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, TX, USA) are inserted into the superior aspect of the acromion to create a suture bridge over the acromioclavicular joint and reconstruct the acromioclavicular ligaments. At the end, an eight-stranded suture-bridge construct is created over the AC
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pathologies such as acromioclavicular joint (ACJ) arthropathy, glenohumeral degeneration and biceps or labral tears ( 2 ). ACJ arthropathy may lead to impingement and pain due to inferiorly directed osteophytes ( 3 , 4 ), and can be challenging to diagnose
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, mimicking symptoms from biceps pathology, anterior and posterior labral tears, or acromioclavicular joint disease. Typically, the symptoms are worse with heavy lifting, pushing and overhead motions, but these, too, are non-specific findings. Therefore
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DASH Score: 30.8 Final Oxford Shoulder Score: 30 Left: CT scan: bony union Kembhavi 15 2015 1 Scapular spine fracture with acromioclavicular joint disruption ORIF: 8-holed 3.5 recon titanium plate 7 NF Good functional
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suggested that refractory cases of the painful arc syndrome could be due to impingement of the rotator cuff against a bulging coraco-acromial ligament, forced down by the swollen overlying degenerated acromioclavicular joint. Although all these authors
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. The acromion articulates with the distal clavicle through the acromioclavicular joint capsule, and the distal clavicle in turn is connected to the coracoid through the conoid and trapezoid ligaments, whilst the coracoacromial ligament directly connects
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by arthrotomy at the rotator interval. 11 Superolateral transdeltoid approach A longitudinal skin incision of 5 cm to 9 cm is performed laterally from the anterolateral corner of the acromion or the acromioclavicular joint down along the
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during the identification phase. Technical notes, systematic reviews and meta-analyses were excluded from the analysis. Likewise, studies investigating pathologies of the elbow, wrist or hand, clavicle and acromioclavicular joint were excluded from the
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anterior acromion (Type I); fractures of the acromion posterior to the acromioclavicular joint (Type II); and fractures of the scapular spine (Type III). They found eight type I, ten type II, and four type III fractures. Type I fractures were seen post
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possible diagnostic and technical failures during the first intervention, as well postsurgical conditioners, such as an inadequate rehabilitation. 38 Concomitant abnormalities, such as the pathology of the long head of the biceps or the acromioclavicular
