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Post-traumatic Coracoclavicular Ligament Ossification: A Case Report and Surgical Technique
Justine Fleurette1, Nicolas Solignac, Jean-David Werthel
1Department of Orthopedic surgery, Hôpital Ambroise Paré, AP-HP, UVSQ University, Boulogne-Billancourt, France.
Case:
A patient presented with complete coracoclavicular ligament ossification after an unnoticed acromioclavicular joint Rockwood Type IV dislocation. He had full passive range of motion in the glenohumeral joint but was disabled by a loss of both active (80°) and passive (90°) abduction due to insufficient passive scapulo-thoracic motion. He was treated with an arthroscopic osteotomy of the coracoclavicular ligament ossification.
Conclusion:
One year after the surgery, active abduction was improved by 45° (80°-125°) with no recurrence of the ossification on the radiographs. Arthroscopic osteotomy of complete coracoclavicular ligament ossification seems effective in restoring abduction in these patients.
Level Of Evidence:
IV.
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