AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesAnthropology, Education, Sociology and Social PhenomenaInformation ScienceHealth Care
Acromioclavicular JointClavicleDislocationsShoulder DislocationAcromionShoulder Impingement SyndromeVisual Analog ScaleShoulder JointScapulaShoulder PainRotator CuffShoulderOrthopedic ProceduresLigaments, ArticularReconstructive Surgical ProceduresRange of Motion, ArticularSternoclavicular JointJointsTendon InjuriesArthroscopyVaginal FistulaEncyclopedias as TopicMEDLARSNational Library of Medicine (U.S.)Abstracting and Indexing as TopicLibrary Collection DevelopmentGrateful MedLibrary SurveysBibliography as Topic
FracturesFractureInjuriesInstabilityLigamentsAnatomySeparationsSeparationFixationGlenohumeralDiarthrodialCoracoclavicular ligamentSternoclavicular jointNeurovascular injurySprainDislocationsInjuryMedialAcromionOperativePosteriorLigamentousLateralRotator cuff repairArticulatesPatientsScapulaTendernessArthroscopicAcuteScapulothoracic jointCommonlyArticularBonesStabilitySignificantArthroscopyPhysiologicalSurfacesProminentGenerally
Fractures14
  • Of note, clavicle fractures, without acromioclavicular joint sprains, can also cause the clavicle to be prominent. (medscape.com)
  • The meniscus that lies in the joint may also be injured during sprains or fractures around the acromioclavicular joint. (medscape.com)
  • What is the optimal surgical treatment for Neer type IIB (IIC) distal clavicle fractures? (biomedcentral.com)
  • The purpose of the present study was to systematically review the current treatment strategies for the treatment of Neer type IIB distal clavicle fractures in terms of functional outcome and complication rates and to examine the most appropriate surgical method by comparing all the available surgical techniques and implants. (biomedcentral.com)
  • To date, there is no optimal surgical technique for managing the unstable types (IIA, IIB, IIC or V) of distal clavicle fractures. (biomedcentral.com)
  • Clavicle injuries are frequent fractures to the shoulder girdle. (geisslermd.com)
  • It is estimated that one in 20 fractures involve the clavicle and approximately 45% of all shoulder girdle injuries involve a fractured clavicle. (geisslermd.com)
  • This system of plates is currently used all over the world for fixation of clavicle fractures. (geisslermd.com)
  • Scapular fractures are rare (incidence: about 10 per 100,000 person-years) and often a consequence of high-energy trauma. (orthopaedia.com)
  • Operative treatment is chosen for the more displaced fractures, especially if there is joint instability present. (orthopaedia.com)
  • The treatment of distal clavicle fractures can be accomplished through several options. (bvsalud.org)
  • Conservative treatment remains the gold standard in treatment of simple undisplaced midshaft clavicle fractures, but for displaced and comminuted fractures surgical intervention is appropriate especially in young active adults. (traumainternational.co.in)
  • Although conservative treatment is the gold standard for clavicle fractures, there may be some issues like shoulder impairement, a bump at the fracture site that is cosmetically unacceptable or nonunions which happen when grossly displaced fractures are treated conservatively. (traumainternational.co.in)
  • Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. (orthobullets.com)
Fracture11
  • At the fourth and sixth weeks after surgery, fracture healing in the EGF and HA groups was significantly increased at histological evaluation compared to controls. (bvsalud.org)
  • We searched PubMed, Scopus, Web of Science, Research Gate and Google Scholar using the general terms 'distal AND clavicle AND fracture' to capture as many reports as possible. (biomedcentral.com)
  • In addition, occasionally patients who have a severe fracture to the shoulder that is not repairable may undergo joint replacement. (geisslermd.com)
  • The green arrowhead identifies a displaced mid shaft clavicle fracture. (orthopaedia.com)
  • Radiographs showed comminuted fracture of the distal clavicle associated with ligament injuries (Craig's type IIB). (bvsalud.org)
  • Through a direct region route over the mediolateral clavicle, the fracture fragments were anatomically reduced and fixed with a locked plate for the distal clavicle and seven screws. (bvsalud.org)
  • This report describes the technique of using the screw intramedullary nail for displace clavicle fracture. (traumainternational.co.in)
  • clavicle fracture, intramedullary nailing. (traumainternational.co.in)
  • The reduction is checked in image-intensifier and then the nail is advanced through the fracture site till it reaches distal end of clavicle. (traumainternational.co.in)
  • There was a transverse fracture of the medial malleolus associated with an oblique fracture of the fibula above the level of the ankle joint. (pressbooks.pub)
  • Given the relatively low incidence of fracture in patients experiencing ankle trauma, the Ottawa Ankle Rule (OAR) criteria were established to identify those patients with sufficiently low probability of fracture that they can safely be treated without radiographic evaluation. (pressbooks.pub)
Injuries11
  • In type III injuries, the distal clavicle is abnormally prominent. (medscape.com)
  • Management of acromioclavicular joint injuries. (medscape.com)
  • Macdonald PB, Lapointe P. Acromioclavicular and sternoclavicular joint injuries. (medscape.com)
  • Injuries in and around the shoulder, including acromioclavicular joint injuries, occur most commonly in active or athletic young adults. (medscape.com)
  • However, pediatric acromioclavicular injuries have also increased owing to the rising popularity of dangerous summer and winter sporting activities. (medscape.com)
  • Acromioclavicular joint injuries are often seen after bicycle wrecks, contact sports, and car accidents. (medscape.com)
  • Although it is not an acromioclavicular joint-stabilizing structure, during operative repair of type III acromioclavicular injuries, the coracoacromial ligament may be resected from its acromial insertion and used to reconstruct the torn coracoclavicular ligament. (medscape.com)
  • See Pathophysiology [intratopic link] for the classification of acromioclavicular injuries. (medscape.com)
  • Patients are frequently diagnosed with intracranial, intrathoracic, or spinal injuries even prior to the orthopaedic surgeon's evaluation. (orthopaedia.com)
  • If left untreated, knee articular cartilage injuries may lead to the development of widespread degenerative joint disease. (researchgate.net)
  • Imaging evaluation of adult spinal injuries: emphasis on multidetector CT in cervical spine trauma. (radiopaedia.org)
Instability1
Ligaments12
  • Several ligaments surround this joint, and depending on the severity of the injury, a person may tear one or all of the ligaments. (medscape.com)
  • Torn ligaments lead to acromioclavicular joint sprains and separations. (medscape.com)
  • The acromioclavicular joint is made up of 2 bones (the clavicle and the acromion), 4 ligaments, and a meniscus inside the joint. (medscape.com)
  • The acromioclavicular capsular ligaments provide most of the joint stability in the anteroposterior (AP) direction. (medscape.com)
  • The 2 coracoclavicular ligaments (the conoid and the trapezoid ligaments) are found medial to the acromioclavicular joint and attach from the coracoid process on the scapula to the inferior surface of the distal clavicle. (medscape.com)
  • These ligaments provide vertical (superior-inferior) stability to the joint (see the following image). (medscape.com)
  • Torn acromioclavicular joint ligaments and/or torn coracoclavicular ligaments are seen in acromioclavicular joint sprains. (medscape.com)
  • The acromioclavicular joint (ACJ) is a diarthrodial joint located between the acromion and the clavicle and is supported by the AC and coracoclavicular (CC) ligaments. (cisejournal.org)
  • Saccomanno MF, Fodale M, Capasso L, Cazzato G, Milano G. Reconstruction of the coracoclavicular and acromioclavicular ligaments with semitendinosus tendon graft: a pilot study. (maristellasaccomanno.com)
  • Treatment is immobilization or surgery, depending on the displacement and stability of the distal clavicle, as determined by whether coracoclavicular (CC) ligaments (trapezoid and conoid) are intact. (orthobullets.com)
  • The stability of joints is the sum of (1) their bony congruity and stability, (2) the stability of ligaments, and (3) the dynamic stability provided by adjacent muscles. (musculoskeletalkey.com)
  • The three diarthrodial joints are constructed with little bony stability and mainly rely on their ligaments and on adjacent muscle at the glenohumeral joint. (musculoskeletalkey.com)
Anatomy4
Separations1
  • Treatment of acromioclavicular separations has been a subject of debate. (medscape.com)
Separation2
Fixation2
  • We categorized the reported surgical techniques into four main types: open or arthroscopic coracoclavicular (CC) stabilization, locking plate fixation with or without CC augmentation, hook plate fixation and acromioclavicular joint (ACJ) transfixation. (biomedcentral.com)
  • Occasionally, despite operative fixation, the clavicle will not heal. (geisslermd.com)
Glenohumeral8
  • Restriction of range of motion, which is rarely associated with acromioclavicular joint pathology, more likely suggests adhesive capsulitis or glenohumeral arthritis . (medscape.com)
  • A wide variety of shoulder replacements are now available due to the wide variety of conditions which can cause arthritis to the glenohumeral joint. (geisslermd.com)
  • This incongruency results in arthritis to the glenohumeral joint. (geisslermd.com)
  • The cuff is responsible for stabilizing the glenohumeral joint to allow abduction and rotation of the humerus. (wikipedia.org)
  • The glenoid is an area of articular cartilage on the lateral aspect of the scapula, where the humeral head articulates with the scapula to form the glenohumeral joint. (orthopaedia.com)
  • The rotator cuff provides the main stabilising structure for the glenohumeral joint and is made up of supraspinatus, infraspinatus, subscapularis and teres minor muscles. (openorthopaedicsjournal.com)
  • Any movement of the humerus at the shoulder joint will almost always involve the glenohumeral joint but also the SC and AC joints. (openorthopaedicsjournal.com)
  • This great range of motion is distributed to three diarthrodial joints: the glenohumeral, acromioclavicular, and sternoclavicular. (musculoskeletalkey.com)
Diarthrodial2
  • The acromioclavicular joint is a diarthrodial articulation with an interposed fibrocartilaginous meniscal disk that links the hyaline cartilage articular surfaces of the acromial process and the clavicle. (medscape.com)
  • Because of the lack of congruence in two diarthrodial joints (the acromioclavicular and sternoclavicular joints), motion of the scapulothoracic articulation is mainly determined by the opposing surfaces of the thorax and scapula. (musculoskeletalkey.com)
Coracoclavicular ligament1
  • The superior shoulder suspensory complex (SSSC) is a bony and soft-tissue ring composed of the glenoid process, the coracoid process, the coracoclavicular ligament, the distal clavicle, the acromioclavicular joint, and the acromial process at the end of a superior bony strut (the midshaft clavicle) and an inferior bony strut (the junction of the lateral scapular body and the medial glenoid neck). (medscape.com)
Sternoclavicular joint1
Neurovascular injury1
Sprain1
  • Swelling, bruising, and a prominent clavicle may be evident, depending on the type of sprain that the patient has sustained. (medscape.com)
Dislocations1
Injury3
Medial2
  • A one centimeter skin incision is made over medial end of clavicle and a hole is drilled in the anterior cortex with a 3.2 mm drill bit and guide. (traumainternational.co.in)
  • After adequate engagement of the distal fragment, the medial end of screw nail is screwed in the metaphyseal region of the medial end of clavicle and skin closed over it (Fig. 6). (traumainternational.co.in)
Acromion7
Operative1
  • Effective patellofemoral joint stabilization and low complication rates using a hardware-free MPFL reconstruction technique with an intra-operative adjustment of the graft tension. (jerosch.de)
Posterior4
  • Although reproduction of pain with this maneuver may occur in patients with posterior capsule tightness or subacromial impingement, pain is suggestive of acromioclavicular joint pathology. (medscape.com)
  • The joint is horizontally and vertically stabilized in anterior and posterior translation by a combination of dynamic muscular and static ligamentous structures, which allow a normal anatomic range of motion. (medscape.com)
  • In the awake patient, the chief complaint is often pain along the scapula and posterior chest wall, along with limited range of motion of the shoulder joint itself. (orthopaedia.com)
  • Posterior arthroscopic portal was performed to visualize the joint. (bvsalud.org)
Ligamentous1
Lateral1
  • An evaluation of the traumatized ankle should consist of anteroposterior (AP), lateral, and mortise views of the ankle. (pressbooks.pub)
Rotator cuff repair1
  • Chierichini A, Frassanito L, Vergari A, Santoprete S, Chiarotti F, Saccomanno MF, Milano G. The effect of norepinephrine versus epinephrine in irrigation fluid on the incidence of hypotensive/bradycardic events during arthroscopic rotator cuff repair with interscalene block in the sitting position. (maristellasaccomanno.com)
Articulates1
  • The clavicle articulates medially with the manubrium sterni via the sternoclavicular (SC) joint, an atypical synovial joint with a wedge of fibrocartilage between both articular surfaces. (openorthopaedicsjournal.com)
Patients2
  • Patients have pain over the acromioclavicular joint. (medscape.com)
  • In this single-blind, randomized clinical trial, 104 patients diagnosed with complete ACJ dislocation type V were treated using Ethibond sutures with either the loop technique or the two holes in the clavicle technique. (cisejournal.org)
Scapula4
  • The clavicle is a very unique S-shaped bone which has multiple functions including rotating the scapula with forward flexion to the shoulder and protection of the important neurovascular structures as they pass down the upper extremity. (geisslermd.com)
  • The scapula is a flat, irregularly shaped bone that connects the clavicle to the humerus, known in lay terms as the "shoulder blade. (orthopaedia.com)
  • Not only does the scapula give the shoulder muscles a base of operation, it also acts as a moving platform for the shoulder ball-and-socket joint to function properly.In short, the scapula is a silent partner with the shoulder in moving the arm in any and all directions. (moreaupt.com)
  • The last two joints, in combination with the fascial spaces between the scapula and chest, are collectively known as the scapulothoracic articulation . (musculoskeletalkey.com)
Tenderness1
Arthroscopic2
Acute1
  • Loss of bone position may endanger soft tissue in an acute sense, and loss of bone alignment may endanger the longevity of adjacent joints. (musculoskeletalkey.com)
Scapulothoracic joint1
  • The large contributions of the scapulothoracic joint and axial body mechanics to the shoulder function have been emphasized over the past decade. (musculoskeletalkey.com)
Commonly2
  • BACKGROUND: Rodent models are commonly employed to validate preclinical disease models through the evaluation of postoperative behavior and allodynia. (bvsalud.org)
  • Propionibacterium acnesis a gram-positive anaerobe that is found on the dermis and epidermis of the shoulder and is the most commonly identifiable cause of periprosthetic shoulder joint infection. (ijsprotocols.com)
Articular2
  • Both are synovial joints consisting of a capsule, which is internally lined by a synovial membrane, and hyaline cartilage, which forms the articular surfaces. (openorthopaedicsjournal.com)
  • Three months later, the entire surface of your shoulder joint (called the articular cartilage) is destroyed. (moreaupt.com)
Bones1
Stability4
  • This test assesses the stability of the affected shoulder and should be performed by manipulating the midshaft of the clavicle rather than the acromioclavicular joint itself. (medscape.com)
  • This study examines the horizontal stability of the ACJ after a complete dislocation was repaired using one of two Ethibond suture techniques, the loop technique and the two holes in the clavicle technique. (cisejournal.org)
  • Due to the improved ACJ stability with the two-hole technique, it appears to be a more suitable option than the loop technique for AC joint reduction. (cisejournal.org)
  • This study examined the effects of two Ethibond suture techniques, the loop technique and the two holes in the clavicle technique, on the horizontal stability of the ACJ following its complete dislocation. (cisejournal.org)
Significant1
Arthroscopy1
Physiological1
  • These include more horizontal orientation of the facet joints in children, underdeveloped uncovertebral joints, mild physiological anterior wedging of the vertebral bodies, and incomplete ossification of the odontoid process. (radiopaedia.org)
Surfaces1
  • Instead the damaged surfaces of the joint are covered with a resurfacing prosthesis or implant.In addition to saving bone there are many other advantages to the resurfacing technique. (moreaupt.com)
Prominent1
Generally1