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Glenohumeral Migration of Intraosseous Suture- Button after Acromioclavicular JointACJ Reconstruction - A Case Report
Karan Singh Panesar1, Angus Robertson1
1Department of Orthopaedics, University Hospital of Llandough, Penlan Rd, Llandough, Penarth, CF64 2XX, Wales.
Introduction:
Acromioclavicular joint (ACJ) separation is a common sports injury. Suture- button repair is favoured technique with a complication rate of 20%. We are the first to report the migration of a suture button into the glenohumeral joint.
Case Report:
A 28-year-old right-handed rugby player presented with symptoms of laxity and catching within the right shoulder 4 years after reconstruction using an ACJ Dog Bone TM Technique (Arthrex Inc.). Magnetic resonance imaging showed that the coracoid suture button had migrated into the glenohumeral joint.
Conclusion:
The patient was successfully treated with an arthroscopic examination of the glenohumeral joint and removal of the button. We outline the risk factors and treatment options involved in this unique presentation.

