Current Concepts in Management of Acromioclavicular Joint Injury

: The management of acromioclavicular joint injuries requires a thorough understanding of the anatomy and biomechanics of the joint, as well as knowledge of the pertinent physical exam findings and classification to determine an appropriate treatment approach, whether operative or nonoperative. In t...

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Published in:Journal of clinical medicine 2024-02, Vol.13 (5), p.1413
Main Authors: Lindborg, Carter M, Smith, Richard D, Reihl, Alec M, Bacevich, Blake M, Cote, Mark, O'Donnell, Evan, Mazzocca, Augustus D, Hutchinson, Ian
Format: Article
Language:English
Subjects:
Acromioclavicular joint
Biomechanics
Care and treatment
Cartilage
Forecasts and trends
Joint and ligament injuries
Methods
Orthopedics
Pain
Pathology
Patients
Physiological aspects
Rehabilitation
Review
Shoulder injuries
Shoulder surgery
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container_end_page
container_issue 5
container_start_page 1413
container_title Journal of clinical medicine
container_volume 13
creator Lindborg, Carter M
Smith, Richard D
Reihl, Alec M
Bacevich, Blake M
Cote, Mark
O'Donnell, Evan
Mazzocca, Augustus D
Hutchinson, Ian
description : The management of acromioclavicular joint injuries requires a thorough understanding of the anatomy and biomechanics of the joint, as well as knowledge of the pertinent physical exam findings and classification to determine an appropriate treatment approach, whether operative or nonoperative. In this article, we present a narrative review of the current state of understanding surrounding these issues. Although there are a large number of options for operative intervention, we additionally present our experience with anatomic coracoclavicular ligament reconstruction (ACCR) with imbrication of the deltoid fascia. : A retrospective review of prospectively collected data on a total of 45 patients who had undergone ACCR between 2003 and 2016 were collected. : We found that improvements were seen in American Shoulder and Elbow Surgeons Score (ASES) (53 ± 19 to 81 ± 23), Simple Shoulder Test (SST) (6 ± 3 to 12 ± 13), Constant-Murley (CM) (60 ± 18 to 92 ± 8), and Rowe (67 ± 14 to 89 ± 11) and the mean post-operative SANE score was 86 ± 17. : ACCR has the advantage of addressing both horizontal and vertical stability with good outcomes.
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subjects Acromioclavicular joint
Biomechanics
Care and treatment
Cartilage
Forecasts and trends
Joint and ligament injuries
Methods
Orthopedics
Pain
Pathology
Patients
Physiological aspects
Rehabilitation
Review
Shoulder injuries
Shoulder surgery
title Current Concepts in Management of Acromioclavicular Joint Injury
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