1,821 results match your criteria Acromioclavicular Joint Injury


Horizontal Instability of the Acromioclavicular Joint: A Systematic Review.

Am J Sports Med 2019 Apr 23:363546519831013. Epub 2019 Apr 23.

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

Background: Injuries to the acromioclavicular (AC) joint are common and should be suspected in patients who have shoulder pain in the region of the acromion and clavicle. Injuries to the AC ligament can cause horizontal instability and are often neglected or underdiagnosed, which can lead to poor patient outcomes.

Purpose: To perform a systematic review of the literature on the diagnosis and treatment of horizontal instability of the AC joint. Read More

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http://dx.doi.org/10.1177/0363546519831013DOI Listing
April 2019
6 Reads

The gracilis tendon autograft is a safe choice for orthopedic reconstructive procedures: a consecutive case series studying the effects of tendon harvesting.

BMC Musculoskelet Disord 2019 Mar 30;20(1):138. Epub 2019 Mar 30.

Department of Orthopedics, Helsingborg Hospital, Helsingborg, Sweden.

Background: The gracilis tendon is commonly used as an autograft to reconstruct torn tendons or ligaments in many parts of the body. Little is known about the subjective and functional outcome after gracilis tendon harvest. The aim of this study was to evaluate the outcome of the donor leg in patients undergoing such surgery. Read More

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http://dx.doi.org/10.1186/s12891-019-2520-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441161PMC
March 2019
3 Reads

Clavicle and coracoid process periprosthetic fractures as late post-operative complications in arthroscopically assisted acromioclavicular joint stabilization.

Knee Surg Sports Traumatol Arthrosc 2019 Mar 21. Epub 2019 Mar 21.

Centre for Shoulder and Elbow Surgery, ATOS Clinic Munich, Munich, Germany.

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. Read More

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http://dx.doi.org/10.1007/s00167-019-05482-7DOI Listing
March 2019
4 Reads

The Diagnosis and Treatment of Acute Dislocation of the Acromioclavicular Joint.

Dtsch Arztebl Int 2019 Feb;116(6):89-95

German Center of Shoulder Surgery, ATOS Clinic Munich, Department of Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany; Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany; Upper Extremity Department, Schulthess Clinic Zurich; Center for Musculoskeletal Surgery (CMSC), Charité-University Medicine Berlin, Berlin, Germany; Department of Orthopedic Surgery, Alfried Krupp Hospital Essen, Essen, Germany; Department of Sports Orthopedics, Marienkrankenhaus Kaiserswerth, Düsseldorf, Germany; Department of Orthopedics and Trauma Surgery, University Hospital Freiburg, Freiburg, Germany; The authors are members of the Shoulder Committee of the German Society of Arthroscopy and Joint Surgery (AGA, Deutsche Gesellschaft für Arthroskopie und Gelenkchirurgie).

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. Read More

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http://dx.doi.org/10.3238/arztebl.2019.0089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435864PMC
February 2019
1 Read

Outcomes and function of conoid ligament on the basis of postoperative radiographic findings of arthroscopic stabilization for the distal clavicle fractures.

Orthop Traumatol Surg Res 2019 Apr 12;105(2):281-286. Epub 2019 Mar 12.

Department of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku Shinjuku-ku, 160-0023 Tokyo, Japan.

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568193003
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http://dx.doi.org/10.1016/j.otsr.2018.12.005DOI Listing
April 2019
8 Reads

Acromioclavicular joint injuries in overhead athletes: a concise review of injury mechanisms, treatment options, and outcomes.

Curr Rev Musculoskelet Med 2019 Feb 26. Epub 2019 Feb 26.

University of Nebraska Medical Center, 985640, Omaha, NE, 68198, USA.

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. Read More

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http://link.springer.com/10.1007/s12178-019-09542-w
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http://dx.doi.org/10.1007/s12178-019-09542-wDOI Listing
February 2019
12 Reads

Analysis of risk factors for loss of reduction after acromioclavicular joint dislocation treated with the suture-button.

J Orthop Sci 2019 Feb 16. Epub 2019 Feb 16.

Department of Orthopaedic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.jos.2019.01.014DOI Listing
February 2019
5 Reads

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
5 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394808PMC
February 2019
15 Reads

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

Ann R Coll Surg Engl 2019 Mar 3;101(3):e79-e83. 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400920PMC
March 2019
6 Reads

Clavicular non-union treated with fixation using locking compression plate without bone graft.

J Orthop Surg Res 2018 Dec 13;13(1):317. Epub 2018 Dec 13.

Department of Orthopedic Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China.

Background: The articles that have reported on the size at which a segmental defect of clavicular non-union requires bone grafting are scarce. This study evaluated the functional and radiologic results of fixation by locking compression plate (LCP) without bone graft when the defect size is less than 2 cm following bone sclerosis removal for the treatment of clavicular non-union.

Methods: The study included 17 patients with mid-shaft clavicular non-union. Read More

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http://dx.doi.org/10.1186/s13018-018-1015-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292160PMC
December 2018
3 Reads

Clavicle duplication following physeal injury.

Surg Radiol Anat 2019 Apr 8;41(4):373-376. 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
April 2019
6 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
16 Reads

The bra strap incision in the open Latarjet procedure.

J Orthop Surg Res 2018 Nov 29;13(1):304. Epub 2018 Nov 29.

Department of Orthopaedics, University of Zurich, Balgrist University Hospital, Forchstrasse 340, CH-8008, Zürich, Switzerland.

Background: The anterior deltopectoral approach is the standard approach for performing the open Latarjet procedure. Through the use of a more medial and vertical skin incision, the scar can be cosmetically covered by the bra strap in women. We call this incision the bra strap incision. Read More

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http://dx.doi.org/10.1186/s13018-018-1006-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262962PMC
November 2018
5 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
7 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
31 Reads

Evaluation and Management of Grade III Acromioclavicular Joint Separations.

Curr Sports Med Rep 2018 Nov;17(11):358-359

Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL.

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http://dx.doi.org/10.1249/JSR.0000000000000530DOI Listing
November 2018
8 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
13 Reads

Analysis of the bony geometry of the acromio-clavicular joint.

Eur J Med Res 2018 Oct 23;23(1):50. Epub 2018 Oct 23.

Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany, Ismaninger Strasse 22, 81675, Munich, Germany.

Background: The primary goal of this study was to analyse the anatomic configuration of the acromio-clavicular joint in a healthy population to be able to develop a classification in a second step. On the basis of the primary findings a secondary goal was to find potential clinical indications in refer to AC-joint dislocation and lateral clavicle fractures.

Methods: The upper thoracic aperture including both shoulder joints as well as both sterno-clavicular joints was retrospectively reformatted in a bone kernel in axial orientation with 0. Read More

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https://eurjmedres.biomedcentral.com/articles/10.1186/s40001
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http://dx.doi.org/10.1186/s40001-018-0348-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198440PMC
October 2018
25 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
22 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
15 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
8 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
18 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
11 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
3 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
4 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
26 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
9 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
20 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
4 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
4 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
18 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
12 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
10 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
10 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
23 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
46 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
50 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
33 Reads

A retrospective comparative study of arthroscopic fixation in acute Rockwood type IV acromioclavicular joint dislocation: single versus double paired Endobutton technique.

BMC Musculoskelet Disord 2018 May 24;19(1):170. Epub 2018 May 24.

Department of Sports Medicine, Shenzhen Second People's Hospital, Shenzhen First Affiliated Hospital, Shenzhen University, No.3002 Sungang West Road, Futian district, Shenzhen City, 518000, Guangdong Province, China.

Background: Rockwood type IV acromioclavicular joint (ACJ) dislocation is a trauma usually needs surgical treatment. Paired EndoButton technique (PET) is used in treating such condition. However, the effect of using different types of PET (single versus double PET) for fixation remains controversial. Read More

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http://dx.doi.org/10.1186/s12891-018-2104-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968503PMC
May 2018
13 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
8 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
9 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
9 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
6 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
10 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
5 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
26 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
29 Reads