Ioannis K Triantafyllopoulos1, Kalliopi Lampropoulou-Adamidou2, Nikitas P Schizas3, Eleftherios V Karadimas4. 1. Laboratory for Research of the Musculoskeletal System "Th. Garofalidis," Medical School, National and Kapodistrian University of Athens, General Hospital of Athens KAT, Athens, Greece. Electronic address: sportdoc@otenet.gr. 2. Laboratory for Research of the Musculoskeletal System "Th. Garofalidis," Medical School, National and Kapodistrian University of Athens, General Hospital of Athens KAT, Athens, Greece. 3. 4th Orthopaedic Department, General Hospital of Athens KAT, Athens, Greece. 4. Hygeia Private Hospital, Athens, Greece.
Abstract
BACKGROUND: Most acromioclavicular (AC) joint injuries occur in men in their third decade of life during high-speed or high-impact body contact sports. The management of acute complete AC joint dislocation is surgical. Current surgical techniques include anatomic reconstruction of the main restraints of the AC joint and aim to improve functional outcomes and to reduce the complication rate. METHODS: We present 10 cases of acute type V AC joint dislocation in professional athletes treated surgically with anatomic reconstruction of the coracoclavicular and AC ligaments and augmentation with the use of a synthetic polyester tape. The minimum follow-up of the patients was 2 years (mean, 48 months; range, 24-86 months). The postoperative functional outcome was assessed at 1 year and 2 years using the Constant-Murley, American Shoulder and Elbow Surgeons, and modified University of California-Los Angeles scoring systems. RESULTS: In all cases, the postoperative scores were significantly improved (P < .005 in all comparisons with the preoperative scores), and all patients returned to their preinjury high level of activity 6 months postoperatively. Radiographs at 1 month and 6 months revealed the maintenance of reduction. There were no complications. CONCLUSION: According to the results of our series of patients, demanding cases of acute AC joint dislocation Rockwood type V, in professional athletes, require anatomic fixation of both coracoclavicular and AC ligaments for return to sports as soon as possible and at the preinjury level of performance.
BACKGROUND: Most acromioclavicular (AC) joint injuries occur in men in their third decade of life during high-speed or high-impact body contact sports. The management of acute complete AC joint dislocation is surgical. Current surgical techniques include anatomic reconstruction of the main restraints of the AC joint and aim to improve functional outcomes and to reduce the complication rate. METHODS: We present 10 cases of acute type V AC joint dislocation in professional athletes treated surgically with anatomic reconstruction of the coracoclavicular and AC ligaments and augmentation with the use of a synthetic polyester tape. The minimum follow-up of the patients was 2 years (mean, 48 months; range, 24-86 months). The postoperative functional outcome was assessed at 1 year and 2 years using the Constant-Murley, American Shoulder and Elbow Surgeons, and modified University of California-Los Angeles scoring systems. RESULTS: In all cases, the postoperative scores were significantly improved (P < .005 in all comparisons with the preoperative scores), and all patients returned to their preinjury high level of activity 6 months postoperatively. Radiographs at 1 month and 6 months revealed the maintenance of reduction. There were no complications. CONCLUSION: According to the results of our series of patients, demanding cases of acute AC joint dislocation Rockwood type V, in professional athletes, require anatomic fixation of both coracoclavicular and AC ligaments for return to sports as soon as possible and at the preinjury level of performance.
Authors: Daichi Morikawa; Felix Dyrna; Mark P Cote; Jeremiah D Johnson; Elifho Obopilwe; Florian B Imhoff; Knut Beitzel; Augustus D Mazzocca; Bastian Scheiderer Journal: Knee Surg Sports Traumatol Arthrosc Date: 2018-10-10 Impact factor: 4.342
Authors: Juha O Ranne; Terho U Kainonen; Janne T Lehtinen; Kari J Kanto; Heidi A Vastamäki; Mari K Kukkonen; Mika T Siitonen Journal: Arthrosc Sports Med Rehabil Date: 2020-01-08