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, identification, treatment and return to play of musculoskeletal-based ice hockey injuries . Br J Sports Med 2014 ; 48 : 4 - 10 . 2 Lynch TS Saltzman MD Ghodasra JH . Acromioclavicular joint injuries in the National Football
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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
Department of Orthopaedics and Trauma Surgery, Hospital San José – Clínica Santa María, Santiago, Chile
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Shoulder, Elbow Unit, Sportsclinicnumber1, Bern, Switzerland
Shoulder, Elbow and Orthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, Bern, Switzerland
Campus Stiftung Lindenhof Bern, Swiss Institute for Translational and Entrepreneurial Medicine, Bern, Switzerland
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nerve irritation due to plate proximity, especially during minimally invasive techniques ( 18 ), and aggravation of previously asymptomatic acromioclavicular joint arthrosis. Diagnosis First, a detailed clinical history, and then a clinical
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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
