Definition. injury to the acromioclavicular (AC) joint with disruption of the AC ligaments with or without coracoclavicular (CC) ligament disruption. View presentations and documents with title Luxación acromioclavicular on SlideShare, the world’s largest community for sharing presentations. LUXACION ACROMIOCLAVICULAR. JS. Jose Santana. Updated 8 July Transcript. son el 9% de todas las lesiones del hombro. más comúnes en atletas.
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American Shoulder and Elbow Surgeons. Check for errors and try again. Loading Stack – 0 images remaining. Synonyms or Alternate Spellings: The axillary radiograph shows no antero-posterior translation.
The selection of which patients with type III injuries for surgical intervention is difficult, but patients who are particularly thin, require great range of motion or do heavy lifting may benefit from operative repair L6 – years in practice. AC tenderness; no AC instability.
Treatment of the acute traumatic acromioclavicular separation. Please login to add comment. K-wires have also been used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them 4.
Luxación acromioclavicular rx2
Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury. In most cases, plain films including an axillary view are sufficient for accurate grading although CT or MRI may be useful in cases where plain films are thought to underrepresent the degree of injury.
Case 3 Case 3. Log in Sign up.
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Unable to process the form. Articles Cases Courses Quiz. A radiograph is shown in Figure A. This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7. Thank you for updating your details. HPI – Acute injury in motorcycle accident 5 days ago. Case 2 Case 2. In addition to a true AP and an axillary lateral, which of the following additional radiographic views is most appropriate to evaluate the AC joint?
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Acromio-Clavicular Injuries (AC Separation) – Shoulder & Elbow – Orthobullets
To quiz yourself on this article, log in to see multiple choice questions. L8 – 10 years in practice. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. These are performed with the patient erect and holding acrokioclavicular weight in the arm. Case 4 Case 4. Edit article Share article Accromioclavicular revision history. Support Radiopaedia and see fewer ads. L7 – years in practice.
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Acromioclavicular injury | Radiology Reference Article |
Case 1 Case 1. Case 6 Case 6. Ligament Reconstruction indications acute type IV, V or VI injuries acute type III injuries in laborers, elite athletes, patients with cosmetic concerns chronic type III injuries that failed non-op treatment historically it was thought acute injuries were treated with ORIF and chronic injuries were treated with CC ligment reconstruction however, new studies have shown no difference in outcomes in types III injuries treated acrommioclavicular with ORIF after 6 weeks non-op treatment versus immediate surgery contraindications patient unlikely to comply with postoperative rehabilitation skin problems over fixation approach site techniques ligament reconstruction with soft tissue graft Modified Weaver-Dunn distal clavicle excision with transfer of coracoacromial ligament to the distal clavicle to recreate CC acromiocavicular autograft allograft fixation suture hook plate CC screw Acroioclavicular cortical flip button e.
Surgical complications include migration of hardware and infection. Bishop JY, Kaeding C. If the joint is normal, then acromioclavicular alignment should remain normal and symmetric. Additional weight bearing stress views may be of benefit if:. Other described grading systems include the Tossy and the Allman classification systems.
Acromioclavicular joint injuries usually occur from a direct blow or following a fall acromioclavucular the shoulder with an adducted arm. Imaging can be used to luxaion acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades.
Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis. How important is this topic for board examinations? What is the most appropriate next step in treatment? About Blog Go ad-free.
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