall on the shoulder tip with adducted arm. This joint is stabilized by both static and dynamic structures including the coracoclavicular (CC) ligament. Most reconstruction techniques focus on CC ligament augmentation as the primary stabilizer of the AC joint. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799607PMC
January 2018
5 Reads

Results of surgical treatment of acromioclavicular dislocations type III using modified Weaver Dunn technique.

Rev Esp Cir Ortop Traumatol 2018 Mar - Apr;62(2):93-99. Epub 2018 Feb 7.

Unidad de Miembro Superior, Hospital Fremap Majadahonda, Majadahonda, Madrid, España.

Objective: To evaluate the clinical and radiological results of the surgical treatment of type III acromioclavicular dislocations using the Weaver-Dunn technique in the delayed phase.

Material And Method: A non-randomised controlled retrospective observational study of 38 patients operated between January 2006 and December 2014. We excluded 10 patients due to death or non-localisation. Read More

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http://dx.doi.org/10.1016/j.recot.2017.11.002DOI Listing
October 2018
4 Reads

Modified closed-loop double-endobutton technique for repair of rockwood type III acromioclavicular dislocation.

Exp Ther Med 2018 Jan 10;15(1):940-948. Epub 2017 Nov 10.

Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan 646600, P.R. China.

Acromioclavicular dislocation (ACD) is a common injury. According to the Rockwood classification, ACD is classified into six types (type I-VI); however, for type III injuries, it remains controversial whether or not operative treatment should be applied. Numerous studies have advocated early surgical treatment to ensure early rehabilitation activities. Read More

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http://dx.doi.org/10.3892/etm.2017.5487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772745PMC
January 2018
5 Reads

Distal clavicle fracture radiography and treatment: a pictorial essay.

Emerg Radiol 2018 Jun 3;25(3):311-319. Epub 2018 Feb 3.

Department of Orthopedics and Sports Medicine, University of Washington, Seattle, WA, USA.

Fractures of the distal clavicle represent 15-30% of all clavicle fractures. The local osseoligamentous anatomy and deforming forces result in increased risk of delayed union and nonunion than fractures in other parts of the clavicle. These factors also contribute to challenges in fracture repair. Read More

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http://dx.doi.org/10.1007/s10140-018-1586-yDOI Listing
June 2018
4 Reads