Unlabelled: We present a case of chronic acromioclavicular joint dislocation (Rockwood type 5) in which the choice of acromioclavicular reconstruction using autogenous semitendinosus tendon graft was made due to its superiority in anatomical reconstruction of the coracoclavicular ligaments, and the impact of postoperative rehabilitation on the recovery of this patient. We also discuss the rationale behind this.
Key Words: acromioclavicular joint dislocation, acromioclavicular reconstruction, autogenous semitendinosus tendon graft, rehabilitation approach.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322141 | PMC |
| http://dx.doi.org/10.5704/MOJ.1311.012 | DOI Listing |
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Acromioclavicular joint dislocation is a common pathology, affecting mostly young male patients. High-grade injuries require surgical treatment, but evidence is lacking regarding a gold standard technique. Chronic cases frequently are treated with graft reconstruction, but complications and availability remain as a limitation for autograft and allograft use, respectively.
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Article Synopsis
- The coracoclavicular ligament reconstruction (CLR) technique, popular for treating acromioclavicular joint dislocations, has potential complications like clavicle and coracoid fractures, and implant failures, prompting a study on clavicular tunnel widening (CTW).
- A retrospective analysis of 84 patients from a larger group who underwent single-bundle CLR provided data on post-operative measures, including CT width and coracoclavicular distance at 6 months.
- The findings indicated that both CT width and coracoclavicular distance increased significantly by the 6-month follow-up, but no notable differences in CTW were observed based on factors like sex, injury causes, or Rockwood classification.
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