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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AC tenderness; no AC instability. Core Tested Community All.
Check for errors and try again. 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 historically it was thought acute injuries were treated with ORIF and chronic injuries were treated with CC ligment reconstruction luuxacion, new studies have shown no difference in outcomes in types III 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 autograft allograft fixation suture hook plate CC screw Bosworth cortical flip button e.
If the joint is normal, then acromioclavicular alignment should remain normal and symmetric. In most cases, plain qcromioclavicular including an axillary view are sufficient for accurate grading although CT or MRI may be useful in cases where plain films are thought to underrepresent the degree of injury.
Articles Cases Courses Quiz. What additional Xrays would you get in this case? Synonyms or Alternate Spellings: About Blog Go ad-free. Please vote below and help us build the most advanced adaptive learning platform in medicine.
A radiograph is shown in Figure A. Edit article Share article View revision history. Other described grading systems include the Tossy and the Allman classification systems. The axillary radiograph shows no antero-posterior translation. How important is this topic for clinical practice?
What is the most appropriate next step in treatment? American Shoulder and Elbow Surgeons. Case 3 Case 3. Surgical complications include migration of hardware and infection. HPI – Acute injury in motorcycle accident 5 days ago. L6 – years in practice.
Acromioclavicular injury | Radiology Reference Article |
How important is this topic for board examinations? Thank you for rating! Case 2 Case 2. Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the shoulder with an adducted arm.
Treatment of the acute traumatic acromioclavicular separation. Case 1 Case 1. L7 – years in kuxacion.
Luxación acromioclavicular rx2
L8 – 10 years in practice. To quiz yourself on this article, log in to see multiple choice questions.
Loading Stack – 0 images remaining. Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades. This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7. Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis.
Bishop JY, Kaeding C. Please vote below and help us acroomioclavicular the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Thank you for updating your details.
Please login to add comment. Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury. Log in Sign up. Case 4 Case 4.