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Economic Reliable Arthroscopic Technique for Reduction and Fixation of Acute Acromioclavicular Joint Dislocation

Separation of the acromioclavicular joint (ACJ) is a common orthopaedic injury among athletes involved in contact sports and victims of motor vehicle accidents. ACJ disruptions are common in athletes. Treatment is guided by the level of injury; grade 1 and 2 injuries are managed nonoperatively. Grad...

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Autores principales: Refaat, Mohamed, Younan, Ramy Emad, Elkalyoby, Ahmed Samir, Seifeldin, Ahmed Fouad, Mohy El Din, Alaa El Din, Abdel Razek, Begad Hesham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10265274/
https://www.ncbi.nlm.nih.gov/pubmed/37323789
http://dx.doi.org/10.1016/j.eats.2022.12.016
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author Refaat, Mohamed
Younan, Ramy Emad
Elkalyoby, Ahmed Samir
Seifeldin, Ahmed Fouad
Mohy El Din, Alaa El Din
Abdel Razek, Begad Hesham
author_facet Refaat, Mohamed
Younan, Ramy Emad
Elkalyoby, Ahmed Samir
Seifeldin, Ahmed Fouad
Mohy El Din, Alaa El Din
Abdel Razek, Begad Hesham
author_sort Refaat, Mohamed
collection PubMed
description Separation of the acromioclavicular joint (ACJ) is a common orthopaedic injury among athletes involved in contact sports and victims of motor vehicle accidents. ACJ disruptions are common in athletes. Treatment is guided by the level of injury; grade 1 and 2 injuries are managed nonoperatively. Grades 4-6 are managed operatively, whereas grade 3 is an area of controversy. Several operative techniques have been described to restore anatomy and function. We present a technique that’s safe, economic, and reliable in the management of acute ACJ dislocation. It allows intra-articular glenohumeral assessment and relies on a coracoclavicular sling. This is an arthroscopic-assisted technique. It entails a small transverse or vertical incision over distal clavicle 2 cm away from ACJ, which enables us to reduce the ACJ and maintain reduction with a k-wire, checked by the C-arm. Diagnostic shoulder arthroscopy is then performed to assess the glenohumeral joint. The rotator interval is liberated and the coracoid base is exposed, and PROLENE sutures are then passed anterior to the clavicle medial and lateral to the coracoid. It is the used to shuttle polyester tape and ultrabraid as a sling under the coracoid. A tunnel is then made in the clavicle, then one end of suture is passed through the tunnel whereas the other end remains anterior. Several knots are made to ensure it is secured, then the deltotrapezial fascia is closed as a separate layer.
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spelling pubmed-102652742023-06-15 Economic Reliable Arthroscopic Technique for Reduction and Fixation of Acute Acromioclavicular Joint Dislocation Refaat, Mohamed Younan, Ramy Emad Elkalyoby, Ahmed Samir Seifeldin, Ahmed Fouad Mohy El Din, Alaa El Din Abdel Razek, Begad Hesham Arthrosc Tech Technical Note Separation of the acromioclavicular joint (ACJ) is a common orthopaedic injury among athletes involved in contact sports and victims of motor vehicle accidents. ACJ disruptions are common in athletes. Treatment is guided by the level of injury; grade 1 and 2 injuries are managed nonoperatively. Grades 4-6 are managed operatively, whereas grade 3 is an area of controversy. Several operative techniques have been described to restore anatomy and function. We present a technique that’s safe, economic, and reliable in the management of acute ACJ dislocation. It allows intra-articular glenohumeral assessment and relies on a coracoclavicular sling. This is an arthroscopic-assisted technique. It entails a small transverse or vertical incision over distal clavicle 2 cm away from ACJ, which enables us to reduce the ACJ and maintain reduction with a k-wire, checked by the C-arm. Diagnostic shoulder arthroscopy is then performed to assess the glenohumeral joint. The rotator interval is liberated and the coracoid base is exposed, and PROLENE sutures are then passed anterior to the clavicle medial and lateral to the coracoid. It is the used to shuttle polyester tape and ultrabraid as a sling under the coracoid. A tunnel is then made in the clavicle, then one end of suture is passed through the tunnel whereas the other end remains anterior. Several knots are made to ensure it is secured, then the deltotrapezial fascia is closed as a separate layer. Elsevier 2023-04-02 /pmc/articles/PMC10265274/ /pubmed/37323789 http://dx.doi.org/10.1016/j.eats.2022.12.016 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Refaat, Mohamed
Younan, Ramy Emad
Elkalyoby, Ahmed Samir
Seifeldin, Ahmed Fouad
Mohy El Din, Alaa El Din
Abdel Razek, Begad Hesham
Economic Reliable Arthroscopic Technique for Reduction and Fixation of Acute Acromioclavicular Joint Dislocation
title Economic Reliable Arthroscopic Technique for Reduction and Fixation of Acute Acromioclavicular Joint Dislocation
title_full Economic Reliable Arthroscopic Technique for Reduction and Fixation of Acute Acromioclavicular Joint Dislocation
title_fullStr Economic Reliable Arthroscopic Technique for Reduction and Fixation of Acute Acromioclavicular Joint Dislocation
title_full_unstemmed Economic Reliable Arthroscopic Technique for Reduction and Fixation of Acute Acromioclavicular Joint Dislocation
title_short Economic Reliable Arthroscopic Technique for Reduction and Fixation of Acute Acromioclavicular Joint Dislocation
title_sort economic reliable arthroscopic technique for reduction and fixation of acute acromioclavicular joint dislocation
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10265274/
https://www.ncbi.nlm.nih.gov/pubmed/37323789
http://dx.doi.org/10.1016/j.eats.2022.12.016
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