scholarly journals A type VI acromioclavicular joint injury: subcoracoid dislocation in a patient with polytrauma

2020 ◽  
Vol 102 (9) ◽  
pp. e1-e3
Author(s):  
E Balai ◽  
S Sabharwal ◽  
D Griffiths ◽  
P Reilly
Keyword(s):  
Acromioclavicular Joint ◽  
High Energy ◽  
Injury Pattern ◽  
Acromioclavicular Joint Dislocation ◽  
Radiology Report ◽  
Joint Injury ◽  
Acute Setting ◽  
Energy Mechanism ◽  
Appropriate Treatment ◽  
Acromioclavicular Joint Injury

The Rockwood type VI acromioclavicular joint injury describes subcoracoid dislocation of the distal end of the clavicle. This injury pattern is exceedingly rare, with only 12 cases described in the literature. Diagnosis can be challenging; it is often the result of a high-energy mechanism and patients frequently have other severe distracting injuries. We report the case of a 23-year-old man who presented to our department after falling from a fifth-floor balcony. Alongside multiple intra-abdominal and musculoskeletal injuries, the patient sustained a type VI acromioclavicular joint dislocation. This injury was not picked up on the initial clinical assessment or described in the initial radiology report, with the diagnosis only made upon subsequent repeat review of the imaging by the admitting team. Fortunately, this delay did not increase the time to the patient receiving appropriate treatment. Despite its rarity, awareness of this injury pattern and its association with polytrauma is essential to reduce the risk of the diagnosis being overlooked in the acute setting.

scholarly journals Treatment of Rockwood Type III Acromioclavicular Joint Dislocation

2018 ◽  
Vol 21 (1) ◽  
pp. 48-55
Author(s):  
Seong Hun Kim ◽  
Kyoung Hwan Koh
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Operative Treatment ◽  
Acromioclavicular Joint ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Injury ◽  
Type Iii ◽  
Acromioclavicular Joint Injury ◽  
Rockwood Type Iii

While non-operative treatment with structured rehabilitation tends to be the strategy of choice in the management of Rockwood type III acromioclavicular joint injury, some advocate surgical treatment to prevent persistent pain, disability, and prominence of the distal clavicle. There is no clear consensus regarding when the surgical treatment should be indicated, and successful clinical outcomes have been reported for non-operative treatment in more than 80% of type III acromioclavicular joint injuries. Furthermore, there is no gold standard procedure for operative treatment of type III acromioclavicular joint injury, and more than 60 different procedures have been used for this purpose in clinical practice. Among these surgical techniques, recently introduced arthroscopic-assisted procedures involving a coracoclavicular suspension device are minimally invasive and have been shown to achieve successful coracoclavicular reconstruction in 80% of patients with failed conservative treatment. Taken together, currently available data indicate that successful treatment can be expected with initial conservative treatment in more than 96% of type III acromioclavicular injuries, whereas minimally invasive surgical treatments can be considered for unstable type IIIB injuries, especially in young and active patients. Further studies are needed to clarify the optimal treatment approach in patients with higher functional needs, especially in high-level athletes.

scholarly journals BIOMECHANICAL COMPARATIVE STUDY BETWEEN TENSION BAND WIRING, DOUBLE ENDO BUTTON AND HOOK PLATE FOR ACROMIOCLAVICULAR JOINT INJURY

2019 ◽  
Vol 7 (1) ◽  
pp. 65
Author(s):  
Erwin Ramawan ◽  
Jifaldi Afrian MDS
Keyword(s):  
Acromioclavicular Joint ◽  
Scientific Basis ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Hook Plate ◽  
Joint Injury ◽  
Joint Reconstruction ◽  
Ac Joint Reconstruction ◽  
Acromioclavicular Joint Injury

Background: The treatment for acromioclavicular joint injury are debatable, there are fixation options include tension band wiring, AC joint reconstruction and hook plate These fixations are capable of providing a stable fixation, but controversy still exists that mentions the superiority of each of these fixationsPurpose: To compare biomechanical stability of 3 fixation include tension band wiring, double endo button, and hook plate to provide a scientific basis of the fixation.Methods: This research is an experimental in vitro. Using 27 acromioclavicular joints cadaver divided into three groups that performed tension band wiring fixation, double endo button and hook plate. Each fixation evaluated with 10, 20, 50 and 100 times repetitions with 100N traction force.Results: Tension band wiring gives the smallest displacement. In 10 times repetition average displacement of tension band wiring 0.056 mm (p = 0.000) compared to double endo button 1.622 mm and hook plate 0.867 mm. In 20 times repetitions, tension band wiring 0.1667 mm (p = 0,000) compared to double endo button 3.1778 mm and hook plate 1.1111 mm. In 50 times repetition, tension band wiring 0.3111 mm (p = 0.000) with double endo button 4.7778 mm and hook plate 1.3556 mm. In 100 times repetitions, tension band wire 0.556 mm (p = 0.000) while double endo button 5.4444 mm and hook plate 1.4556 mm.Conclusion: Tension band wiring have a good stability compared to double endo button and hook plate. But all of fixation provide stability for acriomioclavicular joint motion.

Functional Outcome of Acromioclavicular Joint Injury in Polytrauma Patients

1998 ◽  
Vol 12 (3) ◽  
pp. 159-163 ◽  
Author(s):  
Stephen H. Gallay ◽  
Thomas M. Hupel ◽  
Dorcas E. Beaton ◽  
Emil H. Schemitsch ◽  
Michael D. McKee
Keyword(s):  
Functional Outcome ◽  
Acromioclavicular Joint ◽  
Joint Injury ◽  
Polytrauma Patients ◽  
Acromioclavicular Joint Injury

scholarly journals Spontaneous Healing of Acromial Stress Fracture Caused by Clavicle Hook Plate in Acromioclavicular Joint Dislocation: A Case Report

2014 ◽  
Vol 17 (1) ◽  
pp. 36-39
Author(s):  
Gang Un Kim ◽  
Seong Hwan Kim ◽  
Jae Sung Lee ◽  
Jae Yoon Kim
Keyword(s):  
Acromioclavicular Joint ◽  
Full Range ◽  
Hook Plate ◽  
Bony Union ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Injury ◽  
Joint Dislocation ◽  
Acromion Fracture ◽  
Clavicular Hook Plate ◽  
Acromial Fracture

Clavicular hook plate is known to be an effective treatment on acromioclavicular (AC) joint injury, but there have been some reports of complications, like osteolysis and bony erosion of the undersurface of acromion. Fifty-five year old male underwent open reduction and hook plate insertion on Rockwood type 5 acromioclavicular joint dislocation. He complained of protrusion of posterior acromion at 1 month after the surgery, and acromial fracture was noted in simple radiographs. The hook plate was removed and any other treatment for osteosynthesis was refused by the patient. At the 18 months after the surgery, the patient had no pain and a full range of motion with no tenderness around the shoulder joint. After two years, plain radiographs revealed complete bony union of the acromion fracture.

scholarly journals Treatment of acute high-grade acromioclavicular joint dislocation

2020 ◽  
Vol 23 (3) ◽  
pp. 159-165
Author(s):  
Jeung Yeol Jeong ◽  
Yong-Min Chun
Keyword(s):  
Standard Procedure ◽  
High Energy ◽  
Acromioclavicular Joint Dislocation ◽  
High Grade ◽  
Shoulder Injuries ◽  
Ac Joint ◽  
Joint Injury ◽  
Joint Dislocation ◽  
Treatment Type ◽  
Joint Dislocations

Acromioclavicular (AC) joint dislocations account for about 9% of shoulder injuries. Among them, acute high-grade injury following high-energy trauma accounts for a large proportion of patients requiring surgical treatment. However, there is no gold standard procedure for operative treatment of acute high-grade AC joint injury, and several different procedures have been used for this purpose in clinical practice. This review article summarizes the most recent and relevant surgical options for acute high-grade AC joint dislocation patients and the outcomes of each treatment type.

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