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Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures

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 u...

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Autores principales: Sirin, Evrim, Aydin, Nuri, Mert Topkar, Osman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129955/
https://www.ncbi.nlm.nih.gov/pubmed/30233818
http://dx.doi.org/10.1302/2058-5241.3.170027
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author Sirin, Evrim
Aydin, Nuri
Mert Topkar, Osman
author_facet Sirin, Evrim
Aydin, Nuri
Mert Topkar, Osman
author_sort Sirin, Evrim
collection PubMed
description 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
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spelling pubmed-61299552018-09-19 Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures Sirin, Evrim Aydin, Nuri Mert Topkar, Osman EFORT Open Rev Shoulder & Elbow 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 British Editorial Society of Bone and Joint Surgery 2018-07-17 /pmc/articles/PMC6129955/ /pubmed/30233818 http://dx.doi.org/10.1302/2058-5241.3.170027 Text en © 2018 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Shoulder & Elbow
Sirin, Evrim
Aydin, Nuri
Mert Topkar, Osman
Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures
title Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures
title_full Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures
title_fullStr Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures
title_full_unstemmed Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures
title_short Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures
title_sort acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures
topic Shoulder & Elbow
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129955/
https://www.ncbi.nlm.nih.gov/pubmed/30233818
http://dx.doi.org/10.1302/2058-5241.3.170027
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