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Treatment of Acute Acromioclavicular Joint Dislocations

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Shoulder Arthroscopy

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Abstract

Acute AC joint separations are common injuries of the shoulder girdle and numerous treatment options have been proposed in literature. Low-grade injuries (type I and II) should be initially managed non-surgically. Surgical treatment is typically reserved for high-grade lesions (type IV through VI) and, however, might be beneficial in some type III lesions for heavy laborers or high-level athletes. Due to published biomechanical data, there is a current trend toward an anatomic reconstruction of the CC ligaments using suspensory devices. While some reports have shown encouraging results using these techniques, relatively high complication rates have been reported at the same time. Moreover, anatomic reconstructive techniques have introduced a new complication profile including migration of suture buttons and coracoid or clavicle fracture. Therefore, the ideal technique for AC joint reconstruction has yet to be firmly established.

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Authors and Affiliations

  1. Department for Orthopaedic Sports Medicine, Technical University Munich, Munich, Germany

    Lucca Lacheta & Frank Martetschläger

  2. Center for Shoulder and Elbow Surgery, ATOS Clinic, Munich, Germany

    Frank Martetschläger

Authors
  1. Lucca Lacheta
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  2. Frank Martetschläger
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Correspondence to Frank Martetschläger .

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Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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Lacheta, L., Martetschläger, F. (2023). Treatment of Acute Acromioclavicular Joint Dislocations. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_51

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_51

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