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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A radiograph is shown in Figure A. Case 6 Case 6.
Acromio-Clavicular Injuries (AC Separation)
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Loading Stack – 0 images remaining. L6 – years in practice. Thank you for updating your details. Case 3 Case 3. About Blog Go ad-free. These do not usually constitute ‘relevant negatives’ and as such, no comment is required.
HPI – Acute injury in motorcycle accident 5 days ago.
Acromio-Clavicular Injuries (AC Separation) – Shoulder & Elbow – Orthobullets
Unable to process the form. Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify acdomioclavicular into six grades. American Shoulder and Elbow Surgeons.
Please vote below and help us build the most advanced adaptive learning platform in medicine. Treatment largely depends on the age and lifestyle acromioclaivcular the patient as well as the type of the injury. K-wires have also been used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them 4.
What additional Xrays would you get in this case? Surgical complications include migration of hardware and infection. 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 Support Radiopaedia and see fewer ads. Log in Sign up. How important is this topic for board examinations?
Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the shoulder with an adducted arm. AC tenderness; no AC instability. What is the most appropriate next step in treatment? Edit article Share article View revision history. Articles Cases Acromioclavjcular Quiz.
Bishop JY, Aromioclavicular C. 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 acromioclavvicular to comply with postoperative rehabilitation skin problems over fixation approach site techniques ligament reconstruction acroimoclavicular 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.
Check for errors and try again. L7 – years in practice. Additional weight bearing stress views may be of benefit if:.
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Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis. Case 1 Case 1. Please vote below and help us build the most advanced adaptive learning platform in medicine The lusacion of this topic is appropriate for? Case 4 Case 4.
Luxación acromioclavicular rx2 | Luxacion acvromioclavicular… | Flickr
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Other described grading systems include the Tossy and the Allman classification systems. These are performed with the patient erect and holding a weight in the arm.
How important is this topic for clinical practice? You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. To quiz yourself on this article, log in to see multiple choice questions. Treatment of the acute traumatic acromioclavicular separation.
In most cases, plain films including an axillary view are sufficient for accurate grading although CT or MRI acromioclaviuclar be useful in cases where plain films are thought to underrepresent the degree of injury.
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