Acromioclavicular joint injuries and, more specifically, separations are commonplace both in general practice and during athletic participation. This article reviews the traditional classification as well as the clinical evaluation of patients with acute and chronic acromioclavicular joint separations. It also highlights many recent advances, principally in the anatomy and biomechanics of the a...

OBJECTIVE The posterosuperior shoulder access used in surgical treatment for acromioclavicular dislocation was constructed through dissection of 20 shoulders from 10 recently chilled adult cadavers, and the distances from this route to the nearby neurovascular structures were analyzed. METHODS A Kirschner wire was introduced into the top of the base of the coracoid process through the postero...

Background: The acromion clavicular joint dislocations are common injuries of the shoulder. The severity is dependentupon the degree of ligamentous injury. Surgical treatment is typically performed in higher grade acromioclavicularseparation with several static and dynamic operative procedures with or without primary ligament replacement.Methods: 47 patients with acute Rockwood type III, IV, an...

Background Some comparative studies have reported improved outcomes for early compared with delayed reconstruction high-grade acromioclavicular (AC) joint dislocations. However, most are based on older techniques and did not specifically involve of both the coracoclavicular (CC) AC ligaments. The purpose this study was to compare functional vs. surgical intervention dislocations managed combine...

A 24 year old otherwise healthy male was presented with a chief complaint of giving way in the left knee. MRI reportedcomplete anterior cruciate ligament (ACL) tearing. Arthroscopy showed ACL agenesis, ring-shaped lateral meniscus,and an anomalous thick band extending from the anterior horn of the lateral meniscus to the intercondylar notch of thelateral femoral condyle, which...

Although acromioclavicular joint separations are fairly common, the occurrence of high-grade acromioclavicular separations that require surgery is low. Various modifications of the Weaver-Dunn procedure have been popular and fairly successful methods to treat severe acromioclavicular separations, despite the fact that reconstructions have been done a number of ways. We report on the results of ...

INTRODUCTION Shoulder separations are common injuries. Controversy exists over the optimal treatment. More importantly, no single reconstruction technique is widely accepted. Current operative management focuses on primary healing or reconstruction of the ligaments using local tissue or free tendon grafts with supplemental fixation. The objective of these techniques is to maintain reduction lon...

  Background: Patients with an anterior cruciate ligament-deficient varus-angulated knee may need not only an isolated high tibial osteotomy (HTO), but also an additional anterior cruciate ligament reconstruction (ACLR). A number of prospective clinical trials have been published considering the combination of HTO and ACL reconstruction. Our aim was to investigate whether one-stage combined HTO...