Related Experiment Video
Updated: Jun 20, 2025
04:27
Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
Published on: May 9, 2025
39
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.
JBJS Case Connector
|July 19, 2024
Summary
Complete coracoclavicular ligament ossification after a shoulder dislocation can significantly limit arm movement. Arthroscopic surgery to remove this ossification effectively restored shoulder abduction in a patient.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Anatomy
Background:
- Complete coracoclavicular ligament ossification can result from acromioclavicular joint dislocations.
- This condition may lead to significant loss of shoulder abduction and functional disability.
- Scapulothoracic motion is crucial for achieving full range of motion in the shoulder.
Purpose of the Study:
- To evaluate the effectiveness of arthroscopic osteotomy for treating complete coracoclavicular ligament ossification.
- To assess the restoration of shoulder abduction following the surgical intervention.
Main Methods:
- A case study of a patient with complete coracoclavicular ligament ossification following an acromioclavicular joint Rockwood Type IV dislocation.
- The patient underwent arthroscopic osteotomy to remove the ossified coracoclavicular ligament.
- Pre- and post-operative range of motion, specifically active abduction, was measured.
Main Results:
- The patient experienced a significant improvement in active abduction, increasing from 80° to 125° (a 45° gain).
- No recurrence of coracoclavicular ligament ossification was observed on radiographs one year post-surgery.
- The patient's functional disability due to limited abduction was resolved.
Conclusions:
- Arthroscopic osteotomy of complete coracoclavicular ligament ossification is an effective treatment for restoring shoulder abduction.
- This minimally invasive approach offers a viable solution for patients suffering from this specific complication of shoulder dislocation.
Related Concept Videos
01:09Changes in the Appendicular Skeleton with Age
1.9K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
1.9K
01:26Flail Chest-II
161
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
161