Abstract
Acromioclavicular (AC) joint separations are frequently seen injuries and may lead to severe impairment of shoulder function. Numerous treatment options have been proposed in the literature. Although low-grade injuries (types I and II) should be initially managed nonsurgically, surgical management is typically recommended for high-grade lesions (types IV through VI). Surgery is suggested for type III lesions in heavy laborers or high-level athletes. Owing to the relatively high complication rates of modern anatomical double-tunnel AC reconstruction techniques, the authors present a preferred single-tunnel technique with additional AC joint suture cord cerclage for improved horizontal stability. This technique allows the combination of small drill hole diameter with ultra-high-strength suture tape material and large cortical fixation buttons.
Original language | English |
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Pages (from-to) | 221-226 |
Number of pages | 6 |
Journal | Operative Techniques in Sports Medicine |
Volume | 22 |
Issue number | 3 |
DOIs | |
State | Published - 1 Sep 2014 |
Keywords
- AC joint
- AC joint reconstruction
- Acromioclavicular instability