Advertisement

Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 7, Issue 6, pp 365–372 | Cite as

Which stabilization technique corrects anatomy best in patients with AC-separation? An experimental study

An experimental study
  • J. Jerosch
  • T. Filler
  • E. Peuker
  • M. Greig
  • U. Siewering
Shoulder

Abstract

In ten human cadaveric shoulder specimens four different parameters were documented prior to, and after, dissecting all passive stabilizers. These included the vertical, horizontal and mediolateral acromioclavicular distance, as well as the clavicular rotation. In addition, the same parameters were documented after acromioclavicular (AC) reconstruction using eight different techniques. The results showed a good reconstruction of the vertical ac-distance. Most of the techniques, especially the coracoid-sling procedure, led to a significant anterior displacement of the clavicle in relation to the scapula. To a lesser degree, most of the conventional procedures also resulted in a lateralization of the acromion and/or clavicular rotation. A bone anchor system for distal fixation in the base of the coracoid process and a medialized hole in the clavicle restored anatomy best. This new technique therefore is recommended for anatomical AC-reconstruction.

Key words Acromioclavicular joint Separation Stabilization technique 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • J. Jerosch
    • 1
  • T. Filler
    • 2
  • E. Peuker
    • 2
  • M. Greig
    • 3
  • U. Siewering
    • 1
  1. 1.Department of Orthopaedic Surgery, Westfaelische-Wilhelms-University Muenster, Albert-Schweitzer-Strasse 33, D-48149 Münster, GermanyDE
  2. 2.Clinical Anatomy Division, Institute of Anatomy, Westfaelische-Wilhelms-University Muenster, Albert-Schweitzer-Strasse 33, D-48149 Münster, GermanyDE
  3. 3.Orthopaedic Department, University of Guadalajara, Guadalajara, MexicoMX

Personalised recommendations