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Published on: May 9, 2025
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Current Concepts in Management of Acromioclavicular Joint Injury
Carter M Lindborg1, Richard D Smith1, Alec M Reihl1
1Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02115, USA.
Journal of Clinical Medicine
|April 9, 2024
Summary
Anatomic coracoclavicular ligament reconstruction (ACCR) effectively treats acromioclavicular joint injuries. This surgical technique improves shoulder stability and patient outcomes, offering a reliable solution for complex cases.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Acromioclavicular (AC) joint injuries necessitate understanding joint anatomy, biomechanics, and classification for effective management.
- Treatment decisions for AC joint injuries involve operative versus nonoperative approaches.
- Current literature offers various operative interventions for AC joint injuries.
Purpose of the Study:
- To present a narrative review of current knowledge on acromioclavicular joint injuries.
- To describe the authors' experience with anatomic coracoclavicular ligament reconstruction (ACCR) combined with deltoid fascia imbrication.
Main Methods:
- A retrospective review of prospectively collected data.
- Analysis of 45 patients who underwent ACCR between 2003 and 2016.
Main Results:
- Significant improvements were observed in validated shoulder outcome scores, including ASES, SST, Constant-Murley, and Rowe scores.
- The mean post-operative SANE score was 86 ± 17, indicating good patient-reported outcomes.
- ACCR demonstrated effectiveness in improving both horizontal and vertical shoulder stability.
Conclusions:
- Anatomic coracoclavicular ligament reconstruction (ACCR) with deltoid fascia imbrication yields favorable outcomes for acromioclavicular joint injuries.
- This surgical approach addresses both horizontal and vertical instability.
- ACCR represents a valuable option for managing complex AC joint injuries.
Keywords:
acromioclavicular injuryacromioclavicular jointanatomic coracoclavicular reconstructionanatomynarrative reviewMore Related Videos
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