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Arthroscopic-Assisted AC Joint Reconstruction

  • Timothy G. ReishEmail author
  • Andrew B. Old
Living reference work entry

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Abstract

Acromioclavicular (AC) joint injuries are common place; however, their optimal treatment is still a source of debate. Classification of this injury is well established and is the platform on which successful treatment is based. The degree of injury to the surrounding ligamentous and capsular structures must be evaluated thoroughly. The surgeon must use the patient’s history and physical examination and corroborate their findings with appropriate imaging. Once an accurate diagnosis has been made, the surgeon can incorporate the patient’s preferences and demands to tailor a suitable treatment program. More minor injuries to the AC and CC ligaments can be treated nonoperatively with physical therapy and strengthening, while more severe injuries require surgical stabilization. This chapter highlights the relevant anatomy, biomechanics, classification scheme, imaging, and both nonoperative and operative treatment modalities, and the authors preferred treatment method for displaced AC separations. Finally, a brief review of rehabilitation and return to play will be discussed.

Keywords

Acromioclavicular (AC) joint Anatomy and biomechanics Authors preferred method Classification Imaging Injuries Mechanism Non-operative treatment Operative management Physical exam Post operative care Treatment rockwood classification system Weaver-Dunn [Weaver] procedure 

Supplementary material

Video 1

Five minute edited version of the procedure

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Insall Scott Kelly InstituteNew YorkUSA
  2. 2.Hospital for Joint Diseases, NYU LangoneNew YorkUSA

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