Academic literature on the topic 'Acromioclavicular joint disruption'

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Journal articles on the topic "Acromioclavicular joint disruption"

1

Mikek, Martin. "Long-Term Shoulder Function after Type I and II Acromioclavicular Joint Disruption." American Journal of Sports Medicine 36, no. 11 (2008): 2147–50. http://dx.doi.org/10.1177/0363546508319047.

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Background Acromioclavicular joint separations are very common lesions, with the majority falling into Rockwood classification type I and II. It is generally agreed that conservative treatment of these injuries leads to good functional results, although there are some studies that suggest these injuries are associated with a high incidence of persistent symptoms. Hypothesis Type I and II acromioclavicular joint disruption significantly impairs long-term shoulder function. Study Design Case series; Level of evidence, 4. Methods The shoulder function of 23 patients who were treated for type I or II acromioclavicular joint disruption was evaluated at a mean of 10.2 years after injury. The objective and subjective measures of the injured shoulder were assessed using Constant, University of California-Los Angeles Shoulder Scale, and Simple Shoulder Test scores and were compared with results of the uninjured shoulder. Results At an average follow-up of 10.2 years, 12 of 23 patients (52%) reported at least occasional acromioclavicular joint symptoms. The average Constant score for the injured shoulder was 70.5 and 86.8 for the uninjured shoulder ( P < .001). The average University of California-Los Angeles Shoulder Scale score for the injured shoulder was 24.1 and 29.2 for the uninjured shoulder ( P < .001). The average Simple Shoulder Test value for the injured shoulder was 9.7 and 10.9 for the uninjured shoulder ( P < .002). The extent of acromioclavicular joint disruption and acromioclavicular joint width did not have any statistically significant influence on the shoulder functional scores. Conclusion Type I and II acromioclavicular joint disruptions impair long-term shoulder function in about half of patients 10 years after injury.
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2

Meignanaguru, Muthusaravanakumar, Yogadeepan Dhakshinamurthi, Deepak Srinivasan, and Ganesh Ramesh Shetty. "Mid-shaft Clavicle Fracture with Disguised Ipsilateral Type IV Acromioclavicular Joint Dislocation – A Rare Case Report." Journal of Orthopaedic Case Reports 14, no. 9 (2024): 19–23. http://dx.doi.org/10.13107/jocr.2024.v14.i09.4714.

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Introduction: Clavicle fractures and acromioclavicular (AC) joint disruptions are very common injuries. However, both injuries occurring simultaneously are very rare entities. Case Report: In this article, we report a case of 21-year-old gentleman with a history of road traffic accident with a right mid-shaft clavicle fracture. We planned for the right clavicle plating. Intraoperatively incidentally, we found that the patient is having type 4 rockwood AC joint disruption with complete posterior displacement and gross instability. We repaired it after plating the clavicle using Ethibond with intraosseous sutures and augmented with trans acromion k wire. Later, k wire was removed, and the patient regained full range of motion shoulder after subsequent follow-up and physiotherapy. Conclusion: Clavicle fractures with ipsilateral AC joint disruptions are very rare. Diagnosing the AC joint disruption and appropriate management is very essential to regain the shoulder function and outcome. Keywords: Acromioclavicular joint, clavicle, Rockwood classification,Ethibond,K wire.
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3

Ravikanth, Kolluri, D. Agape Bliss, and Rao Vavilala Abhilash. "A Study on the Impact of Suture Anchor Fixation on Functional Outcomes in Patients with Acromioclavicular Joint Disruption." International Journal of Pharmaceutical and Clinical Research 15, no. 8 (2023): 1691–95. https://doi.org/10.5281/zenodo.11529131.

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<strong>Background:</strong>&nbsp;The Acromioclavicular (AC) joint is a movable joint stabilized by a combination of both active muscular elements and static ligamentous structures. Typically, non-surgical approaches are favoured for Rockwood type 1 and 2 AC joint disruptions, while surgical intervention is recommended for Rockwood types 3, 4, 5, and 6. However, the optimal surgical procedure for managing AC joint disruption remains a topic of ongoing debate, with the continual evolution of newer techniques.&nbsp;<strong>Methods:</strong>&nbsp;In our study, we investigated 25 patients who underwent AC joint reconstruction using the suture anchor technique. Patients were assessed before the surgery and during post-operative follow-up using serial radiography. Functional evaluation was performed utilizing the Constant Murley score.&nbsp;<strong>Results:</strong>&nbsp;The results showed excellent functional outcomes in 72% of patients, good outcomes in 16% of patients, fair outcomes in 8% of patients, and poor outcomes in 4% of patients. Utilizing the suture anchor technique for AC joint reconstruction proves to be a relatively straightforward approach, resulting in positive functional outcomes and pain relief. These outcomes significantly contribute to an enhanced quality of life for patients.&nbsp;<strong>Conclusion:</strong>&nbsp;suture anchors prove to be an effective approach for patients experiencing acute acromioclavicular joint dislocation, offering a successful reconstruction of both coracoclavicular and acromioclavicular joints. This technique stands as a reliable and efficient method for surgically managing acromioclavicular injuries. &nbsp; &nbsp;
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4

Braun, Sepp, Andreas B. Imhoff, and Frank Martetschlaeger. "Primary Fixation of Acromioclavicular Joint Disruption." Operative Techniques in Sports Medicine 22, no. 3 (2014): 221–26. http://dx.doi.org/10.1053/j.otsm.2014.03.005.

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5

Shukla, Manish, Naveen Kumar Singh, Alok Dwivedi, and D. C. Srivastava. "Functional Outcome of Operative Technique of Acromioclavicular Joint Reconstruction using Double Endobutton." International Journal of Pharmaceutical and Clinical Research 16, no. 11 (2024): 1554–59. https://doi.org/10.5281/zenodo.14495956.

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The acromioclavicular (AC) joint function as a strut to help with movement of the scapula resulting in a greater degree of arm rotation. There are multiple modalities to treat AC joint disruption in patients. Both conservative and surgical management are possible and surgeon must choose the most appropriate management modality according to biological age, functional demand and type of lesion. This study aimed to evaluate the functional outcome of the double endobutton technique used to treat acromioclavicular (AC) dislocation. In this prospective study, 30 patients are treated for complete acromioclavicular (AC) joint disruption and their functional outcome are measured using Constant score and DASH score. Among 30 patients, 3 (10.00%) showed excellent functional outcome, 18 patients (60.00%) showed good outcome 8 patients (26.67%) showed fair outcome and only 1 patients (3.33%) showed poor functional outcome. &nbsp; &nbsp;
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6

Baren, James P., Emma Rowbotham, and Philip Robinson. "Acromioclavicular Joint Injury and Repair." Seminars in Musculoskeletal Radiology 26, no. 05 (2022): 597–610. http://dx.doi.org/10.1055/s-0042-1750726.

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AbstractThe acromioclavicular (AC) joint is commonly injured in athletes participating in contact and overhead throwing sports. Injuries range from simple sprains to complete ligamentous disruption, and they are classified by the established Rockwood grading system. High-grade injuries are associated with fractures around the AC joint and disruption of the superior shoulder suspensory complex, a ring of osseous and ligamentous structures at the superior aspect of the shoulder. Radiographs are the mainstay of imaging of the AC joint, with magnetic resonance imaging reserved for high-grade injuries to aid classification and plan surgical management. Low-grade AC joint injuries tend to be managed conservatively, but a wide range of surgical procedures have been described for higher grade injuries and fractures around the AC joint. This review illustrates the anatomy of the AC joint and surrounding structures, the imaging features of AC joint injury, and the most commonly performed methods of reconstruction and their complications.
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7

Dimakopoulos, Panayotis, and Andreas Panagopoulos. "Functional Coracoclavicular Stabilization for Acute Acromioclavicular Joint Disruption." Orthopedics 30, no. 2 (2007): 103–8. http://dx.doi.org/10.3928/01477447-20070201-08.

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8

Jambukeswaran, Dr P. S. T. "The Functional Outcome of Management of Acute Acromioclavicular Joint Disruption Using Tension Band Wiring." Journal of Medical Science And clinical Research 04, no. 11 (2016): 13923–28. http://dx.doi.org/10.18535/jmscr/v4i11.68.

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9

Dimakopoulos, Panayotis, Andreas Panagopoulos, Spyros A. Syggelos, Elias Panagiotopoulos, and Elias Lambiris. "Double-Loop Suture Repair for Acute Acromioclavicular Joint Disruption." American Journal of Sports Medicine 34, no. 7 (2006): 1112–19. http://dx.doi.org/10.1177/0363546505284187.

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10

Sidharta, Made Tusan, I. Gusti Ngurah Wien Aryana, and I. B. Arimbawa. "Functional outcome following coracoclavicular ligament reconstruction using a gracilis tendon graft for acute type III acromioclavicular dislocation: a case report." International Journal of Research in Medical Sciences 6, no. 8 (2018): 2836. http://dx.doi.org/10.18203/2320-6012.ijrms20183280.

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The acromioclavicular joint is stabilized by two ligaments: the acromioclavicular ligaments and coracoclavicular ligaments. AC joint dislocations account for 9% to 10% of all shoulder injuries. Tossy and Allman classified acromioclavicular dislocations into three types (I, II and III). This classification was modified by Rockwood (types IV, V, and VI). Type I and II dislocations are treated conservatively. Surgery is indicated for certain Rockwood type III and for all type IV, V, and VI injuries. A 45 years old man yoga trainer presented to our emergency department with a chief complaint of pain over his left shoulder after had traffic accident 3 hours prior to admission. Physical examination revealed left lateral clavicular end prominent and tenderness over the left shoulder with limited range of motion due to pain. A Zanca view X-Ray of left shoulder was performed and revealed dislocation of acromioclavicular joint. The patient was diagnosed with suspect Left AC joint disruption grade III. We performed coracoclavicular ligament reconstruction using a gracilis tendon graft 2 days after the accident. Before the surgery, constant score of the patient left shoulder was 25 (Fair). The constant score measured was 63 after 10 month follow up. Coracoclavicular ligament reconstruction with an autogenous gracilis tendon graft was feasible and safe in physically active patients with acute type-III acromioclavicular joint dislocation.
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