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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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Luxación acromioclavicular rx2

Synonyms or Alternate Spellings: Bishop JY, Kaeding C. AC tenderness; no AC instability. These are performed with the patient erect and holding a weight acromiocavicular the arm.

Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades. How important is this topic for clinical practice? AC joint dislocation Acromio-clavicular separation AC joint separation Acromioclavicular joint lkxacion 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. Additional weight bearing stress acromioclavicupar may be of benefit if:. Treatment of the acute traumatic acromioclavicular separation. What is the most appropriate next step in treatment? Other described grading systems include the Tossy and the Allman classification systems.

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The axillary radiograph shows no antero-posterior translation. A radiograph is shown in Figure A. Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis. L7 – years in practice. Case 1 Case 1. Unable to process the form. 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 2 Case 2.


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How important is this topic for board examinations? Articles Cases Courses Quiz. Check for errors and try again. 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, 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.

This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7. Thank you for updating your details. L6 – years in practice. Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the shoulder with an adducted arm.

Acromio-Clavicular Injuries (AC Separation)

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. K-wires have also been used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them 4. Case 3 Case 3. Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury.


Please vote below and help us build the most advanced adaptive learning platform in luxcaion The complexity of this topic is appropriate for? What additional Xrays would you get in this case? Case 6 Case 6. To quiz yourself on this article, log in to see multiple choice questions.

If the joint is normal, then acromioclavicular alignment should remain normal and symmetric. Log in Sign up.

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HPI – Acute injury in motorcycle accident 5 days ago. Thank you for rating!

L8 – 10 years in practice. 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 4 Case 4. These do not usually constitute ‘relevant negatives’ and as such, no comment is required.