Anatomic Reconstruction of Chronic Coracoclavicular Ligament Tears: Arthroscopic-Assisted Approach With Nonrigid Mechanical Fixation and Graft Augmentation

Abstract It has recently been suggested that all coracoclavicular ligament tears could be considered for surgery because nonoperative management might result in irreversible changes in the scapular position that could lead to muscle kinematic alterations that would perturb the shoulder girdle functi...

Full description

Saved in:
Bibliographic Details
Published inArthroscopy techniques (Amsterdam) Vol. 3; no. 5; pp. e583 - e588
Main Authors Natera, Luis, M.D, Sarasquete Reiriz, Juan, M.D, Abat, Ferran, M.D., Ph.D
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.10.2014
Elsevier
Subjects
Orthopedics
Technical Note
Online AccessGet full text

Cover

More Information
Summary:Abstract It has recently been suggested that all coracoclavicular ligament tears could be considered for surgery because nonoperative management might result in irreversible changes in the scapular position that could lead to muscle kinematic alterations that would perturb the shoulder girdle function and result in pain. In this technical note we describe an anatomic technique for the treatment of chronic coracoclavicular ligament tears that overcomes the issues related to open surgery, metal hardware, the inferior resistance to secondary displacement of only grafting and nonanatomic techniques, and the saw effect and anterior loop translation that can be seen in systems that surround the base of the coracoid. Our technique incorporates the use of a tendon graft and a nonrigid mechanical stabilizer that protects the graft from stretching during the process of healing and integration into bone, guaranteeing the maintenance of a reduced acromioclavicular joint.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2014.06.014