1,946 results match your criteria Acromioclavicular Joint Injury


Acromioclavicular joint separation treated with clavicular hook plate: a study of radiological and functional outcomes.

Arch Orthop Trauma Surg 2020 Jun 25. Epub 2020 Jun 25.

Department of Trauma and Reconstructive Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Schnarrenbergstrasse 95, 72076, Tuebingen, Germany.

Introduction: ACJ separation is a common shoulder injury. A variety of surgical techniques for high-grade ACJ separations have been described. A commonly used technique represents open reduction and fixation by a hook plate. Read More

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http://dx.doi.org/10.1007/s00402-020-03521-4DOI Listing

Current practice in the management of acromioclavicular joint dislocations; a national survey in the Netherlands.

Eur J Trauma Emerg Surg 2020 Jun 13. Epub 2020 Jun 13.

Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.

Purpose: The aim of this study was to investigate current practice in the management of acromioclavicular joint dislocations in the Netherlands.

Methods: A 36-item literature-based and expert consensus survey was developed. If available, one orthopaedic and one trauma surgeon for every hospital (n = 82) in the Netherlands was asked to complete the online questionnaire. Read More

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http://dx.doi.org/10.1007/s00068-020-01414-0DOI Listing

Rehabilitation posture has no effect on the outcome of arthroscopically treated acromioclavicular dislocation.

Arthroscopy 2020 Jun 3. Epub 2020 Jun 3.

Physical medicine, Rheumatology and Rehabilitation department- Faculty of Medicine- Ain Shams University,cairo,Egypt.

Purpose: We aimed to assess the effect of the patient's posture (erect or supine) during the rehabilitation sessions on the pain, function and the CC (Coracoclavicular) distance after arthroscopic treatment of acromioclavicular (AC) joint dislocation.

Methods: Sixty patients with acute AC dislocation injury types, III and V, were randomly allocated into two groups according to their posture during the rehabilitation phase (Supine Rehabilitation Group; SRG, or Erect Rehabilitation Group; ERG). Arthroscopic stabilization with a suspensory fixation device was used for all the patients. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.05.043DOI Listing

Acromioclavicular joint dislocations: incidence, injury profile, and patient characteristics from a prospective case series.

JSES Int 2020 Jun 8;4(2):246-250. Epub 2020 Apr 8.

Department of Orthopedics, Lund University, Helsingborg Hospital, Helsingborg, Sweden.

Background: Acromioclavicular joint (ACJ) dislocations are common but evidence regarding the epidemiology of these injuries is incomplete. This study aims to describe the incidence, injury mechanisms, distribution of classifications, risk factors, and patient characteristics for ACJ dislocations in a general population.

Methods: Inclusion was performed prospectively during a 4-year period with the following criteria; age 18-75 years, shoulder trauma within 2 weeks, a clinical suspicion of ACJ dislocation, and radiographs that excluded fracture. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.01.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256880PMC

Surgical management of Rockwood type 3 acromioclavicular joint injuries: a retrospective comparison of outcomes of suture anchor fixation and double-button fixation techniques.

Medicine (Baltimore) 2020 May;99(21):e20312

Sağlik Bilimleri University Erzurum Regional Research and Training Hospital Department of Orthopaedics and Traumatology, Turkey.

The treatment of type 3 acromioclavicular joint injuries has still controversial issues. In this retrospective study, we aimed to compare the radiological and functional outcomes of the suture anchor and double-button fixation methods for the treatment of type 3 acromioclavicular joint injuries.This study included 20 patients who underwent suture anchor (9 patients) and double-button fixations (11 patients) for isolated type 3 acromioclavicular dislocation. Read More

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http://dx.doi.org/10.1097/MD.0000000000020312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249899PMC

Autologous, micro-fragmented adipose tissue as a treatment for chronic shoulder pain in a wheelchair using individual with spinal cord injury: a case report.

Spinal Cord Ser Cases 2019 05 13;5(1):46. Epub 2019 May 13.

Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, 183 S. Orange Avenue BHSB F-1556, Newark, NJ, 07103, USA.

Introduction: Shoulder pain is common in persons with chronic spinal cord injury (SCI), with a prevalence reported as high as 70%. Current treatment of shoulder pain includes conservative measures such as physical therapy, pain medications, patient education, injections, and assistive devices. When conservative treatments fail, shoulder surgery is often the next option. Read More

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http://dx.doi.org/10.1038/s41394-019-0186-8DOI Listing

High grade acromioclavicular injury: Comparison of arthroscopic assisted acromioclavicular joint fixation and anatomic acromioclavicular joint reconstruction.

J Orthop 2020 Nov-Dec;22:151-157. Epub 2020 Apr 25.

Department of Orthopaedics, Faculty of Medicine, Thammasat University Hospital, Thailand.

Background: Injuries to the acromioclavicular (AC) joint disrupting the AC and Coracoclavicular (CC) ligaments could lead to loss of clavicular strut function. A High-grade AC joint injury remain challenging because of highly variety of treatment and limited evidence exists comparing clinical outcomes and complications after surgery.

Purpose: The purpose of this study was to compare the clinical and radiological outcome after arthroscopic assisted acromioclavicular Joint fixation and anatomic acromioclavicular joint reconstruction. Read More

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http://dx.doi.org/10.1016/j.jor.2020.04.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200614PMC

Traumatic Floating Clavicle: Is This a Rare Injury?

Cureus 2020 Apr 3;12(4):e7525. Epub 2020 Apr 3.

Surgery, National and Kapodistrian University of Athens Medical School, Athens, GRC.

Bipolar clavicle dislocation is thought to be a rare injury pattern. Even experienced orthopaedic surgeons may have not come across this entity during their careers. We report a misdiagnosed case of a 65-year-old male who underwent a motorcycle accident and was surgically treated six months post-injury. Read More

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http://dx.doi.org/10.7759/cureus.7525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198073PMC

Acute acromioclavicular joint dislocation treated with tightrope : Mini-open versus percutaneous stabilization.

Acta Orthop Belg 2019 Dec;85(4):406-411

The purpose of this study was to compare prospecti- vely the radiographic and clinical results of patients treated with tightrope through either mini-open or percutaneous stabilization for acute AC joint injuries. Eighty patients were included in this study and were randomly divided into two groups. Group A included 40 injuries treated with mini-open repair. Read More

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December 2019

Editorial Commentary: Coracoclavicular Ligament Reconstruction. Double Up It Is?

Authors:
Erik Hohmann

Arthroscopy 2020 05;36(5):1271-1272

More than 100 surgical techniques have been described for the reconstruction of the coracoclavicular ligament complex. None of the techniques appears superior, but double-button fixation for acute high-grade acromioclavicular dislocations has become an attractive option. The clinical outcomes are good to excellent, and the return to physical activity and sport is above 90%. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.03.015DOI Listing

Open Acromioclavicular Joint Reconstruction With Semitendinosus Allograft Utilizing the Cerclage Technique.

Arthrosc Tech 2020 Apr 13;9(4):e505-e511. Epub 2020 Mar 13.

Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, Michigan, U.S.A.

Acromioclavicular (AC) joint injuries most commonly occur in young males after a direct injury at the acromion. General consensus stresses nonoperative treatment for type I and II injuries and surgical treatment for types IV through VI, whereas management of type III injuries is more controversial. If surgery is indicated, there are multiple techniques including hook plate, screw fixation, coracoclavicular fixation, and anatomic and nonanatomic reconstruction. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189343PMC

Radiographic alterations in clavicular bone tunnel width following anatomic coracoclavicular ligament reconstruction (ACCR) for chronic acromioclavicular joint injuries.

Knee Surg Sports Traumatol Arthrosc 2020 Apr 25. Epub 2020 Apr 25.

Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.

Purpose: To evaluate tunnel widening and its relationship in loss of reduction and clinical outcomes in patients undergoing anatomic coracoclavicular ligament reconstruction (ACCR) using free tendon grafts for chronic acromioclavicular (AC) joint injuries.

Methods: A retrospective chart review was performed on patients undergoing ACCR for type III-VI AC joint injuries between January 2003 and December 2017. For radiographic analysis, pre- and post-operative coracoclavicular distance (CCD) and tunnel width of the medial and lateral clavicular bone tunnel were measured at the earliest (EPO) and latest postoperative follow-up (LPO). Read More

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http://dx.doi.org/10.1007/s00167-020-05980-zDOI Listing

[Fracture diagnosis: upper extremities : Shoulder and shoulder girdle].

Radiologe 2020 Jun;60(6):541-548

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Hannover, Deutschland.

Background: The shoulder girdle is a chain of bones and joints which connect the upper extremity to the axial skeleton. The shoulder as a biomechanical unit has a remarkable range of motion and is therefore frequently prone to injuries of the three major joints (sternoclavicular joint, acromioclavicular joint, glenohumeral joint) and the bony elements (clavicle, scapula, humerus). Projection radiography is still the first imaging modality for injuries of the shoulder and usually sufficient for initial diagnosis and injury classification. Read More

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http://dx.doi.org/10.1007/s00117-020-00682-6DOI Listing

Recurrent acromioclavicular joint dislocation with an associated coracoid fracture following acromioclavicular joint reconstruction.

Ann R Coll Surg Engl 2020 Jul 24;102(6):e136-e140. Epub 2020 Apr 24.

Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Acromioclavicular joint injuries are common and account for up to 12% of all shoulder girdle injuries and have been reported as being as high as 50% in sports-related shoulder injuries. While the majority of acromioclavicular joint dislocations can be treated non-operatively, there are certain injury configurations, which can include high-grade dislocations in overhead athletes, where surgery may be indicated. The surgical management of acromioclavicular joint instability has moved towards recreating the action of the coracoclavicular ligaments by resuspending the clavicle on to the coracoid. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0051DOI Listing

Needle Length Requirement for Glenohumeral Joint Injection Using the Neviaser Approach.

Orthopedics 2020 Apr 9:1-4. Epub 2020 Apr 9.

Intra-articular glenohumeral joint injections are commonly performed in the clinical setting for diagnostic and therapeutic purposes. Multiple approaches are described, including the anterior and posterior approaches and the less studied superomedial (Neviaser) approach. The purpose of this study was to determine the length of needle required to enter the shoulder joint via the Neviaser approach by radiography and magnetic resonance imaging (MRI) measurements. Read More

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http://dx.doi.org/10.3928/01477447-20200404-02DOI Listing

Young men in sports are at highest risk of acromioclavicular joint injuries: a prospective cohort study.

Knee Surg Sports Traumatol Arthrosc 2020 Apr 8. Epub 2020 Apr 8.

Division of Orthopaedic Surgery, Oslo University Hospital, Nydalen, Pb 4950, 0424, Oslo, Norway.

Purpose: To study the incidence of acromioclavicular joint injuries in a general population.

Methods: All acute shoulder injuries admitted to an orthopaedic emergency department were registered prospectively, using electronic patient records and a patient-reported questionnaire. The regional area was the city of Oslo with 632,990 inhabitants. Read More

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http://dx.doi.org/10.1007/s00167-020-05958-xDOI Listing

The frequency of reduction loss after arthroscopic fixation of acute acromioclavicular dislocations using a double-button device, and its effect on clinical and radiological results.

J Orthop Surg Res 2020 Apr 8;15(1):136. Epub 2020 Apr 8.

Department of Orthopedics and Traumatology, Istanbul Training and Research Hospital, 34098 Fatih, Istanbul, Turkey.

Background: The aim of this study was to investigate the effect of reduction loss of more than 3 mm on clinical and radiological results after at least 2 years of follow-up after arthroscopic fixation of acute acromioclavicular joint dislocations using a double-button device.

Methods: Thirty-six patients who had acute (< 3 weeks old), type III or V acromioclavicular (AC) joint dislocations underwent arthroscopic fixation of the AC joint using a double-button device. Clinical and radiological evaluations were performed at preoperative, postoperative first day, 3 months and last follow-up. Read More

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http://dx.doi.org/10.1186/s13018-020-01674-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144043PMC

[Acromioclavicular dislocation management with use of Tight Rope luxation acromioclavicular con Tight Rope].

Acta Ortop Mex 2019 Sep-Oct;33(5):314-318

Unidad Médica de Alta Especialidad (UMAE), Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social (IMSS). Puebla, México.

Introduction: The acromioclavicular joint, important part of the shoulder complex is formed by clavicular lateral end and acromial medial border, with high index of injury in different grades, associated to physical activity and work accidents, most commonly in active young adults.

Objective: To analyze functional outcomes in patients with acromioclavicular dislocation with use of tight rope in one year. Material and methods: Descriptive, prospective, longitudinal, unicentric study, from March 2015 and July 2016 in post-operated patients with diagnosis of acromioclavicular dislocation grade III in Hospital de Traumatología y Ortopedia de Puebla. Read More

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Arthroscopic treatment of type II superior labral anterior to posterior (SLAP) lesions in a younger population: minimum 2-year outcomes are similar between SLAP repair and biceps tenodesis.

Knee Surg Sports Traumatol Arthrosc 2020 Apr 6. Epub 2020 Apr 6.

Department of Orthopaedic Surgery, Northwestern University, Lavin Family Pavilion, 259 E. Erie St. 13th Fl., Chicago, IL, 60611, USA.

Purpose: Compared to a relatively older population over 30-40 years of age, the efficacy of biceps tenodesis for type II SLAP lesions in a younger population is not well studied. The purpose of this study was to compare outcomes between biceps tenodesis and labral repair for type II SLAP lesions in a young active population.

Methods: Patients aged 15-40 who underwent primary arthroscopic biceps tenodesis or SLAP repair for type II SLAP tears between 2009 and 2016 were included. Read More

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http://dx.doi.org/10.1007/s00167-020-05971-0DOI Listing

[Anatomical reconstruction of the acromioclavicular joint using autologous semitendinosus graft: modified surgical technique].

Acta Ortop Mex 2019 Jul-Aug;33(4):247-251

Hospital de Ortopedia. Unidad Médica de Alta Especialidad (UMAE) «Dr. Victorio de la Fuente Narváez», Instituto Mexicano del Seguro Social (IMSS). Colector 15 s/n (Av. Fortuna), Esq. Av. Politécnico Nacional, Col. Magdalena de las Salinas, Alcaldía. Gustavo A. Madero, CP 07760, Ciudad de México. México.

Introduction: Dislocation of the acromioclavicular joint is a common injury, which is observed mainly in young adults; indications for surgical management and the most appropriate technique remain controversial.

Material And Methods: We present a surgical technique, whose objective is the anatomical reconstruction of the coracoclavicular ligaments with autologous semitendinous graft, without tunnels in the collarbone and without fixing devices.

Results: This technique is reliable for stabilizing the joint in the short term and we consider that it could neutralize the anteroposterior translation of the distal collarbone. Read More

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Results of acromioclavicular joint reconstruction using a novel minimally invasive technique.

Ulus Travma Acil Cerrahi Derg 2020 Mar;26(2):260-264

Departmant of Orthopaedics and Traumatology, Shoulder Division Johns Hopkins University, MD-USA.

Background: AC joint injury is a common disorder with a reported incidence of three to four cases per 100.000. A multitude of surgical techniques has been described for the treatment of the AC joint injuries with no clear consensus regarding the optimal treatment. Read More

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http://dx.doi.org/10.14744/tjtes.2019.36897DOI Listing

The prevalence of intraarticular associated lesions after acute acromioclavicular joint injuries is 20%. A systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc 2020 Mar 16. Epub 2020 Mar 16.

Unidad de Bioestadística Clínica, Hospital Ramón Y Cajal, IRYCIS, CIBERESP, Madrid, Spain.

Purpose: To synthesise the evidence on the prevalence of associated intraarticular lesions in subjects with acute acromioclavicular joint (ACJ) dislocations.

Methods: A search in two electronic databases (PUMBMED and EMBASE) was performed from 1985 to 2019. Two independent reviewers selected studies that complied with the following inclusion criteria: (1) the study included data on surgically treated ACJ dislocation grade III-V in the Rockwood classification, (2) the ACJ injuries were acute (the surgery was performed less than 6 weeks after injury), (3) an arthroscopic evaluation of the glenohumeral joint was performed during surgery. Read More

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http://dx.doi.org/10.1007/s00167-020-05917-6DOI Listing

[Open reduction and internal fixation for multiple injuries of superior shoulder suspensory complex with coracoid process fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Mar;34(3):347-351

Department of Orthopedics, Sichuan Academy of Medical Science · Sichuan Provincial People's Hospital, Chengdu Sichuan, 610072, P.R.China.

Objective: To investigate the effectiveness of open reduction and internal fixation for multiple injuries of superior shoulder suspensory complex (SSSC) with coracoid process fracture.

Methods: Between January 2014 and October 2018, 22 patients with multiple injuries of SSSC with coracoid process fracture were treated by open reduction and internal fixation. There were 16 males and 6 females, aged from 24 to 72 years with an average age of 36. Read More

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http://dx.doi.org/10.7507/1002-1892.201908098DOI Listing

Surgical treatment of acute Rockwood III acromioclavicular dislocations-Comparative study between two flip-button techniques.

Sci Rep 2020 Mar 10;10(1):4447. Epub 2020 Mar 10.

Wujin TCM Hospital affiliated to Nanjing University of Chinese Medicine, 699#, Renmin Road, Changzhou, 213161, Jiangsu, China.

Acromioclavicular joint dislocation is a common shoulder injury, usually caused by direct violence on the shoulder. Optimal treatment of type III is still a hot discussion currently in orthopedic surgeons. With the advent of many flip-button techniques, Tightrope system and Endobutton system become popular techniques for reconstruction of coracoclavicular ligaments. Read More

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http://dx.doi.org/10.1038/s41598-020-61488-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064491PMC

Improved identification of unstable acromioclavicular joint injuries in a clinical population using the acromial center line to dorsal clavicle radiographic measurement.

J Shoulder Elbow Surg 2020 Mar 5. Epub 2020 Mar 5.

Shoulder, Elbow and Orthopaedic Sports Medicine, Orthopaedics Sonnenhof, Bern, Switzerland; Stiftung Lindenhof I Campus SLB, Swiss Institute for Translational and Entrepreneurial Medicine, Bern, Switzerland. Electronic address:

Background: Accurate classification and subsequent management of acromioclavicular (AC) joint injuries remains a contentious topic. The updated Rockwood classification acknowledges "stable IIIA" and "unstable IIIB" injuries, a watershed accepted by ISAKOS and important in guiding clinical management. Traditionally, the coracoclavicular distance is used to classify these injuries, despite well-documented limitations. Read More

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http://dx.doi.org/10.1016/j.jse.2019.12.014DOI Listing

Does the ZipTightTM effective to maintain reduction after the treatment of acute acromioclavicular joint dislocation?

Medicine (Baltimore) 2020 Feb;99(9):e19387

Sakarya Üniversitesi Eğitim ve Araştirma Hastanesi Ortopedi ve Travmatoloji Anabilim Dali, Sakarya.

Background: The present study evaluated the functional and radiographic outcomes of acute acromioclavicular (AC) joint reconstruction performed using the mini-open technique and a knotless suspensory loop device METHODS:: A total of 25 patients (20 male and 5 female patients; mean age, 30.7 years; standard deviation, 10 years; range, 17-57 years) who fulfilled the inclusion criteria were included in the study. A functional assessment was performed using the Constant and University of California Los Angeles score. Read More

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http://dx.doi.org/10.1097/MD.0000000000019387DOI Listing
February 2020

The Relationship Between the Clinical and Radiological Findings and the Outcomes of Early Surgical Treatment After Tossy Type III Acromioclavicular Joint Dislocation.

Cureus 2020 Jan 16;12(1):e6681. Epub 2020 Jan 16.

Clinic of Rheumatology, Orthopaedics Traumatology and Reconstructive Surgery, Vilnius University Faculty of Medicine, Vilnius, LTU.

Background Acromioclavicular joint (ACJ) dislocation is a common injury among young and physically active persons. Evaluating surgical outcomes clinically and radiographically is widely accepted, but it is not known which clinical tests or radiological indicators are the most important. Our hypothesis is that there is a significant correlation between clinical and radiological findings and outcomes after the early surgical treatment of Tossy type III ACJ dislocation. Read More

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http://dx.doi.org/10.7759/cureus.6681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041650PMC
January 2020

[Heterotopic ossification of coracoclavicular space after acromioclavicular joint dislocation:a case report].

Zhongguo Gu Shang 2020 Jan;33(1):75-7

Department of Upper Extremity, Quanzhou Orthopaedic Hospital, Quanzhou 362000, Fujian, China.

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http://dx.doi.org/10.3969/j.issn.1003-0034.2020.01.014DOI Listing
January 2020

The changing incidence of arthroscopic subacromial decompression in Scotland.

Bone Joint J 2020 Mar;102-B(3):360-364

Glasgow Royal Infirmary, Glasgow, UK.

Aims: The aim of this study was to examine the recent trend in delivery of arthroscopic subacromial decompression (ASD) in Scotland and to determine if this varies by geographical location.

Methods: Scottish Morbidity Records were reviewed retrospectively between March 2014 and April 2018 to identify records for every admission to each NHS hospital. The Office of Population Censuses and Surveys (OPCS-4) surgical codes were used to identify patients undergoing primary ASD. Read More

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http://dx.doi.org/10.1302/0301-620X.102B3.BJJ-2019-0752.R2DOI Listing

Combined proximal humerus fracture and acromioclavicular joint injury: A case report.

Int J Surg Case Rep 2020 22;68:52-58. Epub 2020 Feb 22.

Department of Orthopaedic Surgery and Physical Medicine, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90112, Thailand. Electronic address:

Introduction: Both the proximal humerus fracture and the acromioclavicular (AC) joint injury are commonly found in shoulder girdle injuries but there are no reports of them presenting together. The mechanism of the AC joint injury is similar to that of the proximal humerus fracture, a lateral impact to the shoulder girdle, but the arm positions are different, as the AC injury usually involves an adducted arm while the proximal humerus fracture normally occurs with the arm in a neutral position. Herein we report, to our knowledge, the first case of a combined proximal humerus fracture and AC joint injury. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049572PMC
February 2020

Acromioclavicular and Coracoclavicular Ligament Reconstruction for Acromioclavicular Joint Instability.

JBJS Essent Surg Tech 2019 Oct-Dec;9(4). Epub 2019 Oct 9.

The Steadman Clinic and The Steadman Philippon Research Institute, Vail, Colorado.

Numerous operative techniques have been described for acromioclavicular and coracoclavicular ligament reconstruction for the treatment of acromioclavicular joint instability. Injuries of this nature are commonly sustained by contact-sport athletes in high-impact collisions or falls. Traumatic injury to the acromioclavicular joint and ligamentous structures can range in severity, as can the degree of subsequent joint instability. Read More

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http://dx.doi.org/10.2106/JBJS.ST.18.00088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974305PMC
October 2019

Clavicle Trauma: From Acromioclavicular Joint Injuries to Distal Clavicle Fractures and Midshaft Fractures in Contact Athletes.

Instr Course Lect 2019 ;68:41-52

Injuries to the clavicle and its articulations (the acromioclavicular and sternoclavicular joints) are becoming increasingly common. Conventional treatment has been dominated by nonsurgical techniques; however, the active patient was often left with substantial residual disability that was underreported. It is now recognized that surgical intervention may be advantageous in specific patients, especially athletes. Read More

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February 2020

Clavicle Elevation or Shoulder Girdle Depression in Acromioclavicular Joint Dislocation: A Radiological Investigation.

Orthop J Sports Med 2019 Nov 7;7(11):2325967119879927. Epub 2019 Nov 7.

Clinic of Trauma Surgery, University Medical Center Regensburg, Regensburg, Germany.

Background: The side-comparative coracoclavicular (CC) distance is used to describe the vertical instability component of acute acromioclavicular (AC) joint dislocations. Elevation of the clavicle or a depression of the shoulder girdle can lead to an increased CC distance. The dislocation direction has not yet been investigated and is not included in common classification systems. Read More

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http://dx.doi.org/10.1177/2325967119879927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967197PMC
November 2019

What Outcome Measures Are Reported in the Management of Acromioclavicular Joint Injuries?

Orthop J Sports Med 2020 Jan 8;8(1):2325967119892322. Epub 2020 Jan 8.

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

Background: Lack of uniformity in reported outcomes makes comparisons between acromioclavicular joint (ACJ) injury studies challenging. Knowledge of common outcome measures and standardization will help orthopaedic surgeons report and compare outcomes more consistently.

Purpose: To identify the most commonly reported outcome measures for ACJ injuries. Read More

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http://dx.doi.org/10.1177/2325967119892322DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950540PMC
January 2020

Ultrasound-guided percutaneous treatment of a calcific acromioclavicular joint: A case report.

Medicine (Baltimore) 2020 Jan;99(1):e18645

Sport and Exercise Research Unit, Department of Psychological, Pedagogical and Educational Sciences, University of Palermo.

Rationale: Calcific tendinopathy is one of the most frequent causes of nontraumatic shoulder pain. However, intra-articular calcifications appear to be an infrequent condition. We herein report a rare case study of an intra-articular calcification of the acromioclavicular joint. Read More

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http://dx.doi.org/10.1097/MD.0000000000018645DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946315PMC
January 2020

Distal Clavicular Augmentation with Acromioclavicular and Coracoclavicular Ligament Reconstruction in the Setting of Iatrogenic Induced Acromioclavicular Instability.

Arthrosc Tech 2019 Dec 25;8(12):e1583-e1589. Epub 2019 Nov 25.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

Although chronic pain and dysfunction of the acromioclavicular (AC) joint can reliably be treated with distal clavicle excision, disruption of the local stabilizing ligamentous structures may result in iatrogenic instability of the joint. Iatrogenic AC joint instability is a rare condition caused by over resection of the distal clavicle with unintended injury to the stabilizing ligaments in the treatment of AC joint pain. Addressing postresection instability can prove to be difficult because most reconstruction techniques are intended for patients with traumatic AC joint instability with the goal of creating an anatomically stable joint. Read More

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http://dx.doi.org/10.1016/j.eats.2019.08.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6930955PMC
December 2019

Functional and Radiological Outcomes of the Surgical Treatment of Acute Acromioclavicular Dislocation with Anchors Associated with Clavicle and Scapula Fixation.

Rev Bras Ortop (Sao Paulo) 2019 Dec 23;54(6):649-656. Epub 2019 Sep 23.

Departamento de Cirurgia, Universidade Federal Fluminense (UFF), Niterói, RJ, Brasil.

 To evaluate the clinical, radiological and functional results of the surgical treatment of acute acromioclavicular dislocation using a coracoclavicular fixation technique (syndesmopexy) with two metallic anchors, temporary clavicle and scapula fixation, and transfer of the coracoacromial ligament.  Longitudinal observational study of 30 patients with diagnoses of acute acromioclavicular dislocation, who were submitted to surgical treatment with a minimum follow-up of six months, and who were evaluated clinically, radiologically, and by the University of California at Los Angeles (UCLA), the Disabilities of the Arm, Shoulder and Hand (DASH) and the Constant-Murley functional scores.  The mean values of the scores were: UCLA = 32; DASH = 11. Read More

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http://dx.doi.org/10.1055/s-0039-1697020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923650PMC
December 2019

[Misdiagnosis of sternoclavicular joint dislocation combined with acromioclavicular joint dislocation and coracoid process fracture:a case report].

Zhongguo Gu Shang 2019 11;32(11):1063-1065

The First Department of Orthopaedics, Shaoxing Shangyu People's Hospital, Shangyu 312300, Zhejiang, China.

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.11.017DOI Listing
November 2019

Contralateral migration of Kirschner wire from right acromioclavicular joint to left side of neck: a case report.

J Med Case Rep 2019 Dec 11;13(1):375. Epub 2019 Dec 11.

Department of Otorhinolaryngology - Head and Neck Surgery, Kaohsiung Medical University Hospital, No.100, TzYou 1st Road, Kaohsiung City, 807, Taiwan.

Background: Kirschner wire migration is one of the most common complications after internal fixation of fracture or dislocation in the shoulder region. However, cases of contralateral wire migration are rare. We present a case of contralateral loosened Kirschner wire migration from the right acromioclavicular joint to the left side of the neck without damage to any important structures or great vessels. Read More

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http://dx.doi.org/10.1186/s13256-019-2279-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6905056PMC
December 2019

Functional and Radiographic Outcomes After Anatomic Coracoclavicular Ligament Reconstruction for Type III/V Acromioclavicular Joint Injuries.

Orthop J Sports Med 2019 Nov 26;7(11):2325967119884539. Epub 2019 Nov 26.

Department of Orthopedic Surgery, UConn Health, Farmington, Connecticut, USA.

Background: Acromioclavicular (AC) joint separation is a common injury. The anatomic coracoclavicular ligament reconstruction (ACCR) technique is a viable treatment option, designed to restore the native joint anatomy.

Purpose: To evaluate the clinical and radiographic outcomes of patients undergoing ACCR for the treatment of type III and V AC joint injuries with a minimum 2-year follow-up. Read More

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http://dx.doi.org/10.1177/2325967119884539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6880036PMC
November 2019

Outcomes of Primary Biceps Subpectoral Tenodesis in an Active Population: A Prospective Evaluation of 101 Patients.

Arthroscopy 2019 12;35(12):3205-3210

Rockwood Sports Orthopedics, Spokane Valley, Washington, U.S.A.

Purpose: To evaluate the surgical outcomes of a primary subpectoral biceps tenodesis for long head of the biceps tendon (LHBT) pathology in a large cohort of prospectively, serially collected, patients in a young active population that has known high physical demands and requirements of their shoulder to perform their vocation.

Methods: A retrospective review of prospectively collected data from an active military personnel with a diagnosis of a Type II SLAP tear or biceps tenosynovitis was performed. Outcomes were evaluated at a minimum follow-up time of 18 months based on preoperative and postoperative assessments of the Single Assessment Numeric Evaluation, Western Ontario Rotator Cuff index, biceps position, and return to active duty. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.06.035DOI Listing
December 2019

The Emergent Evaluation and Treatment of Shoulder, Clavicle, and Humerus Injuries.

Emerg Med Clin North Am 2020 Feb;38(1):103-124

Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, 211 East Ontario Street, Suite 200, Chicago, IL 60611, USA; United States Soccer Federation.

Shoulder pain is a common presentation in the emergency department. The list of differential diagnoses is broad. This article summarizes common diagnoses of shoulder pain, including bony, infectious, and connective tissue pathologies and their proper treatment. Read More

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http://dx.doi.org/10.1016/j.emc.2019.09.006DOI Listing
February 2020

Surgical Management of Shoulder Heterotopic Ossification.

Arthrosc Tech 2019 Sep 18;8(9):e1057-e1062. Epub 2019 Sep 18.

Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.

The formation of heterotopic ossification around the shoulder is a rare but potentially debilitating condition. It is found most commonly around the hip and is usually associated with an inciting event such as trauma, burn, previous surgery, or traumatic brain/spinal cord injury. The formation of shoulder heterotopic ossification following arthroscopic surgery is very uncommon, with few data pertaining to it in the current literature. Read More

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http://dx.doi.org/10.1016/j.eats.2019.05.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848966PMC
September 2019

Effect of affective temperament on outcome of rotator cuff surgery.

Orthop Traumatol Surg Res 2019 12 13;105(8):1549-1553. Epub 2019 Nov 13.

Department of Orthopedic Surgery, Etimesgut Şehit Sait Ertürk State Hospital, Ankara, Turkey.

Introduction: Although numerous risk factors have been described, the effects of temperament, which is defined as a risk factor for certain disorders, on the outcome of patients undergoing rotator cuff surgery have not been investigated.

Hypothesis: We investigated whether a relationship exists between affective temperament and the outcome of patients undergoing rotator cuff surgery.

Material And Methods: The outcomes of 176 patients undergoing rotator cuff surgery were examined using the Oxford and Constant questionnaires as well as visual analog scale values preoperatively and postoperatively. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.09.019DOI Listing
December 2019

The Coupled Kinematics of Scapulothoracic Upward Rotation.

Phys Ther 2020 02;100(2):283-294

PhD, Department of Rehabilitation Medicine, University of Minnesota.

Background: Scapulothoracic upward rotation (UR) is an important shoulder complex motion allowing for a larger functional work space and improved glenohumeral muscle function. However, the kinematic mechanisms producing scapulothoracic UR remain unclear, limiting the understanding of normal and abnormal shoulder movements.

Objective: The objective of this study was to identify the coupling relationships through which sternoclavicular and acromioclavicular joint motions contribute to scapulothoracic UR. Read More

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http://dx.doi.org/10.1093/ptj/pzz165DOI Listing
February 2020

Prevalence of MRI Shoulder Abnormalities in Asymptomatic Professional and Collegiate Ice Hockey Athletes.

Orthop J Sports Med 2019 Oct 10;7(10):2325967119876865. Epub 2019 Oct 10.

Department of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.

Background: The literature demonstrates a high prevalence of asymptomatic knee and hip findings on magnetic resonance imaging (MRI) in athletes. Baseball pitchers are shown to have a high prevalence of asymptomatic shoulder MRI findings, but the incidence of asymptomatic shoulder MRI findings has not been systematically evaluated in nonthrowing contact athletes.

Purpose/hypothesis: The purpose of this study was to determine the prevalence of shoulder abnormalities in asymptomatic professional and collegiate hockey players. Read More

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http://journals.sagepub.com/doi/10.1177/2325967119876865
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http://dx.doi.org/10.1177/2325967119876865DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787880PMC
October 2019
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Autologous, micro-fragmented adipose tissue as a treatment for chronic shoulder pain in a wheelchair using individual with spinal cord injury: a case report.

Spinal Cord Ser Cases 2019 13;5:46. Epub 2019 May 13.

1Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, 183 S. Orange Avenue BHSB F-1556, Newark, NJ 07103 USA.

Introduction: Shoulder pain is common in persons with chronic spinal cord injury (SCI), with a prevalence reported as high as 70%. Current treatment of shoulder pain includes conservative measures such as physical therapy, pain medications, patient education, injections, and assistive devices. When conservative treatments fail, shoulder surgery is often the next option. Read More

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http://dx.doi.org/10.1038/s41394-019-0186-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786308PMC
June 2020
7 Reads

Minimally Invasive AC Joint Reconstruction System (MINAR) in Modified Triple-Button Technique for the Treatment of Acute AC Joint Dislocation.

J Clin Med 2019 Oct 15;8(10). Epub 2019 Oct 15.

Department of Orthopedics and Trauma Surgery, Klinikum Wels-Grieskirchen, 4600 Wels, Austria.

Acute acromioclavicular (AC) joint dislocation is a frequent sports injury with more than 100 different operation methods described. A total of 65 patients with an acute AC joint dislocation were treated with the modified MINAR system between 2009 and 2013. Clinical outcome, horizontal and vertical instability, as well as concomitant intraarticular injuries were assessed. Read More

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http://dx.doi.org/10.3390/jcm8101683DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832357PMC
October 2019
2 Reads