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Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures
- Source :
- EFORT Open Reviews. 3:426-433
- Publication Year :
- 2018
- Publisher :
- Bioscientifica, 2018.
-
Abstract
- 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. Depending on the degree of injury, the clavicle may become prominent on the injured site. The original classification was described by Rockwood and Green according to the injured ligament complex and degree and direction of clavicular displacement. Many surgical procedures have been described; among these are screws, plates, muscle transfer, ligamentoplasty procedures and ligament reconstruction using either autograft or allografts. With the advancement of shoulder arthroscopy, surgeons are much more capable of performing mini-open or arthroscopically-assisted procedures, allowing patients an earlier return to their daily living activities. However, the results of conventional open techniques are still comparable. The introduction of new arthroscopic equipment provides a great variety of surgical procedures, though every new technique has its own advantages and pitfalls. Currently there is no gold standard for the surgical treatment of any type of AC injury, though it should be remembered that whenever an arthroscopic technique is chosen, the surgeon’s expertise is likely to be the most significant factor affecting outcome. Cite this article: EFORT Open Rev 2018;3:426-433. DOI: 10.1302/2058-5241.3.170027
- Subjects :
- 030222 orthopedics
Shoulder arthroscopy
medicine.medical_specialty
Activities of daily living
business.industry
Gold standard
030229 sport sciences
Joint injury
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Clavicle
medicine
Ligament
Acromioclavicular joint
Orthopedics and Sports Medicine
Diagnosis Classification
business
Subjects
Details
- ISSN :
- 20585241 and 23967544
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- EFORT Open Reviews
- Accession number :
- edsair.doi.dedup.....06a770dc0f3bd3f5cae6599b4d140585
- Full Text :
- https://doi.org/10.1302/2058-5241.3.170027