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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L6 – years in practice. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 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 This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7.
LUXACION ACROMIOCLAVICULAR by Jose Santana on Prezi
AC tenderness; no AC instability. Case 6 Case 6.
L7 – years in practice. Unable to process the form. Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades. 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 luxaciob 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 Luxacioon injuries treated surgically 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 ligament acrlmioclavicular allograft fixation suture hook plate CC screw Bosworth cortical flip button e.
These are performed with the patient erect and holding a weight acromiclavicular the arm. Check for errors and try again.
HPI – Acute injury in motorcycle accident 5 days ago.
Please vote below and help us build the most advanced adaptive learning platform in medicine. Case 3 Case 3. Other described grading systems include the Tossy and the Allman classification systems.
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What additional Xrays would you get in this case? K-wires have also been used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them luxacionn. Treatment of the acute traumatic acromioclavicular separation. These do not usually constitute ‘relevant negatives’ and as such, no comment is required. Support Radiopaedia and see fewer ads.
A radiograph is shown in Figure A.
Acromio-Clavicular Injuries (AC Separation)
Edit article Share article View revision history. The axillary radiograph shows no antero-posterior acroimoclavicular.
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?
What is the most appropriate next step in treatment? Loading Stack – 0 images remaining. Case 4 Case 4. To quiz yourself on this article, log in to see multiple choice questions. American Shoulder and Elbow Surgeons. Additional weight bearing stress views may be of benefit if:. Case 2 Case 2.
L8 – 10 years in practice. If the joint is normal, then acromioclavicular alignment should remain normal and symmetric. Core Tested Community All.
Acromio-Clavicular Injuries (AC Separation) – Shoulder & Elbow – Orthobullets
Bishop JY, Kaeding C. Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury. Articles Cases Courses Quiz. Thank you for updating your details. Surgical complications include migration of hardware and infection.
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