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Review
. 2016 Dec;9(4):368-377.
doi: 10.1007/s12178-016-9361-8.

Shoulder acromioclavicular joint reconstruction options and outcomes

Simon Lee  1 , Asheesh Bedi  2
Affiliations
Review

Shoulder acromioclavicular joint reconstruction options and outcomes

Simon Lee et al. Curr Rev Musculoskelet Med. 2016 Dec.

Abstract

Acromioclavicular joint separations are a common cause of shoulder pain in the young athletic population. In high-grade injuries, acromioclavicular joint reconstruction procedures may be indicated for functional improvement. There is currently no gold standard for the surgical management of these injuries. Multiple reconstructive options exist, including coracoclavicular screws, hook plates, endobutton coracoclavicular fixations, and anatomic ligament reconstructions with tendon grafts. This article aims to review pertinent acromioclavicular joint anatomy and biomechanics, radiographic evaluation, classification system, as well as reconstruction options, outcomes, and complications.

Keywords: Acromioclavicular joint injury; Complications; Ligament reconstruction; Outcomes.

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Conflict of interest statement

Simon Lee and Asheesh Bedi declare that they have no conflicts of interest. Human and Animal Rights and Informed Consent This article does not contain any studies with human or animal subjects performed by any of the authors.

Figures

Fig. 1
Fig. 1
Anteroposterior (a) and axillary (b) radiographs of a Rockwell type IV acromioclavicular joint dislocation
Fig. 2
Fig. 2
Arthroscopic view of an acromioclavicular joint reconstruction with allograft tendon. a Creation of bone tunnels through the distal clavicle. b Placement of a passing suture around the base of the coracoid for graft placement. c Final position of the tendon graft looped around the base of the coracoid
Fig. 3
Fig. 3
Post-operative anteroposterior radiograph of an anatomically reconstructed acromioclavicular joint with tendon graft showing successful reduction of the joint to an anatomic position. Arrows indicated position of clavicular bone tunnels
See this image and copyright information in PMC

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