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Arthroscopic Acromioclavicular Joint Resection

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Rotator Cuff Across the Life Span

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Abstract

Osteoarthritic findings of the acromioclavicular joint are commonly observed in adult population, especially with increased age. For symptomatic patients who resulted in failed conservative treatment, surgical treatment is needed. In addition to the classic open procedure for distal clavicle resection, the arthroscopic procedure has recently been popularized. There have been some studies describing the advantages of the arthroscopic procedure including faster return to activities and less complication rate than the open procedure. There are two approaches in arthroscopic procedure: the lateral subacromial (indirect) approach and the superior (direct) approach. The latter approach has advantage to preserve the inferior AC ligament and coracoacromial arch during the surgery. The amount of resection has been discussed in anatomical studies regarding the AC ligament insertion. The dynamic examination during arthroscopy is helpful in determining the optimal amount of resection.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan

    Taku Hatta & Eiji Itoi

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  1. Taku Hatta
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  2. Eiji Itoi
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Correspondence to Eiji Itoi .

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Editors and Affiliations

  1. Orthopaedic Sportsmedicine, University of Munich (TUM), Orthopaedic Sportsmedicine, Munich, Bayern, Germany

    Andreas B. Imhoff

  2. Department of Orthopaedics, Tulane University School of Medicine, Department of Orthopaedics, New Orleans, LA, USA

    Felix H. Savoie III

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Hatta, T., Itoi, E. (2019). Arthroscopic Acromioclavicular Joint Resection. In: Imhoff, A.B., Savoie, F.H. (eds) Rotator Cuff Across the Life Span. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58729-4_12

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  • DOI: https://doi.org/10.1007/978-3-662-58729-4_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-58728-7

  • Online ISBN: 978-3-662-58729-4

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