Sprain or tear of the acromioclavicular ac and coracoclavicular cc ligaments. Bipolar acromioclavicular joint resection arthroscopy techniques. Arthroscopic resection of the acromioclavicular joint gary m. Impingement syndrome acromioclavicular joint ac joint.
An acromioclavicular ac joint injury is commonly referred to as shoulder separation and should not be confused with a shoulder dislocation. Acromioclavicular ac joint injury johns hopkins hospital. Surgical treatment for acromioclavicular joint osteoarthritis. In 65 patients an arthoscopic resection of the acjoint arac was performed. Shoulder resection arthroplasty procedure, test, blood. Disruption of acromioclavicular and coracoclavicular ligaments is a common injury of the shoulder. The ac joint is formed by the junction of the lateral clavicle and the acromion process of the scapula and is a gliding, or plane style synovial joint. Commonly called a separated shoulder, an ac joint injury occurs when ligaments attached to the collarbone tear away from the shoulder blade. This population of patients poses a difficult management problem as excision of the distal clavicle is difficult to justify at such a young age and can potentially lead to symptoms from increased anteroposterior instability. Get your team aligned with all the tools you need on one secure, reliable video platform. Clinically this is supported, with acromioclavicular joint fusions resulting in little dysfunction. Arthroscopic excision of the acromioclavicular joint.
Acromioclavicular ac joint injury associated with coracoid process cp fracture is a rare injury and only case reports had been published in the literature. The acromioclavicular joint is a joint located in the superior aspect of the shoulder connecting the sshaped curved clavicle collarbone with the acromial process off the scapula. Frisella shoulder arthroscopic ac resection youtube. The purpose of this study was to com pare open versus arthroscopic acromioclavicular joint resection in a laboratory setting. Ac joint injuries represent nearly half of all athletic shoulder injuries, often resulting from a fall on to the tip of the shoulder with the arm in adduction, or a direct blow to the acromion with the humerus adducted, as in collision in highimpact contact sports. Bursitis around the shoulder can be caused by a repeated minor trauma such as overuse of the shoulder joint and muscles or a single more significant trauma such as a fall. Acromioclavicular joint arthroscopy and debridement. Arthroscopic acromioclavicular joint resection has the theoretical ad vantages of no deltoid disruption and a shorter rehabil itation period. The acromioclavicular ac joint is situated at the distal end of the clavicle forming an articulation with the acromion of the scapula. The acromioclavicular ac joint connects your collarbone to your shoulder blade. Stabilization of the acromioclavicular joint shoulderdoc by. Complications of arthroscopic subacromial decompression and. The acromioclavicular joint, or ac joint, is one of four joints that compride the shoulder complex. This technique involves the distal clavicle excision in combination with transfer of the ca.
View or download all content the institution has subscribed to. The condition of the acromioclavicular joint acj is considered to be one factor in the etiology of shoulder impingement syndrome, but there are few supporting morphological data. This joint connects the clavicle to the acromion a small bone. In an attempt to classify the complications of ac joint resection, basmania et al. How i do an arthroscopic ac joint resection vumedi. The arthrex tightrope system is a device that consists of two buttons one round clavicle button and one oblong coracoid button. Acromioclavicular joint injury acromioclavicular joint. Almost invariably traumatic in etiology, they range in severity from a mild sprain to complete disruption. The interest in acromioclavicular ac joint injuries dates back to the time of.
Open versus arthroscopic distal clavicle resection request pdf. Oct 22, 2018 acromioclavicular joint injuries are often seen after bicycle wrecks, contact sports, and car accidents. This is an educational video on ac joint arthritis. How would you treat a young athlete with a chronic ac injury. Jan 17, 2017 an animated description of open reduction internal fixation orif performed for acromioclavicular injuries separated shoulders. Typically a fall on or direct blow to the acromion with the humerus adducted, forcing the acromion inferiorly and medially relative to the clavicle. An animated description of open reduction internal fixation orif performed for acromioclavicular injuries separated shoulders. Acromioclavicular joint pain or ac joint pain is a common issue that occurs in many people, especially those with active lifestyles. Apr 05, 2020 a persons acromioclavicular joint is located in the shoulder and it connects the collarbone with the scapula, which is part of the shoulder blade. The acromioclavicular joint is located at the top of the shoulder where the acromion process and the clavicle meet to form a joint see the following image.
Arthroscopic resection of the acromioclavicular joint and distal clavicle is, as with many arthroscopic procedures, technically demanding. Acromioclavicular joint reconstruction with coracoacromial ligament. Explore and learn about the acromioclavicular joint with our 3d interactive anatomy atlas. The surgical technique consisted of a modification of the weaverdunn technique with resection and reduction of the distal clavicle, transfer of.
Both schools of thought can put forward excellent results to support their case. Arthroscopic resection of the acromioclavicular joint arac. This video shows the technique used for the bipolar acromioclavicular joint resection. Oct 22, 2018 injuries in and around the shoulder, including acromioclavicular joint injuries, occur most commonly in active or athletic young adults. Shoulder resection arthroplasty is surgery performed to repair a shoulder acromioclavicular ac joint. The ac joint complex is strong, but its location makes it vulnerable to injury from direct trauma. Your acromioclavicular joint or ac joint is the joint at the top of your shoulder between your clavicle collarbone and your scapula. One of the underlying causes of these complaints is pathology of the acromioclavicular ac joint. An acromioclavicular joint separation, or ac separation, is a very frequent injury among physically active people. Signs of joint degeneration in the ac joint on xray is common in people over 40yrs old, but it is often completely asymptomatic.
Acromioclavicular joint 3d anatomy atlas anatomyzone. Is arthroscopic distal clavicle resection necessary for patients with. The acromioclavicular joint is located in the shoulder, the joint that connects the collarbone also called the clavicle the upper section of the shoulder blade known as the acromion. Listen to the audio pronunciation in the cambridge english dictionary. The acromioclavicular joint, or ac joint, is a joint at the top of the shoulder. If you injured your ac joint less than four weeks ago then you may be able to have an arthroscopic keyhole repair. In this injury the clavicle collar bone separates from the scapula shoulder blade. The purpose of this study was to compare open versus arthroscopic acromioclavicular joint resection in a laboratory setting. Is acromioclavicular joint pain your biggest problem. Working inferiorly to superiorly, the surgeon uses an arthroscopic burr from the anterior portal to remove possible osteophytes and, afterward, to resect the medial aspect of the acromion until the posterior and superior aspect of the clavicle is clearly visualized from the midlateral portal. Bigliani in the past decade, we have seen an exponential increase in arthroscopic surgery of the shoulder. Bipolar acromioclavicular joint resection arthroscopy. Aug 24, 2016 acromioclavicular joint disruption mechanism of injury.
Bipolar acromioclavicular joint resection sciencedirect. The results show that arthroscopic resection was effective in the treatment of isolated acromioclavicular joint arthritis. We propose a technique for arthroscopic resection of the distal clavicle and the medial. At the end of the resection, the area of the ac joint should be rectangular. Acromioclavicular joint definition of acromioclavicular. Since 1941, resection of the distal clavicle has been a proven treatment for symptomatic acromioclavicular ac joint pathology. The type of surgery you will need to stabilize your acromioclavicular joint will depend on how acute your injury is. The intrinsic acromioclavicular ligaments provide 90% of the constraint to horizontal motion of the acj and are the greatest restraint to joint displacement in the anterior and posterior directions. Arthroscopic resection of the acromioclavicular joint. An improved technique for arthroscopic resection of the.
In these cases resection arthroplasty of the ac joint with removal of few milimeters of bone from each side of this joint is performed. Take a look at what happens to the connective tissue in an ac acromioclavicular joint. Working inferiorly to superiorly, the surgeon uses an arthroscopic burr from the anterior portal to remove possible osteophytes and, afterward, to resect the medial aspect of the acromion until the posterior and. The acromioclavicular ac joint is formed by the cap of the shoulder acromion and the collar bone clavicle. Arthroscopic distal clavicle excision acromioclavicular joint ac. However, pediatric acromioclavicular injuries have also increased owing to the rising popularity of dangerous summer and winter sporting activities. The ac joint is a small joint above the shoulders ball and socket joint. This is also known as arthroscopic excision of the distal clavicle. This joint may require surgery for several reasons, such as arthritis, injuries, or a separation, which occurs when the joint becomes dislocated, or moves out of place. The acromioclavicular joint, often referred to as the ac joint, is located where the collarbone clavicle meets the top of the shoulder blade scapula. The joint adds stability of the shoulder to the sternum and allows the glenohumeral joint to have a high degree of range of motion. It is the bony lump you can feel at the outer end of your collarbone on the top of your shoulder. One hundred patients with distal clavicle fractures and acromioclavicular joint dislocations who were admitted in our hospital. Rating is available when the video has been rented.
Jan 14, 2009 most techniques for ac joint reconstruction involve reconstructing the coracoclavicular cc ligament with some modification of the weaverdunn technique, which transfers the ca ligament to the distally resected end of the clavicle. An arthritic ac joint can be painful and arthroscopic ac resection is a simple and effective procedure to relieve. This video shows arthroscopic excision of the acromioclavicular joint. Few issues in orthopaedic surgery are more contentious than the continuing debate concerning operative or conservative treatment for a dislocated acromioclavicular joint. Arthroscopic acromioclavicular joint resection has the theoretical advantages of no deltoid disruption and a shorter rehabilitation period. Dec 05, 20 rating is available when the video has been rented.
It is commonly caused by a fall directly on the point of the shoulder or a direct blow received in a contact sport. This is a stepbystep instructional video for injection of the acromioclavicular ac joint of the shoulder. Traditionally, via an open exposure, the outer centimeter of the clavicle is removed, and any osteophytes on the acromial side are also trimmed. Consequently, complications related to these arthroscopic procedures have also increased. Article information, pdf download for is arthroscopic distal clavicle resection. Jul 15, 2016 complications of arthroscopic subacromial decompression and acromioclavicular joint resection ilya voloshin kevin j. Video of arthroscopic excision of the acromioclavicular joint dr. Acromioclavicular injury radiology reference article. As with all such operations, a good view of the surgical field is essential to ensure that the procedure is performed both adequately and safely.
Frisella performs an arthroscopic resection of the acromioclavicular joint. The aim of this study was to evaluate the security and effectiveness of aoasif clavicle hook plate in the treatment of distal clavicle fractures and acromioclavicular joint dislocations. Arthroscopic resection of the distal clavicle was used to treat 26 patients who had osteoarthritis of the acro. New insights in the treatment of acromioclavicular separation. How i do an arthroscopic ac joint resection by advanced course on shoulder arthroscopy val disere 20 featuring jens agneskirchner february 20. Acromioclavicular joint injuries are characterized by damage to the acromioclavicular joint and surrounding structures. Acromioclavicular ac joint pain is a common shoulder problem that can often be effectively treated by resecting the distal end of the clavicle.