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Treatment of Chronic Acromioclavicular Joint Dislocation

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Shoulder Arthroscopy

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Abstract

ACJ injuries are a common injury with no clear consensus which surgical techniques should be preferred in chronic ACJ dislocations. Hybrid techniques using tendon grafts and non-biologic suture button systems are used to support proper healing of the torn structures and ensure optimal stabilization of the ACJ. In chronic ACJ stabilizations, focus should be placed on restoring physiological horizontal and vertical ACJ stability. As the AC capsule and deltotrapezial fascia are significantly contributing to horizontal stability, augmentation of the AC capsule is required. Biological reconstruction of the AC and CC ligaments using small 4-mm drill holes at the distal clavicle and the coracoid process reduces the risk of postoperative fractures as well as enhances horizontal and vertical stability. Further, by looping the graft in front of the clavicle, the number of required bone tunnels can be minimized.

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Authors and Affiliations

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

    Daniel P. Berthold, Lukas N. Muench, Andreas B. Imhoff & Knut Beitzel

  2. Department of Shoulder Surgery, ATOS Clinic, Cologne, Germany

    Knut Beitzel

Authors
  1. Daniel P. Berthold
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  2. Lukas N. Muench
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  3. Andreas B. Imhoff
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  4. Knut Beitzel
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Corresponding author

Correspondence to Daniel P. Berthold .

Editor information

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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Berthold, D.P., Muench, L.N., Imhoff, A.B., Beitzel, K. (2023). Treatment of Chronic Acromioclavicular Joint Dislocation. 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_52

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_52

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