An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position

Distal clavicle fractures and acromioclavicular injuries are common shoulder injuries. Despite the frequency of these injuries, there is no gold standard for treatment. Recent suspensory fixation techniques have minimized the amount of hardware required for surgical treatment of both acromioclavicul...

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Main Authors: James M. Paci, M.D., Shrey M. Kanjiya, M.D.
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628718301506
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author James M. Paci, M.D.
Shrey M. Kanjiya, M.D.
author_facet James M. Paci, M.D.
Shrey M. Kanjiya, M.D.
author_sort James M. Paci, M.D.
collection DOAJ
description Distal clavicle fractures and acromioclavicular injuries are common shoulder injuries. Despite the frequency of these injuries, there is no gold standard for treatment. Recent suspensory fixation techniques have minimized the amount of hardware required for surgical treatment of both acromioclavicular separations and distal clavicle fractures. Advantages include reconstruction of ligamentous anatomy, minimal hardware irritation, earlier return to activity, and decreased need for hardware removal. These reconstructions are classically done in the beach chair position in an open fashion. Our preferred technique for treatment of unstable distal clavicle fractures and acromioclavicular injuries is arthroscopy-assisted coracoclavicular ligament reconstruction with or without distal clavicle fixation in the lateral decubitus position.
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spelling doaj.art-09f83e1101de4cb282a5ae796ba99cac2022-12-21T18:59:13ZengElsevierArthroscopy Techniques2212-62872019-01-0181e17e21An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral PositionJames M. Paci, M.D.0Shrey M. Kanjiya, M.D.1The Orlin & Cohen Orthopedic Group at Northwell Health, Woodbury, New York, U.S.A.; Address correspondence to James M. Paci, M.D., The Orlin & Cohen Orthopedic Group, 45 Crossways Park Dr., Woodbury, NY 11797, U.S.A.Department of Orthopaedics, Stony Brook University School of Medicine, Stony Brook, New York, U.S.A.Distal clavicle fractures and acromioclavicular injuries are common shoulder injuries. Despite the frequency of these injuries, there is no gold standard for treatment. Recent suspensory fixation techniques have minimized the amount of hardware required for surgical treatment of both acromioclavicular separations and distal clavicle fractures. Advantages include reconstruction of ligamentous anatomy, minimal hardware irritation, earlier return to activity, and decreased need for hardware removal. These reconstructions are classically done in the beach chair position in an open fashion. Our preferred technique for treatment of unstable distal clavicle fractures and acromioclavicular injuries is arthroscopy-assisted coracoclavicular ligament reconstruction with or without distal clavicle fixation in the lateral decubitus position.http://www.sciencedirect.com/science/article/pii/S2212628718301506
spellingShingle James M. Paci, M.D.
Shrey M. Kanjiya, M.D.
An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position
Arthroscopy Techniques
title An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position
title_full An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position
title_fullStr An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position
title_full_unstemmed An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position
title_short An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position
title_sort arthroscopic modification of coracoclavicular ligament reconstruction and distal clavicle fracture fixation in the lateral position
url http://www.sciencedirect.com/science/article/pii/S2212628718301506
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