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Arthroscopically assisted coracoclavicular ligament reconstruction for chronic acromioclavicular joint instability

  • Arthroscopy and Sports Medicine
  • Published:
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Abstract

The treatment of symptomatic chronic acromioclavicular joint dislocations can be challenging. Different surgical procedures have been described in the literature. We present an arthroscopically assisted stabilization using a gracilis tendon transclavicular-transcoracoid loop technique augmented with a Tight-Rope (Arthrex, Naples, FL, USA). In contrast to the classic Weaver–Dunn procedures this technique is designed to stabilize the acromioclavicular joint by recreating the anatomy of the coracoclavicular ligaments via a minimal invasive approach.

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References

  1. Baumgarten KM, Altcheck DW, Cordasco FA (2006) Arthroscopically assisted acromioclavicular joint reconstruction. Arthroscopy 22:228.e1–8

    Article  Google Scholar 

  2. Chernchujit B, Tischer T, Imhoff AB (2006) Arthroscopic reconstruction of the acromioclavicular joint disruption: surgical technique and preliminary results. Arch Orthop Trauma Surg 126:575–581

    Article  PubMed  Google Scholar 

  3. Grutter PW, Petersen SA (2005) Anatomical acromioclavicular ligament reconstruction. A biomechanical comparison of reconstructive techniques of the acromioclavicular joint. Am J Sports Med 33:1723–1728

    Article  PubMed  Google Scholar 

  4. Harris RI, Wallace AL, Harper GD, Goldberg JA, Sonnabend DH, Walsh WR (2000) Structural properties of the intact and the reconstructed coracoclavicular ligament complex. Am J Sports Med 28:103–108

    PubMed  CAS  Google Scholar 

  5. Hedtmann A, Fett H, Ludwig J (1998) Management of old neglected posttraumatic acromioclavicular joint instability and arthrosis. Orthopade 27:556–566

    PubMed  CAS  Google Scholar 

  6. Hernegger GS, Kadletz R (2006) Tight RopeV. The revolutionary anatomical fixation in acromioclavicular joint dislocation VA case report. Tech Shoulder Elbow Surg 7:86–88

    Article  Google Scholar 

  7. Jones H, Lemos M, Schepsis A (2001) Salvage of failed acromioclavicular joint reconstruction using autogenous semitendinosus tendon from the knee. Am J Sports Med 29:234–237

    PubMed  CAS  Google Scholar 

  8. Kay SP, Dragoo JL, Lee R (2003) Long-term results of arthroscopic resection of the 201 distal clavicle with concomitant subacromial decompression. Arthroscopy 19:805–809

    Article  PubMed  Google Scholar 

  9. Lafosse L, Baier GP, Leuzinger J (2005) Arthroscopic treatment of acute and chronic acromioclavicular joint dislocation. Arthroscopy 21:1017.e1–8

    Article  Google Scholar 

  10. LaPrade RF, Hilger B (2005) Coracoclavicular ligament reconstruction using a semitendinosus graft for failed acromioclavicular separation surgery. Arthroscopy 21:1279.e1–5

    Article  Google Scholar 

  11. Lee SJ, Nicholas SJ, Akizuki KH, McHugh MP, Kremenic IJ, Ben-Avi S (2003) Reconstruction of the coracoclavicular ligaments with tendon grafts: a comparative biomechanical study. Am J Sports Med 31:648–655

    PubMed  Google Scholar 

  12. Mazzocca AD, Conway J, Johnson S et al (2004) The anatomic coracoclavicular ligament reconstruction. Oper Tech Sports Med 12:56–61

    Article  Google Scholar 

  13. Noyes FR, Butler DL, Grood ES, Zernicke RF, Hefzy MS (1984) Biomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstruction. J Bone Joint Surg Am 66:344–352

    PubMed  CAS  Google Scholar 

  14. Pennington WT, Hergan DJ, Bartz BA (2007) Arthroscopic coracoclavicular ligament reconstruction using biologic and suture fixation. Arthroscopy 23:785.e1–8

    Article  Google Scholar 

  15. Rolla PR, Surace MF, Murena L (2004) Arthroscopic treatment of acute acromioclavicular joint dislocation. Arthroscopy 20:662–668

    Article  PubMed  Google Scholar 

  16. Rios CG, Arciero RA, Mazzocca AD (2007) Anatomy of the clavicle and the coracoid process for reconstruction of the coracoclavicular ligaments. Am J Sports Med 35:811–817

    Article  PubMed  Google Scholar 

  17. Tauber M, Eppel M, Resch H (2007) Acromioclavicular reconstruction using autogenous semitendinosus tendon graft: results of revision surgery in chronic cases. J Shoulder Elbow Surg 16:429–433

    Article  PubMed  Google Scholar 

  18. Tienen TG, Oyen JF, Eggen PJ (2003) A modified technique of reconstruction for complete acromioclavicular dislocation: a prospective study. Am J Sports Med 31:655–659

    PubMed  Google Scholar 

  19. Trikha SP, Acton D, Wilson AJ, Curtis MJ (2004) A new method of arthroscopic reconstruction of the dislocated acromio-clavicular joint. Ann R Coll Surg Engl 86:161–164

    Article  PubMed  CAS  Google Scholar 

  20. Weaver JK, Dunn HK (1972) Treatment of acromioclavicular injuries, especially complete acromioclavicular separation. J Bone Joint Surg Am 54:1187–1194

    PubMed  CAS  Google Scholar 

  21. Weinstein D, McCann P, McIlveen S, Flatow EL, Bigliani LU (1995) Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med 23:324–331

    Article  PubMed  CAS  Google Scholar 

  22. Wolf EM, Pennington WT (2001) Arthroscopic reconstruction for acromioclavicular joint dislocation. Arthroscopy 17:558–563

    Article  PubMed  CAS  Google Scholar 

  23. Zanca P (1971) Shoulder pain: involvement of the acromioclavicular joint: an analysis of 1000 cases. Am J Roentgenol 112:493–506

    CAS  Google Scholar 

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Correspondence to Markus Scheibel.

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Scheibel, M., Ifesanya, A., Pauly, S. et al. Arthroscopically assisted coracoclavicular ligament reconstruction for chronic acromioclavicular joint instability. Arch Orthop Trauma Surg 128, 1327–1333 (2008). https://doi.org/10.1007/s00402-007-0547-9

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  • DOI: https://doi.org/10.1007/s00402-007-0547-9

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