Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament

Wuji Li; Wenrui Wu; Xiaofei Zheng; Simin Luo

doi:doi:10.11648/j.js.20200801.16

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Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament

Wuji Li, Wenrui Wu, Xiaofei Zheng, Simin Luo

Published in Journal of Surgery (Volume 8, Issue 1)

Received: 26 December 2019 Accepted: 15 January 2020 Published: 26 February 2020

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Abstract

Background: Dislocation of acromioclavicular joint is a relatively common injury, accounting for about 9% to 10% of all shoulder injuries. There are many surgical methods to treat dislocation of acromioclavicular joint, including fixation through acromioclavicular joint, intercoracoid fixation and ligament reconstruction. However, at present, more and more attention has been paid to biological reconstruction technology, and related technologies have also been greatly developed. Methods: The semitendinosus tendon from the body is used as the material for the reconstruction of the ligament. The reconstruction holes were made at the original attachment of the clavicular conical ligament and the trapezium ligament, and 10 absorbable lines were taken to pass through the lower part of the coracoid process through the two reconstruction holes respectively. The semitendinosus tendon was pruned, and the two ends were inserted through the reconstruction holes respectively to reach the lower part of the coracoid process. While pressing down on the clavicle, 10 absorbable lines were knotted on the surface of the clavicle, and the semitendinosus tendon was knotted below the coracoid process. Finally, two u-shaped loops were formed to complete the reconstruction of the coracoid ligaments. Results: The intraoperative and post-operative imaging examination indicated that acromioclavicular joint dislocation was well treated. Conclusions: This kind of surgery has many advantages over traditional plate fixation, such as reducing postoperative complications, shortening the length of hospital stay and so on.

Published in	Journal of Surgery (Volume 8, Issue 1)
DOI	10.11648/j.js.20200801.16
Page(s)	28-33
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Semitendinosus Tendon, Acromioclavicular Dislocation, Anatomical Reconstruction

References

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[2]	TIAN Xu, GUO Qiang, DONG Jing-ming, Progress in the treatment of acromioclavicular joint dislocation [J] Orthopedic Journal of China, Vol. 23, No. 24, Dec. 2015: 2252-2254.
[3]	WEI Da-long, LI Wei, DU Gang, LUO Gao-bin, LAO Shan, Arthroscopically assisted double Endobutton fixaton technique for the treatment of acute acromioclavicular joint dislocation [J]. J Med Postgra, Vol. 29, No. 2, February, 2016: 187-190.
[4]	Zhang Yin, Zhuang Chengyu, Ye Tingjun, Liu Jingfeng, Chen Yu, Yu Pei, Wang Lei, Long-term clinical outcome comparison of Loop technique and Hook plate in acromioclavicular joint dislocation [J], Chinese Journal of Bone and Joint, August 2019, Vol 8, No. 8: 567-572.
[5]	Li Jian, Zhao Yang, Wang Wei, Li Hongchuan, Kang Hui, Double endobuttons combined with autogenic tendon transplantation for chronic acromioclavicular dislocation [J], Chinese Journal of Bone and Joint, September 2016, Vol 5, No. 9: 653-656.
[6]	Shi Lihua, Li Heng, Guo Pan, Zhang Zhanfeng, The value of oblique ligament and conical ligament in the treatment of acromioclavicular joint dislocation [J], Chin J Clin Healthc, October 2019, Vol. 22, No. 5: 660-663.
[7]	SUN Wei, XUE Cheng, LI Xiang, Anatomic coracoclavicular ligament reconstruction for the treatment of acromioclavicular joint dislocation: a preliminary study [J]. Orthopedic Journal of China, Vol. 24, No. 24. Dec. 2016: 2252-2256.
[8]	He Hongtao，Chen Yunfeng，Anatomic and biomechanical analysis of the acromioclavicular joint [J]. Journal of Practical Orthopaedics Vol. 16, No. 10, Oct. 2010: 767-769.
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[10]	PAN Zhaoxun, DU Dekai, SUN Chao, MIN Xiaojun, YANG Xiaoming, Biomechanical Comparison of Anatomical and Vertical Reconstruction for Coracoclavicular Ligament [J]. Journal of Medical Biomechanics, Vol. 33 No. 4, Aug. 2018: 343-347.
[11]	HE Jianping, ZHU Zexing, MA Dongyin, Comparison of the effect of clavicular hook plate fixation and simple allogeneic tendo reconstruction of the sacral ligament in the treatment of acromioclavicular joint dislocation [J], JOURNAL OF PRACTICAL HAND SURGERY Jun 2019, Vol 33, No. 2: 199-201.
[12]	Fu Shijie, Shu Congke, Guan Taiyuan, Yang Benwu, Wang Guoyou, Comparison of the Tendon Reconstruction and Clavicular Hook Plate Fixation in Treating Acromioclavicular Joint Dislocation [J], Chin J Sports Med, Oct. 2013, Vol. 32, No. 10: 863-867.
[13]	Nam Hong Choi, MD, Seok Min Lim, MD, Sang Young Lee, MD, Tae Kang Lim, MD, Loss of reduction and complications of coracoclavicular ligament reconstruction with autogenous tendon graft in acute acromioclavicular dislocations [J], J Shoulder Elbow Surg. 2017; 26 (4): 692-698.
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APA Style

Wuji Li, Wenrui Wu, Xiaofei Zheng, Simin Luo. (2020). Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament. Journal of Surgery, 8(1), 28-33. https://doi.org/10.11648/j.js.20200801.16

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ACS Style

Wuji Li; Wenrui Wu; Xiaofei Zheng; Simin Luo. Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament. J. Surg. 2020, 8(1), 28-33. doi: 10.11648/j.js.20200801.16

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AMA Style

Wuji Li, Wenrui Wu, Xiaofei Zheng, Simin Luo. Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament. J Surg. 2020;8(1):28-33. doi: 10.11648/j.js.20200801.16

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@article{10.11648/j.js.20200801.16,
  author = {Wuji Li and Wenrui Wu and Xiaofei Zheng and Simin Luo},
  title = {Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament},
  journal = {Journal of Surgery},
  volume = {8},
  number = {1},
  pages = {28-33},
  doi = {10.11648/j.js.20200801.16},
  url = {https://doi.org/10.11648/j.js.20200801.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200801.16},
  abstract = {Background: Dislocation of acromioclavicular joint is a relatively common injury, accounting for about 9% to 10% of all shoulder injuries. There are many surgical methods to treat dislocation of acromioclavicular joint, including fixation through acromioclavicular joint, intercoracoid fixation and ligament reconstruction. However, at present, more and more attention has been paid to biological reconstruction technology, and related technologies have also been greatly developed. Methods: The semitendinosus tendon from the body is used as the material for the reconstruction of the ligament. The reconstruction holes were made at the original attachment of the clavicular conical ligament and the trapezium ligament, and 10 absorbable lines were taken to pass through the lower part of the coracoid process through the two reconstruction holes respectively. The semitendinosus tendon was pruned, and the two ends were inserted through the reconstruction holes respectively to reach the lower part of the coracoid process. While pressing down on the clavicle, 10 absorbable lines were knotted on the surface of the clavicle, and the semitendinosus tendon was knotted below the coracoid process. Finally, two u-shaped loops were formed to complete the reconstruction of the coracoid ligaments. Results: The intraoperative and post-operative imaging examination indicated that acromioclavicular joint dislocation was well treated. Conclusions: This kind of surgery has many advantages over traditional plate fixation, such as reducing postoperative complications, shortening the length of hospital stay and so on.},
 year = {2020}
}

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TY  - JOUR
T1  - Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament
AU  - Wuji Li
AU  - Wenrui Wu
AU  - Xiaofei Zheng
AU  - Simin Luo
Y1  - 2020/02/26
PY  - 2020
N1  - https://doi.org/10.11648/j.js.20200801.16
DO  - 10.11648/j.js.20200801.16
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 28
EP  - 33
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20200801.16
AB  - Background: Dislocation of acromioclavicular joint is a relatively common injury, accounting for about 9% to 10% of all shoulder injuries. There are many surgical methods to treat dislocation of acromioclavicular joint, including fixation through acromioclavicular joint, intercoracoid fixation and ligament reconstruction. However, at present, more and more attention has been paid to biological reconstruction technology, and related technologies have also been greatly developed. Methods: The semitendinosus tendon from the body is used as the material for the reconstruction of the ligament. The reconstruction holes were made at the original attachment of the clavicular conical ligament and the trapezium ligament, and 10 absorbable lines were taken to pass through the lower part of the coracoid process through the two reconstruction holes respectively. The semitendinosus tendon was pruned, and the two ends were inserted through the reconstruction holes respectively to reach the lower part of the coracoid process. While pressing down on the clavicle, 10 absorbable lines were knotted on the surface of the clavicle, and the semitendinosus tendon was knotted below the coracoid process. Finally, two u-shaped loops were formed to complete the reconstruction of the coracoid ligaments. Results: The intraoperative and post-operative imaging examination indicated that acromioclavicular joint dislocation was well treated. Conclusions: This kind of surgery has many advantages over traditional plate fixation, such as reducing postoperative complications, shortening the length of hospital stay and so on.
VL  - 8
IS  - 1
ER  -

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Author Information

Wuji Li

Department of Bone and Joint Surgery, The First Affiliated Hospital, Jinan University, Guangzhou City, China
Wenrui Wu

Department of Bone and Joint Surgery, The First Affiliated Hospital, Jinan University, Guangzhou City, China
Xiaofei Zheng

Department of Bone and Joint Surgery, The First Affiliated Hospital, Jinan University, Guangzhou City, China
Simin Luo

Department of Bone and Joint Surgery, The First Affiliated Hospital, Jinan University, Guangzhou City, China

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APA Style

Wuji Li, Wenrui Wu, Xiaofei Zheng, Simin Luo. (2020). Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament. Journal of Surgery, 8(1), 28-33. https://doi.org/10.11648/j.js.20200801.16

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ACS Style

Wuji Li; Wenrui Wu; Xiaofei Zheng; Simin Luo. Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament. J. Surg. 2020, 8(1), 28-33. doi: 10.11648/j.js.20200801.16

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AMA Style

Wuji Li, Wenrui Wu, Xiaofei Zheng, Simin Luo. Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament. J Surg. 2020;8(1):28-33. doi: 10.11648/j.js.20200801.16

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@article{10.11648/j.js.20200801.16,
  author = {Wuji Li and Wenrui Wu and Xiaofei Zheng and Simin Luo},
  title = {Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament},
  journal = {Journal of Surgery},
  volume = {8},
  number = {1},
  pages = {28-33},
  doi = {10.11648/j.js.20200801.16},
  url = {https://doi.org/10.11648/j.js.20200801.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200801.16},
  abstract = {Background: Dislocation of acromioclavicular joint is a relatively common injury, accounting for about 9% to 10% of all shoulder injuries. There are many surgical methods to treat dislocation of acromioclavicular joint, including fixation through acromioclavicular joint, intercoracoid fixation and ligament reconstruction. However, at present, more and more attention has been paid to biological reconstruction technology, and related technologies have also been greatly developed. Methods: The semitendinosus tendon from the body is used as the material for the reconstruction of the ligament. The reconstruction holes were made at the original attachment of the clavicular conical ligament and the trapezium ligament, and 10 absorbable lines were taken to pass through the lower part of the coracoid process through the two reconstruction holes respectively. The semitendinosus tendon was pruned, and the two ends were inserted through the reconstruction holes respectively to reach the lower part of the coracoid process. While pressing down on the clavicle, 10 absorbable lines were knotted on the surface of the clavicle, and the semitendinosus tendon was knotted below the coracoid process. Finally, two u-shaped loops were formed to complete the reconstruction of the coracoid ligaments. Results: The intraoperative and post-operative imaging examination indicated that acromioclavicular joint dislocation was well treated. Conclusions: This kind of surgery has many advantages over traditional plate fixation, such as reducing postoperative complications, shortening the length of hospital stay and so on.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Surgical Reatment of Acromioclavicular Dislocation-reconstruction of Coracoclavicular Ligament
AU  - Wuji Li
AU  - Wenrui Wu
AU  - Xiaofei Zheng
AU  - Simin Luo
Y1  - 2020/02/26
PY  - 2020
N1  - https://doi.org/10.11648/j.js.20200801.16
DO  - 10.11648/j.js.20200801.16
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 28
EP  - 33
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20200801.16
AB  - Background: Dislocation of acromioclavicular joint is a relatively common injury, accounting for about 9% to 10% of all shoulder injuries. There are many surgical methods to treat dislocation of acromioclavicular joint, including fixation through acromioclavicular joint, intercoracoid fixation and ligament reconstruction. However, at present, more and more attention has been paid to biological reconstruction technology, and related technologies have also been greatly developed. Methods: The semitendinosus tendon from the body is used as the material for the reconstruction of the ligament. The reconstruction holes were made at the original attachment of the clavicular conical ligament and the trapezium ligament, and 10 absorbable lines were taken to pass through the lower part of the coracoid process through the two reconstruction holes respectively. The semitendinosus tendon was pruned, and the two ends were inserted through the reconstruction holes respectively to reach the lower part of the coracoid process. While pressing down on the clavicle, 10 absorbable lines were knotted on the surface of the clavicle, and the semitendinosus tendon was knotted below the coracoid process. Finally, two u-shaped loops were formed to complete the reconstruction of the coracoid ligaments. Results: The intraoperative and post-operative imaging examination indicated that acromioclavicular joint dislocation was well treated. Conclusions: This kind of surgery has many advantages over traditional plate fixation, such as reducing postoperative complications, shortening the length of hospital stay and so on.
VL  - 8
IS  - 1
ER  -

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