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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Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury. Other described grading systems include the Tossy and the Allman classification systems. These do not usually constitute ‘relevant negatives’ and as such, no comment is required. Thank you for updating your details. 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.
Thank you for rating! The axillary radiograph shows no antero-posterior translation. The selection of which patients with type Acromioc,avicular 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 Bishop JY, Kaeding C.
AC tenderness; no AC instability. Support Radiopaedia and see fewer ads.
Case 3 Case 3. A radiograph is shown in Figure A. Check for errors and try again. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? These are performed with the patient erect and holding a weight in the arm.
Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades. K-wires have also acromioclaviculra used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them 4. Surgical complications include migration of hardware and infection.
Luxación acromioclavicular rx2
About Blog Go ad-free. If the joint is normal, then acromioclavicular alignment should remain normal and symmetric. Please vote below and help us build the most advanced adaptive learning platform in medicine. American Shoulder and Elbow Surgeons.
Please login to add comment. Unable to process the form. L6 – years in practice. Additional weight bearing stress views may be of benefit if:. 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.
Core Tested Community All. Treatment of the acute traumatic acromioclavicular separation. L8 – 10 years in practice. To quiz yourself on this article, log in to see multiple choice questions. Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the shoulder with an adducted arm. Articles Cases Courses Quiz. Case 6 Case 6. Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis.
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Acromio-Clavicular Injuries (AC Separation) – Shoulder & Elbow – Orthobullets
Case 4 Case 4. Edit article Share article View acromioclavicualr history. HPI – Acute injury in motorcycle accident 5 days ago. What is the most appropriate next step in treatment? What additional Xrays would you get in this case? L7 – years in practice.
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In addition to a true AP and an axillary lateral, which of the following additional radiographic views is most appropriate to evaluate the AC joint?
Case 2 Case 2. Loading Stack – 0 acromioclavicjlar remaining. How important is this topic for clinical practice? You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
Log in Sign up. This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7. Case 1 Case 1. 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 acromioclaviculra, new studies have shown no difference in outcomes in types III injuries treated surgically with ORIF acromioclaviculat 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 actomioclavicular CC ligament autograft allograft fixation suture hook plate CC screw Bosworth cortical flip button e.