Acromioclavicular Joint Augmentation Poststabilization Using Knotless Anchors

Acromioclavicular joint injuries are most commonly present in men aged between 20 and 40 years. Management of high-grade injuries involves reconstruction of the coracoclavicular ligaments, addressing the coronal instability of the joint. More than 100 techniques are described to manage these injurie...

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Main Authors: Nasri H. Zreik, M.B., Ch.B.(Hons.), B.Sc.(Hons.), M.Sc.(Res.), P.G.Cert.(Med. Ed.), F.R.C.S.(Orth.), F.E.B.O.T., F.H.E.A., Magnus Arnander, M.Sc., F.R.C.S.(Orth.), Dip.Hand. Surg., Eyiyemi Pearse, B.M., B.Ch.(Oxon.), B.A.(Hons.), M.A.(Oxon.), F.R.C.S.(Orth.), Duncan Tennent, B.Sc.(Hons.), F.R.C.S.(Orth.), Pg.Cert.(Med.Ed.), M.Acad.M.Ed., F.F.S.T.Ed.
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724002949
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author Nasri H. Zreik, M.B., Ch.B.(Hons.), B.Sc.(Hons.), M.Sc.(Res.), P.G.Cert.(Med. Ed.), F.R.C.S.(Orth.), F.E.B.O.T., F.H.E.A.
Magnus Arnander, M.Sc., F.R.C.S.(Orth.), Dip.Hand. Surg.
Eyiyemi Pearse, B.M., B.Ch.(Oxon.), B.A.(Hons.), M.A.(Oxon.), F.R.C.S.(Orth.)
Duncan Tennent, B.Sc.(Hons.), F.R.C.S.(Orth.), Pg.Cert.(Med.Ed.), M.Acad.M.Ed., F.F.S.T.Ed.
author_facet Nasri H. Zreik, M.B., Ch.B.(Hons.), B.Sc.(Hons.), M.Sc.(Res.), P.G.Cert.(Med. Ed.), F.R.C.S.(Orth.), F.E.B.O.T., F.H.E.A.
Magnus Arnander, M.Sc., F.R.C.S.(Orth.), Dip.Hand. Surg.
Eyiyemi Pearse, B.M., B.Ch.(Oxon.), B.A.(Hons.), M.A.(Oxon.), F.R.C.S.(Orth.)
Duncan Tennent, B.Sc.(Hons.), F.R.C.S.(Orth.), Pg.Cert.(Med.Ed.), M.Acad.M.Ed., F.F.S.T.Ed.
author_sort Nasri H. Zreik, M.B., Ch.B.(Hons.), B.Sc.(Hons.), M.Sc.(Res.), P.G.Cert.(Med. Ed.), F.R.C.S.(Orth.), F.E.B.O.T., F.H.E.A.
collection DOAJ
description Acromioclavicular joint injuries are most commonly present in men aged between 20 and 40 years. Management of high-grade injuries involves reconstruction of the coracoclavicular ligaments, addressing the coronal instability of the joint. More than 100 techniques are described to manage these injuries. Reconstruction of the joint in this plane may achieve an excellent radiographic reduction; however, it may remain unstable in an anteroposterior direction (sagittal instability), resulting in ongoing symptoms. We present a 2-anchor technique that augments the acromioclavicular joint after reconstruction. It is low-profile, reproducible with on-shelf available equipment, and provides additional sagittal stability that may reduce the risk of ongoing postrecovery symptoms.
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institution Kabale University
issn 2212-6287
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publisher Elsevier
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series Arthroscopy Techniques
spelling doaj-art-74a684e213da4aba8993f4c074e5b0ee2025-01-30T05:14:05ZengElsevierArthroscopy Techniques2212-62872025-01-01141103161Acromioclavicular Joint Augmentation Poststabilization Using Knotless AnchorsNasri H. Zreik, M.B., Ch.B.(Hons.), B.Sc.(Hons.), M.Sc.(Res.), P.G.Cert.(Med. Ed.), F.R.C.S.(Orth.), F.E.B.O.T., F.H.E.A.0Magnus Arnander, M.Sc., F.R.C.S.(Orth.), Dip.Hand. Surg.1Eyiyemi Pearse, B.M., B.Ch.(Oxon.), B.A.(Hons.), M.A.(Oxon.), F.R.C.S.(Orth.)2Duncan Tennent, B.Sc.(Hons.), F.R.C.S.(Orth.), Pg.Cert.(Med.Ed.), M.Acad.M.Ed., F.F.S.T.Ed.3Address correspondence to Nasri Zreik, M.B., Ch.B.(Hons.), B.Sc.(Hons.), M.Sc.(Res.), P.G.Cert.(Med. Ed.), F.R.C.S.(Orth.), F.E.B.O.T., F.H.E.A., Department of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, St. James Wing (5th Floor), Blackshaw Road, London SW17 0QT, United Kingdom.; Department of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, United KingdomDepartment of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, United KingdomDepartment of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, United KingdomDepartment of Orthopaedics, St. Georges University Hospitals NHS Foundation Trust, London, United KingdomAcromioclavicular joint injuries are most commonly present in men aged between 20 and 40 years. Management of high-grade injuries involves reconstruction of the coracoclavicular ligaments, addressing the coronal instability of the joint. More than 100 techniques are described to manage these injuries. Reconstruction of the joint in this plane may achieve an excellent radiographic reduction; however, it may remain unstable in an anteroposterior direction (sagittal instability), resulting in ongoing symptoms. We present a 2-anchor technique that augments the acromioclavicular joint after reconstruction. It is low-profile, reproducible with on-shelf available equipment, and provides additional sagittal stability that may reduce the risk of ongoing postrecovery symptoms.http://www.sciencedirect.com/science/article/pii/S2212628724002949
spellingShingle Nasri H. Zreik, M.B., Ch.B.(Hons.), B.Sc.(Hons.), M.Sc.(Res.), P.G.Cert.(Med. Ed.), F.R.C.S.(Orth.), F.E.B.O.T., F.H.E.A.
Magnus Arnander, M.Sc., F.R.C.S.(Orth.), Dip.Hand. Surg.
Eyiyemi Pearse, B.M., B.Ch.(Oxon.), B.A.(Hons.), M.A.(Oxon.), F.R.C.S.(Orth.)
Duncan Tennent, B.Sc.(Hons.), F.R.C.S.(Orth.), Pg.Cert.(Med.Ed.), M.Acad.M.Ed., F.F.S.T.Ed.
Acromioclavicular Joint Augmentation Poststabilization Using Knotless Anchors
Arthroscopy Techniques
title Acromioclavicular Joint Augmentation Poststabilization Using Knotless Anchors
title_full Acromioclavicular Joint Augmentation Poststabilization Using Knotless Anchors
title_fullStr Acromioclavicular Joint Augmentation Poststabilization Using Knotless Anchors
title_full_unstemmed Acromioclavicular Joint Augmentation Poststabilization Using Knotless Anchors
title_short Acromioclavicular Joint Augmentation Poststabilization Using Knotless Anchors
title_sort acromioclavicular joint augmentation poststabilization using knotless anchors
url http://www.sciencedirect.com/science/article/pii/S2212628724002949
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