Surgical Management of Type Iii Acromioclavicular Joint Dislocation – The Biomechanical Basis for Reconstruction

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C. Fletcher
C. Fletcher
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Cary Fletcher
Cary Fletcher

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Surgical Management of Type Iii Acromioclavicular Joint Dislocation – The Biomechanical Basis for Reconstruction

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Abstract

The acromioclavicular joint (ACJ) is a diarthrodial joint which is stabilized by static and dynamic stabilizers. Acromioclavicular (AC) ligaments and the coracoclavicular (CC) ligaments (trapezoid and conoid) and the coracoacromial ligament make up the static stabilizers. The dynamic stabilizers are the deltoid and trapezius muscles. The principles of various surgical techniques involve reduction of the AC joint and were historically classified into two groups: those that focus on primary healing of the CC ligaments and those meant to reconstruct the CC ligaments. Ligament reconstruction must have sufficient immediate stability to prevent acute redisplacement or be protected temporarily until the region heals. The biomechanical basis for reconstructing the CC ligaments in the management of acromioclavicular type 3 injuries is discussed.

References

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

C. Fletcher. 2018. \u201cSurgical Management of Type Iii Acromioclavicular Joint Dislocation – The Biomechanical Basis for Reconstruction\u201d. Global Journal of Medical Research - H: Orthopedic & Musculoskeletal System GJMR-H Volume 17 (GJMR Volume 17 Issue H1): .

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords
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GJMR-H Classification: NLMC Code: WE 168
Version of record

v1.2

Issue date

January 24, 2018

Language
en
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Published Article

The acromioclavicular joint (ACJ) is a diarthrodial joint which is stabilized by static and dynamic stabilizers. Acromioclavicular (AC) ligaments and the coracoclavicular (CC) ligaments (trapezoid and conoid) and the coracoacromial ligament make up the static stabilizers. The dynamic stabilizers are the deltoid and trapezius muscles. The principles of various surgical techniques involve reduction of the AC joint and were historically classified into two groups: those that focus on primary healing of the CC ligaments and those meant to reconstruct the CC ligaments. Ligament reconstruction must have sufficient immediate stability to prevent acute redisplacement or be protected temporarily until the region heals. The biomechanical basis for reconstructing the CC ligaments in the management of acromioclavicular type 3 injuries is discussed.

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Surgical Management of Type Iii Acromioclavicular Joint Dislocation – The Biomechanical Basis for Reconstruction

Cary Fletcher
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