Purpose: The treatment for the acromioclavicular joint dislocations has focused on anatomic restoration of the coracoclavicular ligaments. We reviewed the detailed anatomy of trapezoid ligaments and conoid ligaments using cadavers.
Methods: The subjects were 40 shoulders of the 20 cadavers. We investigated the distributed direction and attachment sites of both trapezoid and conoid ligaments.
Results: The trapezoid ligaments began at about 2 cm away the central point of the distal coracoid process and directed toward the undersurface of the clavicle. The attachments extended from 13 to 26 mm in sagittal dimension and from 13 to 15 mm in coronal dimension. The conoid ligaments began at the medial posterior margin of the coracoid process and directed toward to the conoid tubercle in the clavicle. The attachments extended from 15 to 30 mm in sagittal dimension and from 3 to 6 mm in coronal dimension.
Conclusion: The findings are important indices for the accurate reconstruction of the coracoclavicular ligaments in acromioclavicular joint dislocations.
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http://dx.doi.org/10.1007/s00276-010-0671-z | DOI Listing |
Arch Orthop Trauma Surg
January 2025
The Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta Pei Road, Niao Sung Dist, Kaohsiung, Taiwan.
Introduction: The optimal management strategy for unstable distal clavicular fractures remains controversial. Recent studies on plate techniques have reported good-to-excellent outcomes with no serious complications. The questions are that: (1) Does the use of wire augmentation with locking plate in distal part (distal wire augmentation) reduce radiographic loss of reduction (RLOR) and get earlier bony union in distal clavicular fractures? (2) Which fixation methods are associated with a higher incidence of acromioclavicular (AC) joints arthritis or subluxation? We collected and analyzed clinical studies on different plate fixation methods for unstable fractures to identify the best surgical modality.
View Article and Find Full Text PDFWorld J Orthop
December 2024
Department of Orthopedic Surgery, King Saud Medical City, Riyadh 00966, Saudi Arabia.
Arch Orthop Trauma Surg
December 2024
Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu, 210029, People's Republic of China.
Introduction: Although various classification systems have been introduced for the description of distal clavicle fractures, there is no consensus on the best classification system that is helpful in determining treatment and prognosis. The objective of this study was to establish a new classification system for distal clavicle fractures and to verify the reliability of the new classification system by evaluating the inter- and intraobserver agreement.
Materials And Methods: A total of 1075 consecutive patients with distal clavicle fractures were selected from five university-affiliated hospitals between 2012 and 2022.
J Int Med Res
November 2024
Department of Orthopaedics, Tongji Hospital, Tongji University, Shanghai, China.
Objective: To identify risk factors associated with postoperative shoulder joint dysfunction in patients who underwent surgical intervention for acromioclavicular (AC) joint dislocation, with the aim of enhancing preoperative counselling, surgical planning, and postoperative management to optimize functional outcomes.
Methods: Patients who underwent surgery for AC joint dislocation between January 2018 and January 2023 at a hospital orthopaedic centre were enrolled into this retrospective study. Inclusion criteria were patients aged ≥18 years with a documented AC joint dislocation who underwent surgical treatment and had a minimum follow-up period >1 year.
BMC Musculoskelet Disord
November 2024
Department of Orthopaedics, Fuyang People's Hospital Affiliated to Anhui Medical University, Fuyang, Anhui, 236000, China.
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