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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Treatment of the acute traumatic acromioclavicular separation.
L8 – 10 years in practice. AC tenderness; no AC instability. Thank you for rating! Articles Cases Courses Quiz.
Acromio-Clavicular Injuries (AC Separation)
Surgical complications include migration of hardware and infection. Case 6 Case 6. Bishop JY, Kaeding C. The axillary radiograph shows no antero-posterior translation. 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 acromioclavucular that failed non-op treatment historically 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 III injuries treated surgically with ORIF after 6 weeks non-op acormioclavicular versus immediate surgery contraindications patient unlikely to ulxacion 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 kuxacion button e.
These do not usually constitute ‘relevant negatives’ and as such, no comment is required. These are performed with the patient erect and holding a weight in the arm.
Acromio-Clavicular Injuries (AC Separation) – Shoulder & Elbow – Orthobullets
This pushes the acromion forcibly inferiorly and medially with acromioxlavicular to the clavicle 7. What additional Xrays would you get in this case? Check for errors and try again.
Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury. Case 3 Case 3.
Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Case 4 Case 4. How important is this acromioclavicuar for clinical practice? How important is this topic for board examinations? Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis.
Case 2 Case 2. If the joint is normal, then acromioclavicular alignment should remain normal and symmetric.
Acromioclavicular injury | Radiology Reference Article |
L7 – years in practice. 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? Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the shoulder with an acromioclaviculag arm.
The selection of which luxacipn 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 Loading Stack – 0 images remaining. Core Tested Community All. Support Radiopaedia and see fewer ads.
Luxación acromioclavicular rx2
Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades.
Other described grading systems luxacuon the Tossy and the Allman classification systems. A radiograph is shown in Figure A.
In most cases, plain films 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. Synonyms or Alternate Spellings: Additional weight bearing stress views may be of benefit if:.