Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 May;23(5):1460-1466.
doi: 10.1007/s00167-013-2800-9. Epub 2013 Dec 10.

Arthroscopic treatment of acute acromioclavicular joint dislocation by coracoclavicular ligament augmentation

Xudong Liu  1 , Xiaoqiao Huangfu  2 , Jinzhong Zhao  1
Affiliations

Arthroscopic treatment of acute acromioclavicular joint dislocation by coracoclavicular ligament augmentation

Xudong Liu et al. Knee Surg Sports Traumatol Arthrosc. 2015 May.

Abstract

Purpose: Coracoclavicular (CC) ligament augmentation has been a method to treat acromioclavicular (AC) joint dislocation in recent years. The purpose of this paper is to describe our arthroscopic CC ligament augmentation technique in treating type III and V acute AC joint dislocations and to report the early clinical and radiological results.

Methods: From 2010 to 2011, twelve patients suffering from acute type III or V AC joint dislocations were arthroscopically treated in our department, by CC ligament augmentation after AC joint reduction. The post-operative outcomes were assessed through physical examination, radiographic examination and the Constant-Murley Shoulder Score.

Results: All patients post-operatively experienced anatomical reduction in their AC joint dislocation. No intraoperative complications occurred. At a mean follow-up at 24 months (ranging from 18 to 32 months), the mean Constant-Murley Shoulder Score significantly improved from 24.3 pre-operatively to 91.1 post-operatively. No neurovascular complications or secondary degenerative changes of the AC joint were detected in any of the patients. In one case, a second dislocation occurred 1 month post-operation because the patient had had another traumatic injury. This patient accepted a revision operation, but his AC joint eventually fixated into a subluxated position after his second injury.

Conclusion: Based on the resultant successful repair in all cases, the arthroscopic CC ligament augmentation method has thus far proven to be a safe and reliable technique for treatment of acute type III or V AC joint dislocation.

Clinical relevance: The arthroscopic CC ligament augmentation with a flip button/polyethylene belt repair is an efficient method to treat acute type III and V AC joint dislocations which should be popularized.

Level of evidence: IV.

PubMed Disclaimer

References

    1. Baumgarten KM, Altcheck DW, Cordasco FA (2006) Arthroscopically assisted acromioclavicular joint reconstruction. Arthroscopy 22(2):228 e1-228 e6
    1. Blatter G, Meier G (1990) Augmentation of the coraco-clavicular ligament suture. Comparison between wire cerclage, vicryl tape and PDS cord. Unfallchirurg 93(12):578–583 - PubMed
    1. Boileau P, Old J, Gastaud O, Brassart N, Roussanne Y (2010) All-arthroscopic Weaver-Dunn-Chuinard procedure with double-button fixation for chronic acromioclavicular joint dislocation. Arthroscopy 26(2):149–160 - DOI - PubMed
    1. Costic RS, Labriola JE, Rodosky MW, Debski RE (2004) Biomechanical rationale for development of anatomical reconstructions of CC ligaments after complete acromioclavicular joint dislocations. Am J Sports Med 32(8):1929–1936 - DOI - PubMed
    1. Di Francesco A, Zoccali C, Colafarina O, Pizzoferrato R, Flamini S (2012) The use of hook plate in type III and V acromio-clavicular Rockwood dislocations: clinical and radiological midterm results and MRI evaluation in 42 patients. Injury 43(2):147–152 - DOI - PubMed