Progress in the treatment of acromioclavicular joint dislocation with coracoclavicular fixation and ligament reconstruction
10.3760/cma.j.cn115396-20240918-00282
- VernacularTitle:喙锁间固定和喙锁韧带重建在肩锁关节脱位中的治疗进展
- Author:
Li CHEN
1
;
Jinhai WANG
;
Haonan DONG
;
Lijun LI
Author Information
1. 山西医科大学第五临床医学院骨科，太原 030012
- Keywords:
Acromioclavicular joint;
Dislocation;
Surgical procedures, operative;
Intercoraclavicular fixation;
Reconstruction of coracoclavicular ligaments
- From:
International Journal of Surgery
2024;51(11):786-792
- CountryChina
- Language:Chinese
-
Abstract:
Acromioclavicular joint dislocation is a common clinical condition in shoulder injuries, causing shoulder pain, swelling, and tenderness, and leading to limitations in abduction, elevation, forward flexion, and extension of the upper limb, which severely affects the patient′s daily life. Rockwood type ⅢB to type Ⅵ acromioclavicular joint dislocations, involving coracoclavicular ligament rupture, often require surgical treatment. Coracoclavicular fixation or ligament reconstruction, by reconstructing the coracoclavicular ligament, restores the vertical stability of the acromioclavicular joint and is more in line with the anatomical structure of the joint, which has been widely accepted by clinical physicians and patients. However, in recent years, there have been reports questioning its adequacy in horizontal stability. This article aims to review the treatment of acromioclavicular joint dislocations with coracoclavicular fixation and coracoclavicular ligament reconstruction and to discuss the future prospects of this approach.
