Ligament Reconstruction and Interposition Arthroplasty of the Acromioclavicular Joint
Distal clavicle excision (DCE) for acromioclavicular (AC) joint primary osteoarthritis and post-traumatic arthritis has been shown to have good to excellent outcomes. However, there are studies that report significant rates of residual AC joint pain and distal clavicle instability after open and art...
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| Published in | Techniques in hand & upper extremity surgery Vol. 27; no. 1; p. 49 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
01.03.2023
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| Subjects | |
| Online Access | Get more information |
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| Abstract | Distal clavicle excision (DCE) for acromioclavicular (AC) joint primary osteoarthritis and post-traumatic arthritis has been shown to have good to excellent outcomes. However, there are studies that report significant rates of residual AC joint pain and distal clavicle instability after open and arthroscopic techniques. We describe a surgical technique for management of AC joint primary osteoarthritis, post-traumatic arthritis, and revision DCE that involves DCE with ligament reconstruction and tendon interposition arthroplasty. It provides distal clavicle stability and can theoretically reduce residual AC joint pain secondary to acromial abutment after DCE. |
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| AbstractList | Distal clavicle excision (DCE) for acromioclavicular (AC) joint primary osteoarthritis and post-traumatic arthritis has been shown to have good to excellent outcomes. However, there are studies that report significant rates of residual AC joint pain and distal clavicle instability after open and arthroscopic techniques. We describe a surgical technique for management of AC joint primary osteoarthritis, post-traumatic arthritis, and revision DCE that involves DCE with ligament reconstruction and tendon interposition arthroplasty. It provides distal clavicle stability and can theoretically reduce residual AC joint pain secondary to acromial abutment after DCE. |
| Author | Piggott, Robert P Patel, Shaan S Hughes, Jeff S Spasojevic, Milos |
| Author_xml | – sequence: 1 givenname: Shaan S surname: Patel fullname: Patel, Shaan S organization: Sydney Shoulder Research Institute, Greenwich – sequence: 2 givenname: Robert P surname: Piggott fullname: Piggott, Robert P organization: Sydney Shoulder Research Institute, Greenwich – sequence: 3 givenname: Milos surname: Spasojevic fullname: Spasojevic, Milos organization: Sydney Shoulder Research Institute, Greenwich – sequence: 4 givenname: Jeff S surname: Hughes fullname: Hughes, Jeff S organization: Orthopaedic and Arthritis Specialist Centre, Chatswood, NSW, Australia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36017933$$D View this record in MEDLINE/PubMed |
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| Snippet | Distal clavicle excision (DCE) for acromioclavicular (AC) joint primary osteoarthritis and post-traumatic arthritis has been shown to have good to excellent... |
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| SubjectTerms | Acromioclavicular Joint - surgery Arthralgia - surgery Arthroplasty - methods Clavicle - surgery Humans Ligaments - surgery Osteoarthritis - surgery |
| Title | Ligament Reconstruction and Interposition Arthroplasty of the Acromioclavicular Joint |
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