In case of patients with spinal cord injury and concomitant acromioclavicular (AC) joint-dislocation the treatment is challenging, as in this special patient group the function of the shoulder joint is critical because patients depend on the upper limb for mobilization and wheelchair-locomotion. Therefore the goal of this study was to examine, if the treatment of chronic AC-joint dislocation us...

We present the case of a 32-year-old female who sustained a left acromioclavicular (AC) joint type V injury and brachial plexus injury. The patient's AC joint injury was identified 6 days after she was involved in a motorbike accident where she sustained multiple other injuries. She required operative fixation of the AC joint using a locking compression medial proximal tibial plate. At 3 months...

Diagnosis of adhesive capsulitis is a clinical diagnosis based on history and physical examination. Afflicted patients exhibit active and passive loss of motion in all planes and a positive capsular stretch sign. The effect of adhesive capsulitis on acromioclavicular biomechanics leading to tenderness has not been documented in the literature. This study reports on the incidence of acromioclavi...

OBJECTIVE The aim of this study was to evaluate the security and effectiveness of AO/ASIF clavicle hook plate in the treatment of distal clavicle fractures and acromioclavicular joint dislocations. METHODS One hundred patients with distal clavicle fractures and acromioclavicular joint dislocations who were admitted in our hospital from January 2012 to January 2013 were selected as the study s...

PURPOSE To review the functional and radiological results of patients after coracoclavicular ligament reconstruction. METHODS Five patients aged 21 to 50 (mean, 37) years with acute Rockwood type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous gracilis tendon grafts. Patients were either active in sports or heavy manual workers. Assessments...

BACKGROUND Few reconstructive methods to treat displaced acromioclavicular separations have been evaluated using kinematic data. HYPOTHESIS The modified Weaver-Dunn reconstruction restores intact acromioclavicular joint motion during passive scapular plane abduction. STUDY DESIGN Controlled laboratory study. METHODS Acromioclavicular joint motion was recorded during passive humeral elevat...

PURPOSE To review outcome after arthroscopic fixation for acute acromioclavicular (AC) joint dislocation using the TightRope device. METHODS Records of 15 men and 2 women aged 19 to 52 (mean, 35) years who underwent arthroscopic fixation using the TightRope device for acute (<3 weeks) AC joint dislocation of Rockwood type III (n=6), type IV (n=1), and type V (n=10) were reviewed. Outcome was ...

The authors retrospectively evaluated the effects of a single cortical screw in the open reduction and internal fixation of displaced distal clavicle fractures. Fifteen patients without associated acromioclavicular joint dislocation were treated by open reduction and internal fixation with a single cortical screw (4.5-mm diameter, 60-mm length) between 2004 and 2011. Mean follow-up was 39.2 mon...