Abstract
Acromioclavicular joint injuries are common and are often seen in contact athletes. Good to excellent results have been reported using soft tissue grafts to reconstruct the coracoclavicular ligaments; however, complications arising from bone tunnels remain. This chapter describes an anatomic coracoclavicular reconstruction using a large soft tissue graft while minimizing the risk of clavicle fracture by avoiding large bone tunnels.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsRecommended Literature
Agel J, Dick R, Nelson B, Marshall SW, Dompier TP. Descriptive epidemiology of collegiate women’s ice hockey injuries: National Collegiate Athletic Association Injury Surveillance System, 2000–2001 Through 2003–2004. J Athl Train. 2007;42:249–54.
Agel J, Dompier TP, Dick R, Marshall SW. Descriptive epidemiology of collegiate men’s ice hockey injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 Through 2003–2004. J Athl Train. 2007;42:241–8.
Dragoo JL, Braun HJ, Bartlinski SE, Harris AH. Acromioclavicular joint injuries in National Collegiate Athletic Association football: data from the 2004–2005 through 2008–2009 National Collegiate Athletic Association Injury Surveillance System. Am J Sports Med. 2012;40:2066–71.
LaPrade RF, Wijdicks CA, Griffith CJ. Division I intercollegiate ice hockey team coverage. Br J Sports Med. 2009;43:1000–5.
Warth RJ, Martetschlager F, Gaskill TR, Millett PJ. Acromioclavicular joint separations. Curr Rev Musculoskelet Med. 2013;6:71–8.
Williams G, Nguyen V, Rockwood C. Classification and radiographic analysis of acromioclavicular dislocations. Appl Radiol. 1989;18:29–34.
Rockwood C. Injuries to the acromioclavicular joint. In: Rockwood C, Green D, editors. Fractures in adults, vol. 1. 2nd ed. Philadelphia: JB Lippincott; 1984.
Ponce BA, Millett PJ, Warner JJ. Acromioclavicular joint instability—reconstruction indications and techniques. Oper Tech Sports Med. 2004;12:35–42.
Millett PJ, Warth RJ, Greenspoon JA, Horan MP. Arthroscopically assisted anatomic coracoclavicular ligament reconstruction technique using coracoclavicular fixation and soft-tissue grafts. Arthrosc Tech. 2015;4:e583–7.
Beitzel K, Mazzocca AD, Bak K, et al. ISAKOS upper extremity committee consensus statement on the need for diversification of the Rockwood classification for acromioclavicular joint injuries. Arthroscopy. 2014;30:271–8.
Woodmass JM, Esposito JG, Ono Y, et al. Complications following arthroscopic fixation of acromioclavicular separations: a systematic review of the literature. Open Access J Sports Med. 2015;6:97–107.
Clavert P, Meyer A, Boyer P, Gastaud O, Barth J, Duparc F. Complication rates and types of failure after arthroscopic acute acromioclavicular dislocation fixation. Prospective multicenter study of 116 cases. Orthop Traumatol Surg Res. 2015;101:S313–6.
Millett PJ, Horan MP, Warth RJ. Two-year outcomes after primary anatomic coracoclavicular ligament reconstruction. Arthroscopy. 2015;31:1962–73.
Pauly S, Kraus N, Greiner S, Scheibel M. Prevalence and pattern of glenohumeral injuries among acute high-grade acromioclavicular joint instabilities. J Shoulder Elb Surg. 2013;22:760–6.
Rios CG, Arciero RA, Mazzocca AD. Anatomy of the clavicle and coracoid process for reconstruction of the coracoclavicular ligaments. Am J Sports Med. 2007;35:811–7.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Geeslin, A.G., Fritz, E.M., Millett, P.J. (2019). Treatment of Acromioclavicular Joint Separation. In: Millett, P., Pogorzelski, J. (eds) Advanced Techniques in Shoulder Arthroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-13503-4_20
Download citation
DOI: https://doi.org/10.1007/978-3-030-13503-4_20
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-13502-7
Online ISBN: 978-3-030-13503-4
eBook Packages: MedicineMedicine (R0)