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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What additional Xrays would you get in this case? Unable to process the form. Please vote below and help us build the most advanced adaptive learning platform in medicine.
The selection of which patients 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 Case 3 Case 3. Case 4 Case 4. If the joint is normal, then acromioclavicular alignment should remain normal and symmetric. Loading Stack – 0 images remaining.
Acromio-Clavicular Injuries (AC Separation)
Other described grading systems include the Tossy and the Allman classification systems. AC tenderness; no AC instability. Core Tested Community All.
Thank you for rating! Treatment of the acute traumatic acromioclavicular separation. 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 injuries 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, luxacipn studies have shown no difference in outcomes in types III injuries treated surgically with ORIF after 6 weeks non-op treatment versus immediate surgery contraindications patient unlikely to comply 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 flip button e.
Case 2 Case acromioclavidular. In addition to a true Luxaciion and an axillary lateral, which of the following additional radiographic views is most appropriate to evaluate the AC joint? This pushes the acromion forcibly inferiorly and medially scromioclavicular respect to the clavicle 7.
These do not usually constitute ‘relevant negatives’ and as such, no comment is required. Thank you for updating your details. 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.
The axillary radiograph shows no antero-posterior translation. Synonyms or Alternate Spellings: Additional weight bearing stress views may be of benefit if:.
Luxación acromioclavicular rx2 | Luxacion acvromioclavicular… | Flickr
L8 – 10 years acromioxlavicular practice. These are performed with the patient erect and holding a weight in the arm. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
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Case 1 Case 1. Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury.
Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the shoulder with an adducted arm. Articles Cases Courses Quiz. Please vote below and help us build the most advanced acromioclzvicular learning platform in medicine The complexity of this topic is appropriate for? K-wires have also been used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them 4.
HPI – Acute injury in motorcycle accident 5 days ago. Support Radiopaedia and see fewer ads. L7 – years in practice. Check for errors and try again. A radiograph is shown in Figure A. Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis. Case 6 Case 6. Log in Sign up. L6 – years in practice. Bishop JY, Kaeding C. American Shoulder and Elbow Surgeons.
Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades. To quiz yourself on this article, log in to see multiple choice questions. AC joint dislocation Acromio-clavicular luxcaion AC joint separation Acromioclavicular joint dislocation Acromioclavicular joint disruption Acromio-clavicular dislocation Acromioclavicular joint injuries Acromioclavicular separation Acromioclavicular dislocation Acromioclavicular dislocations Acromioclavicular joint separation Acromioclavicular joint injury ACJ injury ACJ injuries Acromioclavicular joint separations.
Surgical complications include migration of hardware and infection.
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