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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Thank you for updating your details. Other described grading systems include acromicolavicular Tossy and the Allman classification systems. How important is this topic for board examinations? Edit article Share article View revision history. These do not usually constitute ‘relevant negatives’ and as such, no comment is required. Loading Stack – 0 images remaining. L6 – years in practice.


Log in Sign up. Additional weight bearing stress views may be of benefit if:. The axillary radiograph shows no antero-posterior translation. AC tenderness; no AC instability.

Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades. Please vote below and help us build the most advanced adaptive learning platform in medicine. Check for errors and try again. American Shoulder and Elbow Surgeons.

Surgical complications include migration of hardware and infection. Core Tested Community All. Case 4 Case 4. K-wires have also been used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them 4.

Acromio-Clavicular Injuries (AC Separation)

Unable to process the form. How important is this topic for clinical practice? About Blog Go ad-free. L7 – years in practice.

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Luxación acromioclavicular rx2

This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7. To quiz yourself on this article, log in to see multiple choice questions. Case 3 Case 3. Synonyms or Alternate Spellings: Articles Cases Courses Quiz. 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.

Case 1 Case 1. Case 6 Case 6. 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 lusacion acute injuries acromioclaviculzr 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 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.

If the joint is normal, then acromioclavicular alignment should remain normal and symmetric. These are performed with the patient erect and holding a weight in the arm.

Please login to add comment. HPI – Acute injury in motorcycle accident 5 days ago. Bishop JY, Kaeding C. The selection of which patients with type III injuries for surgical intervention acromioclaviculr difficult, but patients who are particularly thin, require great range of motion or do heavy lifting may benefit from operative repair A radiograph is shown in Figure A. Luxaciin addition to a true AP and an axillary lateral, which of the following additional radiographic views is most appropriate to evaluate the AC joint?


Treatment of the acute traumatic acromioclavicular separation.

Case 2 Case 2. AC joint dislocation Acromio-clavicular separation 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.

Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the shoulder with an adducted arm. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Thank you for rating! What additional Xrays would you get in this case? L8 – 10 years in practice. What is the most appropriate next step in treatment? Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury.

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Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis.