Diagnosis and Treatment of Acute Acromioclavicular Joint Injuries

Context Acute acromioclavicular joint (ACJ) dislocations are very common in young and active adults. Despite the high incidence of this injury, there is still some controversy on its diagnosis and treatment. Evidence Acquisition This review was based on the knowledge of the current literature listed in PubMed. It summarizes the current strategies for acute AC joint injuries. Results Acute injuries of the AC joint are very common among active individuals. Most authors recommend panorama- (stress-) view radiographs and additional radiographs for the horizontal instability. Low-grade injuries (Rockwood I-II) should be treated conservatively whereas high-grade injuries (Rockwood IV-VI) are best treated surgically. The most appropriate treatment for Rockwood III injuries is still a matter of debate and should be recommended based on the individual needs of the patient. Conclusions Based on the current literature, there still is no gold standard for the diagnosis of acute AC joint injuries. As surgical techniques, the hook plate as well as the arthroscopic button techniques are commonly used leading to good and reproducible results. However, evidence of the superiority of these techniques over alternative methods is lacking

Arthroscopically Assisted Comprehensive Double Cerclage Suture Fixation Technique for Acute Acromioclavicular Joint Separation

Acromioclavicular dislocations are some of the most frequently recorded and controversial injuries in the athletic population. These injuries have historically been a matter of disagreement between surgeons, particularly when it comes to the surgical technique used to treat them, its approach, or its timing. Consensus over the "gold standard" procedure to treat them is yet to be established. Even though numerous surgical techniques have already been described, the number of complications and loss of reduction remains a matter of concern for treating physicians. Here, we present an arthroscopically assisted coracoclavicular and horizontal acromioclavicular fixation technique in a modified figure-of-eight configuration using 2 strong FiberTape Cerclage sutures, with measurable tension, for the comprehensive treatment of acromioclavicular joint dislocations

Arthroscopy

This book covers a physical examination, imaging, differential diagnoses, and treatment of articular pathologies. For each diagnosis, the book sets out the typical presentation, options for non-operative and operative management, and expected outcomes. Practical and user-friendly, Arthroscopy is a useful resource for medical students and practitioners seeking fast facts on diagnosis and management. Its format makes it a perfect quick reference and its content breadth covers commonly encountered orthopedic problems in practice

Epidemiology of injuries in high-level youth sport in Luxembourg [Abstract]

peer reviewe

Juntendo Medical Journal Vol 67 Issue 2

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