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Complications in AC Joint Stabilization

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Complications in Arthroscopic Shoulder Surgery

Abstract

New techniques have been developed to assist in surgical repair of acromioclavicular joint(ACJ) injuries. The most common complication of treatment is loss of fixation and recurrent ACJ instability. Other common complications include: Fracture of the coracoid or clavicle, hardware failure, and infection. This chapter reviews the common intraoperative and postoperative complications of ACJ procedures.

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References

  1. Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26(1):137–44.

    Article  CAS  Google Scholar 

  2. Geaney LE, Miller MD, Ticker JB, Romeo AA, Guerra JJ, et al. Management of the failed AC joint reconstruction: causation and treatment. Sports Med Arthrosc Rev. 2010;18(3):167–72. https://doi.org/10.1097/JSA.0b013e3181eaf6f7.

    Article  PubMed  Google Scholar 

  3. Helfen T, Siebenbürger G, Ockert B, Haasters F. Therapy of acute acromioclavicular joint instability: meta-analysis of arthroscopic/minimally invasive versus open procedures. Unfallchirurg. 2015;118(5):415–26. https://doi.org/10.1007/s00113-015-0005-z.

    Article  CAS  PubMed  Google Scholar 

  4. Tischer T, Salzmann GM, El-Azab H, Vogt S, Imhoff AB. Incidence of associated injuries with acute acromioclavicular joint dislocations types III through V. Am J Sports Med. 2009;37(1):136–9. https://doi.org/10.1177/0363546508322891.

    Article  PubMed  Google Scholar 

  5. Pühringer N, Agneskirchner J. Arthroscopic technique for stabilization of chronic acromioclavicular joint instability with coracoclavicular and acromioclavicular ligament reconstruction using a gracilis tendon graft. Arthrosc Tech. 2017;6(1):e175–81. https://doi.org/10.1016/j.eats.2016.09.036.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Tauber M, Gordon K, Koller H, Fox M, Resch H. Semitendinosus tendon graft versus a modified Weaver-Dunn procedure for acromioclavicular joint reconstruction in chronic cases: a prospective comparative study. Am J Sports Med. 2009;37(1):181–90. https://doi.org/10.1177/0363546508323255.

    Article  PubMed  Google Scholar 

  7. Kocaoglu B, Ulku TK, Gereli A, Karahan M, Türkmen M. Palmaris longus tendon graft versus modified Weaver-Dunn procedure via dynamic button system for acromioclavicular joint reconstruction in chronic cases. J Shoulder Elbow Surg. 2017;26(9):1546–52. https://doi.org/10.1016/j.jse.2017.01.024.

    Article  PubMed  Google Scholar 

  8. van Bergen CJA, van Bemmel AF, Alta TDW, van Noort A. New insights in the treatment of acromioclavicular separation. World J Orthop. 2017;8(12):861–73. https://doi.org/10.5312/wjo.v8.i12.861.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Warth RJ, Martetschläger F, Gaskill TR, Millet PJ. Acromioclavicular joint separations. Curr Rev Musculoskelet Med. 2013;6(1):71–8. https://doi.org/10.1007/s12178-012-9144-9.

    Article  PubMed  Google Scholar 

  10. Woodmass JM, Esposito JG, Ono Y, Nelson AA, Boorman RS, et al. Complications following arthroscopic fixation of acromioclavicular separations: a systematic review of the literature. Open Access J Sports Med. 2015;6:97–107. https://doi.org/10.2147/OAJSM.S73211.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Clavert P, Meyer A, Boyer P, Gastaud O, Barth J, et al. Complication rates and types of failure after arthroscopic acute acromioclavicular dislocation fixation: prospective multicenter study of 116 cases. Orthop Traumatol Surg Res. 2015;101(8 Suppl):S313–6. https://doi.org/10.1016/j.otsr.2015.09.012.

    Article  CAS  PubMed  Google Scholar 

  12. Milewski MD, Tompkins M, Giugale JM, Carson EW, Miller MD, Diduch DR. Complications related to anatomic reconstruction of the coracoclavicular ligaments. Am J Sports Med. 2012;40(7):1628–34. https://doi.org/10.1177/0363546512445273.

    Article  PubMed  Google Scholar 

  13. Carofino BC, Mazzocca AD. The anatomic coracoclavicular ligament reconstruction: surgical technique and indications. J Shoulder Elbow Surg. 2010;19(2 Suppl):37–46. https://doi.org/10.1016/j.jse.2010.01.004.

    Article  PubMed  Google Scholar 

  14. Martetschläger F, Saier T, Weigert A, Herbst E, Winkler M, et al. Effect of coracoid drilling for acromioclavicular joint reconstruction techniques on coracoid fracture risk: a biomechanical study. Arthroscopy. 2016;32(6):982–7. https://doi.org/10.1016/j.arthro.2015.11.049.

    Article  PubMed  Google Scholar 

  15. Kienast B, Thietje R, Queitsch C, Gille J, Schulz AP, Meiners J. Mid-term results after operative treatment of rockwood grade III-V acromioclavicular joint dislocations with an AC-hook-plate. Eur J Med Res. 2011;16(2):52–6.

    Article  Google Scholar 

  16. Virk MS, Lederman E, Stevens C, Romeo AA. Coracoid bypass procedure: surgical technique for coracoclavicular reconstruction with coracoid insufficiency. J Shoulder Elbow Surg. 2017;26(4):679–86. https://doi.org/10.1016/j.jse.2016.09.031.

    Article  PubMed  Google Scholar 

  17. Kawasaki Y, Hirano T, Miyatake K, Fujii K, Takeda Y. Safety screw fixation technique in a case of coracoid base fracture with acromioclavicular dislocation and coracoid base cross-sectional size data from a computed axial tomography study. Arch Orthop Trauma Surg. 2014;134(7):913–8. https://doi.org/10.1007/s00402-014-1995-7.

    Article  PubMed  Google Scholar 

  18. Ogawa K, Matsumura N, Ikegami H. Coracoid fractures: therapeutic strategy and surgical outcomes. J Trauma Acute Care Surg. 2012;72(2):E20–6.

    Article  Google Scholar 

  19. Salzmann GM, Walz L, Buchmann S, Glabgly P, Venjakob A, Imhoff AB. Arthroscopically assisted 2-bundle anatomical reduction of acute acromioclavicular joint separations. Am J Sports Med. 2010;38(6):1179–87. https://doi.org/10.1177/0363546509355645.

    Article  PubMed  Google Scholar 

  20. Cook JB, Shaha JS, Rowles DJ, Bottoni CR, Shaha SH, Tokish JM. Early failures with single clavicular transosseous coracoclavicular ligament reconstruction. J Shoulder Elbow Surg. 2012;21(12):1746–52. https://doi.org/10.1016/j.jse.2012.01.018.

    Article  PubMed  Google Scholar 

  21. Coale RM, Hollister SJ, Dines JS, Allen AA, Bedi A. Anatomic considerations of transclavicular-transcoracoid drilling for coracoclavicular ligament reconstruction. J Shoulder Elbow Surg. 2013;22(1):137–44. https://doi.org/10.1016/j.jse.2011.12.008.

    Article  PubMed  Google Scholar 

  22. Scheibel M, Dröschel S, Gerhardt C, Kraus N. Arthroscopically assisted stabilization of acute high-grade acromioclavicular joint separations. Am J Sports Med. 2011;39(7):1507–16. https://doi.org/10.1177/0363546511399379.

    Article  PubMed  Google Scholar 

  23. Mazzocca AD, Santangelo SA, Johnson ST, Rios CG, Dumonski ML, Arciero RA. A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med. 2006;34(2):236–46.

    Article  Google Scholar 

  24. Beitzel K, Sablan N, Chowaniec DM, Obopilwe E, Cote MP, et al. Sequential resection of the distal clavicle and its effects on horizontal acromioclavicular joint translation. Am J Sports Med. 2012;40(3):681–5. https://doi.org/10.1177/0363546511428880.

    Article  PubMed  Google Scholar 

  25. Dyrna FGE, Imhoff FB, Voss A, Braun S, Obopilwe E, et al. The integrity of the acromioclavicular capsule ensures physiological centering of the acromioclavicular joint under rotational loading. Am J Sports Med. 2018;46(6):1432–40. https://doi.org/10.1177/0363546518758287.

    Article  PubMed  Google Scholar 

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Auran, R.L., Lederman, E.S., Gobezie, R. (2020). Complications in AC Joint Stabilization. In: Lafosse, L., Agneskirchner, J., Lafosse, T. (eds) Complications in Arthroscopic Shoulder Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24574-0_4

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  • DOI: https://doi.org/10.1007/978-3-030-24574-0_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24573-3

  • Online ISBN: 978-3-030-24574-0

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