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Arthroscopic-assisted hook plate fixation for acromioclavicular joint dislocation

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Abstract

Purpose

We present a new technique of arthroscopic-assisted AC-hook plate fixation for acromioclavicular joint dislocation with all the advantages of minimally invasive surgery and the possibility to treat concomitant pathologies.

Methods

Initially a glenohumeral arthroscopy is performed to address concomitant intra-articular injuries. Under subacromial visualisation the drill hole for the hook of the plate can be exactly positioned in the acromion. The hook plate is put in place under visual control.

Results

The initial results (n = 3) are promising with good to excellent results in the Constant score [90.5 (range 82–100)] in all cases studied. The cross-body test was slightly positive in one case. The median follow-up time after the index procedure was seven months (range five to ten).

Conclusions

In conclusion, arthroscopic-assisted reconstruction of acromioclavicular joint separation is feasible and may provide patients with all the benefits of AC-hook fixation with decreased risks related to open surgery. The described technique is recommended for all surgeons familiar with arthroscopic surgery.

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Acknowledgments

The authors thank Niels Schroeder (illustration@niels-schroeder.de) for his support and creation of the illustrations.

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Authors and Affiliations

  1. Department of Orthopaedics and Trauma Surgery, University of Schleswig-Holstein, Luebeck, Germany

    Justus Gille, Gerhard Heinrichs, Andreas Unger, Jan Herzog & Ralf Oheim

  2. Department of Trauma Surgery and Sportsmedicine, BG-Trauma Hospital Hamburg, Bergedorferstr. 10, Hamburg, 21033, Germany

    Helge Riepenhof & Benjamin Kienast

Authors
  1. Justus Gille
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  2. Gerhard Heinrichs
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  3. Andreas Unger
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  4. Helge Riepenhof
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  5. Jan Herzog
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  6. Benjamin Kienast
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  7. Ralf Oheim
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Corresponding author

Correspondence to Justus Gille.

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Gille, J., Heinrichs, G., Unger, A. et al. Arthroscopic-assisted hook plate fixation for acromioclavicular joint dislocation. International Orthopaedics (SICOT) 37, 77–82 (2013). https://doi.org/10.1007/s00264-012-1691-6

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  • DOI: https://doi.org/10.1007/s00264-012-1691-6

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