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Injuries to the acromioclavicular joint are common and may lead to instability or degenerative changes requiring surgical intervention. The spectrum of injury ranges from sprain to disruption of the acromioclavicular and coracoclavicular ligaments, which provide horizontal and vertical stability...
Since 1941, resection of the distal clavicle has been a proven treatment for symptomatic acromioclavicular (AC) joint pathology. Although arthroscopic techniques have been well developed, open distal clavicle resection remains the gold standard and in certain patients is the preferred technique...
Acromial fractures are a rare occurrence, representing less than 1% of all skeletal fractures. When they occur they often do so in association with other injuries and usually as a result of a car accident or other major injury mechanism. Os acromiale, on the other hand, is a relatively more...
Acromioclavicular joint separations are common shoulder injuries whose treatment has remained largely nonoperative. Although most patients with these injuries fare well without surgery, experience has taught us that there are a significant number of people who would benefit from surgical...
Knowledge of the anatomy and biomechanics of the acromioclavicular (AC) joint is important for the orthopaedic surgeon. An understanding of the complex soft tissue and bony relationships in the AC joint is critical to achieving operative success. Failure to protect supporting structures during...
The surgical management of chronic or acute acromioclavicular joint dislocations can be divided into three broad groups. These are repair of the acromioclavicular and coracoclavicular ligaments, reconstruction of the acromioclavicular or coracoclavicular ligaments, and tendon transfer....
A review of the literature shows that there are over 100 different surgical procedures to reconstruct the acromioclavicular joint. Despite these numerous options for reconstruction, the arthroscopic stabilization of this joint has rarely been reported. We describe a new arthroscopic technique to...
Displaced distal clavicle fractures remain a treatment dilemma. Nonunion rates as high as 30% have been reported (Anderson K: in Miller MD (ed): Clinics in Sports Medicine. Philadelphia, PA, Saunders, 2003, pp 319–326). In a high-demand, young, active patient surgical treatment has been...
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