Acromioclavicular Joint: The gliding joint formed by the outer extremity of the CLAVICLE and the inner margin of the acromion process of the SCAPULA.DislocationsClavicle: A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone.Shoulder Dislocation: Displacement of the HUMERUS from the SCAPULA.Acromion: The lateral extension of the spine of the SCAPULA and the highest point of the SHOULDER.Visual Analog Scale: A subjective psychometric response scale used to measure distinct behavioral or physiological phenomena based on linear numerical gradient or yes/no alternatives.Shoulder Impingement Syndrome: Compression of the rotator cuff tendons and subacromial bursa between the humeral head and structures that make up the coracoacromial arch and the humeral tuberosities. This condition is associated with subacromial bursitis and rotator cuff (largely supraspinatus) and bicipital tendon inflammation, with or without degenerative changes in the tendon. Pain that is most severe when the arm is abducted in an arc between 40 and 120 degrees, sometimes associated with tears in the rotator cuff, is the chief symptom. (From Jablonski's Dictionary of Syndromes and Eponymic Diseases, 2d ed)Shoulder Joint: The articulation between the head of the HUMERUS and the glenoid cavity of the SCAPULA.Shoulder Pain: Unilateral or bilateral pain of the shoulder. It is often caused by physical activities such as work or sports participation, but may also be pathologic in origin.Rotator Cuff: The musculotendinous sheath formed by the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. These help stabilize the head of the HUMERUS in the glenoid fossa and allow for rotation of the SHOULDER JOINT about its longitudinal axis.Scapula: Also called the shoulder blade, it is a flat triangular bone, a pair of which form the back part of the shoulder girdle.Shoulder: Part of the body in humans and primates where the arms connect to the trunk. The shoulder has five joints; ACROMIOCLAVICULAR joint, CORACOCLAVICULAR joint, GLENOHUMERAL joint, scapulathoracic joint, and STERNOCLAVICULAR joint.Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Orthopedic Procedures: Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.Ligaments, Articular: Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint.Range of Motion, Articular: The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.Joints: Also known as articulations, these are points of connection between the ends of certain separate bones, or where the borders of other bones are juxtaposed.Manubrium: The upper or most anterior segment of the STERNUM which articulates with the CLAVICLE and first two pairs of RIBS.Sternoclavicular Joint: A double gliding joint formed by the CLAVICLE, superior and lateral parts of the manubrium sterni at the clavicular notch, and the cartilage of the first rib.Bone Plates: Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)Bone Wires: Steel wires, often threaded through the skin, soft tissues, and bone, used to fix broken bones. Kirschner wires or apparatus also includes the application of traction to the healing bones through the wires.Fracture Fixation, Internal: The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Illness Behavior: Coordinate set of non-specific behavioral responses to non-psychiatric illness. These may include loss of APPETITE or LIBIDO; disinterest in ACTIVITIES OF DAILY LIVING; or withdrawal from social interaction.Temporomandibular Joint: An articulation between the condyle of the mandible and the articular tubercle of the temporal bone.Naproxen: An anti-inflammatory agent with analgesic and antipyretic properties. Both the acid and its sodium salt are used in the treatment of rheumatoid arthritis and other rheumatic or musculoskeletal disorders, dysmenorrhea, and acute gout.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Athletic Injuries: Injuries incurred during participation in competitive or non-competitive sports.Trapezium Bone: A carpal bone adjacent to the TRAPEZOID BONE.Orthopedics: A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.Carpometacarpal Joints: The articulations between the CARPAL BONES and the METACARPAL BONES.ArthritisJoint DiseasesEncyclopedias as Topic: Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)Arm Bones: The bones of the free part of the upper extremity including the HUMERUS; RADIUS; and ULNA.Republic of Korea: The capital is Seoul. The country, established September 9, 1948, is located on the southern part of the Korean Peninsula. Its northern border is shared with the Democratic People's Republic of Korea.Arthroscopy: Endoscopic examination, therapy and surgery of the joint.Books, Illustrated: Books containing photographs, prints, drawings, portraits, plates, diagrams, facsimiles, maps, tables, or other representations or systematic arrangement of data designed to elucidate or decorate its contents. (From The ALA Glossary of Library and Information Science, 1983, p114)Medical Illustration: The field which deals with illustrative clarification of biomedical concepts, as in the use of diagrams and drawings. The illustration may be produced by hand, photography, computer, or other electronic or mechanical methods.Diagnosis-Related Groups: A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.International Classification of Diseases: A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S.Dry Eye Syndromes: Corneal and conjunctival dryness due to deficient tear production, predominantly in menopausal and post-menopausal women. Filamentary keratitis or erosion of the conjunctival and corneal epithelium may be caused by these disorders. Sensation of the presence of a foreign body in the eye and burning of the eyes may occur.Neck Injuries: General or unspecified injuries to the neck. It includes injuries to the skin, muscles, and other soft tissues of the neck.Vertebral Artery: The first branch of the SUBCLAVIAN ARTERY with distribution to muscles of the NECK; VERTEBRAE; SPINAL CORD; CEREBELLUM; and interior of the CEREBRUM.Dura Mater: The outermost of the three MENINGES, a fibrous membrane of connective tissue that covers the brain and the spinal cord.Wounds, Penetrating: Wounds caused by objects penetrating the skin.Elbow Joint: A hinge joint connecting the FOREARM to the ARM.Elbow: Region of the body immediately surrounding and including the ELBOW JOINT.Patient Medication Knowledge: Patient health knowledge related to medications including what is being used and why as well as instructions and precautions.Libido: The psychic drive or energy associated with sexual instinct in the broad sense (pleasure and love-object seeking). It may also connote the psychic energy associated with instincts in general that motivate behavior.Osteophyte: Bony outgrowth usually found around joints and often seen in conditions such as ARTHRITIS.

Diagnostic classification of shoulder disorders: interobserver agreement and determinants of disagreement. (1/85)

OBJECTIVES: To assess the interobserver agreement on the diagnostic classification of shoulder disorders, based on history taking and physical examination, and to identify the determinants of diagnostic disagreement. METHODS: Consecutive eligible patients with shoulder pain were recruited in various health care settings in the Netherlands. After history taking, two physiotherapists independently performed a physical examination and subsequently the shoulder complaints were classified into one of six diagnostic categories: capsular syndrome (for example, capsulitis, arthritis), acute bursitis, acromioclavicular syndrome, subacromial syndrome (for example, tendinitis, chronic bursitis), rest group (for example, unclear clinical picture, extrinsic causes) and mixed clinical picture. To quantify the interobserver agreement Cohen's kappa was calculated. Multivariate logistic regression analysis was applied to determine which clinical characteristics were determinants of diagnostic disagreement. RESULTS: The study population consisted of 201 patients with varying severity and duration of complaints. The kappa for the classification of shoulder disorders was 0.45 (95% confidence intervals (CI) 0.37, 0.54). Diagnostic disagreement was associated with bilateral involvement (odds ratio (OR) 1.9; 95% CI 1.0, 3.7), chronic complaints (OR 2.0; 95% CI 1.1, 3.7), and severe pain (OR 2.7; 95% CI 1.3, 5.3). CONCLUSIONS: Only moderate agreement was found on the classification of shoulder disorders, which implies that differentiation between the various categories of shoulder disorders is complicated. Especially patients with high pain severity, chronic complaints and bilateral involvement represent a diagnostic challenge for clinicians. As diagnostic classification is a guide for treatment decisions, unsatisfactory reproducibility might affect treatment outcome. To improve the reproducibility, more insight into the reproducibility of clinical findings and the value of additional diagnostic procedures is needed.  (+info)

Radiographic joint space in rheumatoid acromioclavicular joints: a 15 year prospective follow-up study in 74 patients. (2/85)

OBJECTIVE: To evaluate radiographically the acromioclavicular joint space in patients with long-term rheumatoid arthritis (RA). METHODS: A cohort of 74 patients with RA was followed prospectively for 15 yr. At the end point, 148 shoulders were radiographed with a standard method. The acromioclavicular (AC) joint space was examined from the radiographs with a method developed previously for population studies; the joint space was measured at its superior and inferior border, and the average of the two measurements, the integral space, calculated. RESULTS: Mean AC joint space in RA patients was 4.9 (S.D. 3.7), range 0-20.5 mm; 6.2 mm (S.D. 5.1) in men and 4.5 mm (S.D. 3. 0) in women. An AC joint space wider than 7 mm in men was found in 11 (31%) out of 36 joints and wider than 6 mm in women in 17 (15%) out of 112 joints. Joint space widening was associated (r=0.87, 95% CI 0.82-0.90) with increasing destruction (Larsen grading) of the joint and it seems to be an inevitable consequence of AC joint affection in RA. Joint space widening is more progressive on the caudal side because of the nature of the erosive destruction. Degeneration with joint space narrowing was observed in 8 (11%) patients (11 joints, 7%; three bilateral). CONCLUSIONS: The largest value of the joint space may be used when evaluating rheumatoid AC joint space. In RA patients, a joint space of >7 mm in men and >5 mm in women is a sign of destructive AC joint affection.  (+info)

Relation of glenohumeral and acromioclavicular joint destruction in rheumatoid shoulder. A 15 year follow up study. (3/85)

OBJECTIVES: To evaluate the relation of glenohumeral (GH) and acromioclavicular (AC) joint involvement in a cohort of 74 patients with seropositive and erosive rheumatoid arthritis (RA) followed up prospectively. METHODS: At the 15 year follow up radiographs of 148 shoulders were evaluated, and the grade of destruction of GH and AC joints were assessed by the Larsen method. One GH joint arthroplasty had been performed after 13 years of the disease onset and the preoperative radiograph was evaluated. RESULTS: Erosive involvement (Larsen grade >/= 2) was observed in 96 of 148 (65%) of the shoulders. Both GH and AC joints were affected in 62 of 148 (42%) shoulders. GH joint alone was involved in nine (6%) shoulders and only AC joint was affected in 25 (17%) shoulders. AC joint destruction correlated with the GH joint destruction, r=0.74 (95% confidence intervals (CI) 0.65 to 0.80 ). CONCLUSION: In RA AC joint is affected more often than the GH joint, but in half of the patients both joints are involved. This should be remembered when treating painful rheumatoid shoulder.  (+info)

Arthroscopic Mumford procedure variation of technique. (4/85)

Fifty-seven patients had arthroscopic Mumford procedures for acromioclavicular pain non-responsive to conservative treatment. Thirty-nine of these patients had concomitant rotator cuff repairs. All had significant improvement of their distal clavicular pain. Neither the amount nor the completeness of distal clavicle resection affected the results. Arthroscopic distal clavicle resection is a safe and effective method of alleviating acromioclavicular pain.  (+info)

The relationship of age, gender, and degenerative changes observed on radiographs of the shoulder in asymptomatic individuals. (5/85)

Radiographs of the shoulders of 84 asymptomatic individuals aged between 40 and 83 years were evaluated to determine changes in 23 specific areas. Two fellowship-trained orthopaedic radiologists graded each area on a scale of 0 to II (normal 0, mild changes I, advanced changes II). Logistic regression analysis indicated age to be a significant predictor of change (p < 0.05) for sclerosis of the medial acromion and lateral clavicle, the presence of subchondral cysts in the acromion, formation of osteophytes at the inferior acromion and clavicle, and narrowing and degeneration of the acromioclavicular joint. Gender was not a significant predictor (p > 0.05) for radiological changes. Student's t-test determined significance (p < 0.05) between age and the presence of medial acromial and lateral clavicular sclerosis, subchondral acromial cysts, inferior acromial and clavicular osteophytes, and degeneration of the acromioclavicular joint. Radiological analysis in conditions such as subacromial impingement, pathology of the rotator cuff, and acromioclavicular degeneration should be interpreted in the context of the symptoms and normal age-related changes.  (+info)

Benefits and risks of using local anaesthetic for pain relief to allow early return to play in professional football. (6/85)

OBJECTIVE: To investigate the risks and benefits of the use of local anaesthetic in a descriptive case series from three professional football (rugby league and Australian football) teams. METHODS: Cases of local anaesthetic use (both injection and topical routes) and complications over a six year period were recorded. Complications were assessed using clinical presentation and also by recording all cases of surgery, incidences of players missing games or leaving the field through injury, and causes of player retirement. RESULTS: There were 268 injuries for which local anaesthetic was used to allow early return to play. There were 11 minor and six major complications, although none of these were catastrophic or career ending. About 10% of players taking the field did so with the assistance of local anaesthetic. This rate should be considered in isolation and not seen to reflect standard practice by team doctors. CONCLUSIONS: The use of local anaesthetic in professional football may reduce the rates of players missing matches through injury, but there is the risk of worsening the injury, which should be fully explained to players. A procedure should only be used when both the doctor and player consider that the benefits outweigh the risks.  (+info)

Coracoclavicular joint: osteologic study of 1020 human clavicles. (7/85)

We examined 1020 dry clavicles from cadavers of Italian origin to determine the prevalence of the coracoclavicular joint (ccj), a diarthrotic synovial joint occasionally present between the conoid tubercle of the clavicle and the superior surface of the horizontal part of the coracoid process. Five hundred and nine clavicles from individuals of different ages were submitted to X-ray examination. Using radiography, we measured the entire length and the index of sinuosity of the anterior lateral curve, on which the distance between the conoid tubercle and the coracoid process depends. We also used radiography to record the differences in prevalence of arthritis in two neighbouring joints, the acromioclavicular and sternoclavicular joints. Of the 1020 clavicles, eight (0.8%) displayed the articular facet of the ccj. No statistical correlation was found between clavicular length and the index of sinuosity of the anterior lateral curve. The prevalence of arthritis in clavicles with ccj was higher than that revealed in clavicles without ccj. The prevalence of ccj in the studied clavicles is lower than that observed in Asian cohorts. Furthermore, ccj is not conditioned by either length or sinuosity of the anterior lateral curve of the clavicle. Finally, the assumption that ccj is a predisposing factor for degenerative changes of neighbouring joints is statistically justified.  (+info)

Diagnostic and therapeutic injection of the shoulder region. (8/85)

The shoulder is the site of multiple injuries and inflammatory conditions that lend themselves to diagnostic and therapeutic injection. Joint injection should be considered after other therapeutic interventions such as nonsteroidal anti-inflammatory drugs, physical therapy, and activity-modification have been tried. Indications for glenohumeral joint injection include osteoarthritis, adhesive capsulitis, and rheumatoid arthritis. For the acromioclavicular joint, injection may be used for diagnosis and treatment of osteoarthritis and distal clavicular osteolysis. Subacromial injections are useful for a range of conditions including adhesive capsulitis, subdeltoid bursitis, impingement syndrome, and rotator cuff tendinosis. Scapulothoracic injections are reserved for inflammation of the involved bursa. Persistent pain related to inflammatory conditions of the long head of the biceps responds well to injection in the region. The proper technique, choice and quantity of pharmaceuticals, and appropriate follow-up are essential for effective outcomes.  (+info)

AbstractPURPOSE: To review the functional and radiological results of patients after coracoclavicular ligament reconstruction. METHODS: Five patients aged 21 to 50 (mean, 37) years with acute Rockwood type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous gracilis tendon grafts. Patients were either active in sports or heavy manual workers. Assessments on shoulder function (using the Constant score), wound size, pain (using a visual analogue scale), and reduction (using radiographs of both acromioclavicular joints) were made. RESULTS: The mean follow-up period was 26 (range, 15-43) months; the mean time to return to work or sports was 14 (range, 12-20) weeks. The mean Constant score was 94 (range, 90-98). The mean donor-site scar size was 3 cm and the mean pain score was 0. No major complication or donor-site morbidity was noted. There was one subluxation. CONCLUSION: Coracoclavicular ligament reconstruction using an autogenous gracilis tendon ...
A prospective randomized controlled clinical trial study was conducted to compare outcomes of operative management of type III acromioclavicular dislocations using combined intra-articular K-wire and coracoclavicular screw fixation against non-operative treatment. It included 54 (male=34, female=20) cases of type III acromioclavicular dislocations randomized into two groups A (operative) and B (non-operative). Group A cases underwent ORIF using combined intra-articular Kwire and coracoclavicular screw fixation. Group B cases were treated non-operatively using arm sling and rest. Mean follow-up period was 26.4 months (range=25-29). Maintenance of reduction was assessed by radiographic examination done pre-operatively and at follow-ups. Functional assessment was done using Constant Shoulder Score. Complications were recorded. Statistical analysis was done using unpaired Students T-test and p value ,0.001 was considered significant. Mean Constant Shoulder scores for group A and B were 10.16 and ...
Long-term outcome after surgery for grade-V acromioclavicular joint dislocation has not been reported. We performed a retrospective analysis of functional and radiographic outcome 15-22 years after surgery. We examined 50 patients who were trea
The treatment of acute acromioclavicular (AC) joint injuries depends mainly on the type of the dislocation and patient demands. This study compares the mid term outcome of two frequently performed surgical concepts of Rockwood grade III AC joint separations: The temporary articular fixation with K-wires (TKW) and the refixation with an absorbable polydioxansulfate (PDS) sling. Retrospective observational study of 86 patients with a mean age of 37 years underwent either TKW (n = 70) or PDS treatment (n = 16) of Rockwood grade III AC joint injuries. Mid term outcome with a mean follow up of 3 years was measured using a standardized functional patient questionnaire including Constant score, ASES rating scale, SPADI, XSMFA-D and a pain score. K-wire therapy resulted in significantly better functional results expressed by Constant score (88 ± 10 vs. 73 ± 18), ASES rating scale (29 ± 3 vs. 25 ± 5), SPADI (3 ± 9 vs. 9 ± 13), XSMFA-D function (13 ± 2 vs. 14 ± 3), XSMFA-D impairment (4 ± 1 vs. 6 ± 2)
Management of acute and chronic symptomatic type III, type IV, and type V acromioclavicular (AC) joint injuries continues to be a challenge in orthopaedic surgery. No consensus currently exists on the optimal surgical treatment option, and various reconstruction procedures have been described. Previous surgical treatment attempts have resulted in an unacceptably high complication rate (20% to 40%). Recently, hook plate reconstruction and combined AC and coracoclavicular graft reconstruction have resulted in improved biomechanical stability and good outcomes in patients with these challenging injuries. This video demonstrates a new technique for AC joint reconstruction that involves hook plate fixation and AC and coracoclavicular graft placement. Performing coracoclavicular and AC ligament reconstruction in combination with the use of a temporary rigid internal splint, such as a hook plate, may result in a construct robust enough to avoid the relatively high failure rates associated with previous AC
The acromioclavicular joint is the union of bone where the high point of the shoulder blade meets with the collar bone. When this joint becomes injured, it is known as an acromioclavicular joint injury.
The acromioclavicular joint occurs between the acromial articular surface of the clavicle and the acromial articular surface of the scapula, and forms the connection between the two components of the shoulder girdle. The articulation may contain an articular disc, but if present it is small and varies greatly in the degree of its development. The disc is frequently incomplete and often entirely absent. The upper portion of the articular capsule is the strongest, and is still further reinforced by the acromioclavicular ligament. The acromioclavicular articulation has but a slight range of motion ...
The coracoclavicular ligament may be referred to as a complex because it is composed of two parts, the conoid and trapezoid ligaments. The conoid and trapezoid ligaments are continuous inferiorly at the coracoid process attachment but separate at an angle before attaching to the inferior aspect of the clavicle superiorly.[2] These two parts of the coracoclavicular ligament are often separated either by a bursa or by fat.. The conoid ligament attaches to the clavicle at the conoid tubercle, which is posterior medial to the trapezoid tubercle. From superior to inferior, the conoid ligament appears as an inferior pointing cone. Thus, the superior attachment at the clavicle is wide, while the inferior attachment is narrow, wrapping around the posteromedial aspect and root of the coracoid process. The other part of the coracoclavicular ligament, the trapezoid ligament, is typically anterior-lateral to the conoid ligament. It is quadrilateral in shape, as its name implies, and is thinner than the ...
OBJECTIVE: To analyse the results of arthroscopic repair of acromioclavicular dislocation in terms of health-related quality of life. MATERIAL AND METHOD: Prospective study of patients with acromioclavicular dislocation Rockwood grade iii-v, treated arthroscopically with a mean follow up of 25.4 months. The demographics of the series were recorded and evaluations were performed preoperatively, at 3 months and 2 years with validated questionnaires as Short Form-36 Health Survey (SF-36), visual analogue scale (VAS), The Disabilities of the Arm, Shoulder and Hand (DASH), Constant-Murley Shoulder Outcome Score (Constant) and Walch-Duplay Score (WD ...
Activity: After your acromioclavicular joint reconstruction, you will be placed in an arm immobilizer. This should be kept in place until you are seen in the office for your first post op visit on the first office day after the surgery. You should not move the arm at all. The shoulder immobilizer should be comfortable and hold your arm securely. The shoulder immobilizer will be fitted to you in the operating room but may seem loose when you get home. Adjust the Velcro on the straps to make it more secure and we will adjust it in the office again. Whatever you do, do not remove the immobilizer and do not move the arm. This could disrupt the repair leading to a failure of the surgery. When you are seen in the office, we will explain what you can and cannot do with the arm and when you may begin therapy.. You may use your hand and bend your fingers as much as you can tolerate right after surgery. Just do not move the shoulder.. If you had surgery at the surgery center, you will likely have a ...
The case presented here is a type 4 acromioclavicular joint dislocation where the lateral end of the clavicle is displaced superiorly and posteriorly into or through the trapezius muscle. Superior displacement of the lateral end of the clavicle ...
Patients with chronic Rockwoods type III AC dislocations can either be submitted to surgical stabilization or conservative treatment depending on whether or not the dislocation interferes with their daily activity, job, sports, shoulder strength and deformity. To our knowledge, this is the first paper recognising the fact that chronic AC dislocation may predispose cervical spine disorders. We hypothesized it as the trapezius muscle connects the clavicle, the scapula and the cervical spine with its fibres. We then assumed that an alteration of the tensioning of this muscle may cause cervical spine changes.. In the present series, both the osteophytosis and the narrowing of the intervertebral disc were commonly found at the levels C5-C6 and C6-C7 in the group of patients with chronic AC dislocation, while the upper cervical levels were only slightly, or not involved in degenerative changes. The same distribution in percentage was found in our control group and in the cohort of Hayashi et al. [10] ...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
Introduction: Manual traction is a commonly used technique in manual therapy. However, depicting changes in joint space distance via real time imaging during traction is seldomly applied. The aims of the study were to identify ACJ joint space distance changes during manual traction and creation of a classification of the techniques upon the largest change in the resultant parameter (l) representing joint space distance. Material and methods: Thirteen healthy volunteers were examined unilaterally. Acromioclavicular joint space distance changes were measured with dynamic ultrasound imaging during followingmanual traction techniques: International Academy of Orthopedic Medicine technique (IAOM AC), Karel Lewits Prague School of Manual Medicine & Rehabilitation technique (LAC) and authors own proposition (B AC). The differences in joint space distance between resting position (RP) and the traction technique position, created three parameters of displacement - horizontal (x), vertical (y) and (l) - ...
This stock medical exhibit depicts right acromioclavicular joint athrosis and steps from the surgical procedure to repair the injury in a series of illustrations. The first illustration shows an anterior view of the left shoulder and the pre-operative condition. The second illustration shows the incision into the shoulder to expose the injured joint. The third illustration shows the removal of the distal portion of the clavicle with a saw. The fourth illustration displays the sutures that are used to close the wound.
Acromioclavicular joint with osteophyte formation - What is a disc osteophyte complex - Wiki Answers. Libido For Her is homeopathic spray. Libido in its common usage means sexual desire.
Injuries to the acromioclavicular (AC) joint are one of the most common among sporting injuries of the upper extremity. Several studies investigated different treatment options comparing surgical and non-surgical treatment, and type of operative interventions. This study aims to evaluate treatment decisions regarding injuries of the AC joint and to compare different treatment strategies depending on the specific training of the treating physician. We performed a nationwide survey by contacting different experienced physicians and sending them questionnaires. The questionnaire included 37 questions that assessed preferred treatment strategies in AC joint injuries. We addressed different surgical and nonsurgical options as well as level of experience and factors that might influence the decision on treatment strategy. The physicians were stratified according to their training into general surgeons (group trauma associated) and orthopedic surgeons (orthopedic associated). The AC joint lesions were
Acromioclavicular (AC) joint is commonly involved in traumatic injuries to the shoulder, and these injuries force surgeons in the diagnostic and therapeutic sense. The AC joint injury constitutes...
The acromioclavicular (AC) joint is situated at the distal end of the clavicle forming an articulation with the acromion of the scapula (). The AC joint complex is strong, but its location makes it vulnerable to injury from direct trauma. Injuries to
Disconnection of Acromioclavicular joint is known as Shoulder Separation or Acromioclavicular Joint Separation. Read about Causes, Symptoms, Treatment, and Exercises for Shoulder Separation.
Eleven patients with a chronic acromio-clavicular joint disruption underwent acromio-clavicular joint stabilisation using the Nottingham Surgilig and were followed up clinically and radiologically for an average of 24 months post operation. The mean post-operative Constant score was 83.1, the Imatani score was 81.2 and the Walsh score was 14.1. Eighty-two per cent of patients were satisfied with the operation. There was one case of rupture through the central portion of the Surgilig, and following laboratory analysis, the ligament has been modified since. In 4 patients there was evidence of loosening of the screw but only one complained of this being a problem. This short-term outcome analysis of the Nottingham Surgilig is the first such report outside the Nottingham unit where the prosthesis was originally developed. Our results are encouraging and justify further use and evaluation of this relatively new technique.
If admitted to the hospital you will be provided with a PCA (Patient Controlled Analgesia) machine. This is a syringe of pain medication attached to a computer with a button. The computer is programmed with a specific amount of pain medication that can be administered when the button is pressed. When you feel pain press the button and you will receive pain medication. You will also have pain medication prescribed for when you are discharged home. DO NOT take ANY nonsteroidal anti-inflammatory pain medications: Advil, Motrin, Ibuprofen, Aleve, Naproxen, or Naprosyn after surgery.. ...
Acromioclavicular separations are common injuries. Low-grade separations are typically managed with nonoperative treatment. However, surgical treatment is recommended for high-grade separations, as well as for chronic low-grade separations that remain symptomatic. Multiple fixation techniques have been described over the past several decades, including Kirschner wires, hook plates, and coracoclavicular screws. More recently, a single-tunnel suture-graft repair and an anatomic reconstruction reproducing both the conoid and trapezoid ligaments have been described. All described techniques have reported complications, including implant migration, need for implant removal, clavicle or coracoid fracture, and loss of reduction. As a result, there is no single optimal method of operative fixation. We describe our technique for an arthroscopically assisted anatomic coracoclavicular repair using a 6-strand suture tape and cortical button construct.
Good morning coders, I need your help with this shoulder surgery. So far I have 23552 and 29826 coded but not sure if the ligament surgery is bundled with...
Acromioclavicular separation can be treated through physical therapy or acromioclavicular separation surgery by our sports medicine experts at Florida Hospital.
31. Is coracoclavicular stabilisation alone sufficient for the endoscopic treatment of severe acromioclavicular joint dislocation (Rockwood types III, IV, and V)? Barth J, Duparc F, Andrieu K, Duport M, Toussaint B, Bertiaux S, Clavert P, Gastaud O, Brassart N, Beaudouin E, De Mourgues P, Berne D, Bahurel J, Najihi N, Boyer P, Faivre B, Meyer A, Nourissat G, Poulain S, Bruchou F, Ménard JF; French Society of Arthroscopy. Orthop Traumatol Surg Res. 2015 Dec;101(8 Suppl):S297-303. ...
The global Joint Reconstruction Devices Market size is expected to value at USD 30.4 billion by 2025. The market is subject to witness a substantial growth due to the increasing adoption of minimally invasive surgeries and recent technological advancement in the healthcare sector. Factors such as modernization of surgical devices and procedures coupled with increase in the health expenditure by local governments from developed economies across the globe are expected to amplify the growth of the market, in recent years.. Globally, the joint reconstruction devices market is predicted to grow at CAGR of 4.9% in forecast period, providing numerous opportunities for market players to invest in research and development in the market. Additionally, the rise in demand for minimally invasive diagnostic, innovative surgical methodologies, increase in occurrence of orthopedic conditions, and a large patient pool are some of the critical factors attributing to the growth of joint reconstruction devices ...
Table of Content 1 Industry Overview 1.1 Joint Reconstruction Devices Industry 1.1.1 Overview 1.1.2 Development of Joint Reconstruction Devices 1.2 Market Segment 1.2.1 Upstream 1.2.2 Downstream 1.3 Cost Analysis 2 Industry Environment 2.1 Policy 2.2 Economics 2.3 Sociology 2.4 Technology 3 Joint Reconstruction Devices Market by Type 3.1 By Type 3.1.1 Bone Graft 3.1.2 Implants 3.1.3 Osteotomy 3.1.4 Arthroscopy 3.1.5 Others 3.2 Market Size 3.3 Market Forecast 4 Major Companies List 4.1 Medtronic (Company Profile, Sales Data etc.) 4.2 Nuvasive, Inc. (Company Profile, Sales Data etc.) 4.3 Zimmer Biomet (Company Profile, Sales Data etc.) 4.4 Stryker (Company Profile, Sales Data etc.) 4.5 DePuy Synthes (Company Profile, Sales Data etc.) 4.6 Aesculap Implant Systems, LLC (Company Profile, Sales Data etc.) 4.7 Smith and Nephew (Company Profile, Sales Data etc.) 4.8 CONMED Corporation (Company Profile, Sales Data etc.) 4.9 DJO Global, Inc (Company Profile, Sales Data etc.) 5 Market Competition 5.1 ...
Those that have an AC joint sprain will experience immediate pain at the top of the shoulder at time of injury. Pain may increase with activities such as lying on the painful shoulder, moving the arm across the body or any overhead activities. Some pulling, lifting or carrying of objects is also aggravating. In more serious cases, there may be swelling and a visible step deformity that looks like a bump in their shoulder with the end of the collar bone sticking up. This happens because the ligaments holding the clavicle in position have been torn.. ...
Many patients with AC joint injury can start to feel better with physiotherapy. Even though the process is usually a long-term treatment, patients report experiencing relief soon after treatment starts.
Weightlifters shoulder" is the layman term given to a condition known as distal clavicular osteolysis where high stresses placed on the acromioclavicular joint (where the clavicle/collarbone meets the acromion of the shoulder blade) causes pathology to occur here. The findings made on ultrasound investigation of the affected acromioclavicular joint include: Bone resorption (absorption back into. ...
Pain, especially on movement of the shoulder, and a clicking sound from the tip of the shoulder are common symptoms of an ACJ dislocation. There may also be a prominent bump at the tip of the shoulder. The size of the bump depends on the severity of the disruption. ...
Penetrating neck injuries are stressful events for surgeons. The risk of iatrogenic damage to surrounding structures is high and makes flawless knowledge of the neck anatomy mandatory. K-wire migration into the cervical spine after fixation of a fractured clavicle is rare. Apart from injury to the vertebral artery, it may cause damage to the nerve roots, dura mater, and spinal cord. When such material penetrates the vertebral canal, a wide laminectomy is required to expose both ends of the K-wire, followed by dura mater repair and hemostasis [4, 5]. In the presented case there was a risk of causing injury to the vertebral artery while removing the K-wire. Mwipatayi et al. never attempted to repair the vertebral artery in cases with such an injury. In all cases the vessel was ligated, clipped or hemostasis was attained using bone wax [6].. In general, the vertebral artery can be divided in four anatomical segments: V1 to V4 [14, 15]. Care must be taken to account for anatomical variations of ...
Journal of Manipulative and Physiological Therapeutics Dale J. Buchberger, DC Abstract Objective: To present a new physical examination procedure that may
Diagnosis Code S43.142 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Diagnosis Code S43.101D information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Resources: training courses, musculoskeletal pathologies, methods of impairment assessment by a team of orthopaedic surgeons, radiologists, physiotherapists
scapula; clavicle; coracoid process; acromioclavicular ligament; acromion process; glenohumeral capsule; biceps brachii tendon; humerus; glenohumeral joint
Shop shoulder supports for a separated shoulder or AC joint separation. Utilizing a brace for support and stability, cold therapy, and rest can help treat minor to moderate cases of shoulder separation.
Shop shoulder supports for a separated shoulder or AC joint separation. Utilizing a brace for support and stability, cold therapy, and rest can help treat minor to moderate cases of shoulder separation.
Arthritis is a type of damage to a joint that can cause inflammation. AC arthritis affects the acromioclavicular (AC) joint. This joins the shoulder blade (scapula) and the collarbone (clavicle). AC arthritis is fairly common in older adults.
The scapula is the large bone in the upper back which is surrounded by the scapular rotator muscles. This scapula has the socket portion of the shoulder attached to it. The humeral head or ball portion of the shoulder attaches to the socket through a series of rotator cuff muscles which dynamically position the ball in the socket. This is all held up to the axial skeleton at the clavicle through fairly strong ligaments at the acromioclavicular joint. These ligaments attach from a portion of the scapula called the coracoid process and actually hold the shoulder girdle up to the clavicle. Injuries to the AC joint are often thought of as the clavicle rising up and becoming prominent. However, these injuries are actually the shoulder girdle dropping down when the ligaments are injured that hold the shoulder girdle up to the clavicle. This connection between the clavicle and the acromion is not a typical joint such as the knee, hip or ankle. Although it is often described as developing ...
Adult joint reconstruction orthopaedic educational videos - joint reconstruction orthopaedic surgery videos & lectures from top orthopaedic surgeons
Dr Suresh Nayak, an orthopaedic surgeon in Cincinnati, Ohio offers treatment for acromioclavicular (AC) arthritis. For all appointments and inquiries, please call (513)-924-3502.
Care guide for Acromioclavicular Separation. Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.
Dr Kelechi Okoroha in Detroit, West Bloomfield and Royal Oak, MI offers Mumford distal clavicle excision and arthroscopic surgery to treat AC joint disorder, AC joint degeneration and AC joint disruption.
BACKGROUND: Traumatic acromioclavicular (AC) joint dislocations are common injuries among the active population. The injury mechanism requires excessive force delivered by a fall or blow to the shoulder. Associated injuries may occur and remain undetected if they are masked by the painful and prominent AC joint injury. HYPOTHESIS: Intra-articular injuries associated with high-grade AC joint dislocations are common. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Between 2002 and 2007, 77 patients (68 male, 9 female; average age, 35.5 years; range, 17-62 years) were surgically treated for acute AC joint dislocations (Rockwood type III, 5; type IV, 30; and type V, 42). All patients underwent diagnostic glenohumeral joint arthroscopy. Concomitant intra-articular injuries were identified and treated. RESULTS: Intra-articular injuries were found in 14 of 77 patients (18.2%). Superior labral anterior posterior (SLAP) lesions were observed in 11 of 77 patients 14.3% (SLAP I, 3; II, 2; III, 3; ...
MRI left shoulder:. History: Shoulder injury sustained during a game. Left shoulder pain. Diagnosis of AC dislocation.. Impression: Acute/subacute grade 2 AC dislocation with severe partial thickness or full thickness tear through coracoclavicular ligaments. Grade 2 strain/tear of proximal deltoid muscle at the anterior margin of acromial process. Partial interstitial tearing of a superior portion of trapezius muscle consistent with grade 1 strain. Probable small non-displaced SLAP lesion, may be chronic. Suspected tear through a peripheral portion of the posterior labrum.. MRI right shoulder:. History: Right shoulder pain.. Impression: Acute marked sprain injury of AC ligaments and coracoclavicular ligaments of AC joint and distal clavicle, associated with one bones width of superior elevation of distal clavicle with respect to Acromion. Lack of adjacent bone marrow edema of soft tissue edema suggesting that chronic residual of posterior glenoid rim and/or posterior glenoid labrum may ...
This condition, also called AC joint arthrosis, is a degeneration of the joint at the top of the shoulder where the acromion meets the clavicle.
The aim of this study was to compare the long-term clinical and radiological results of Acromioclavicular (AC) fixation with K-wires (the modified Phemister procedure) and Coracoclavicular (CC) fixation with the Bosworth screw in the surgical treatment of Type 3 AC joint dislocations. Thirty-two patients with complete set of medical records and who received surgical treatment between September 2005 and January 2009 due to acute Rockwood Type 3 AC joint dislocation and properly attended their follow-ups were retrospectively evaluated. Sixteen patients (13 males, 3 females; mean age: 38, range: 24-52 years) were treated with CC fixation with Bosworth screw (Group 1), and the other 16 (12 males, 4 females; mean age: 53.3, range: 38-64 years) with AC fixation using K-wires (Group 2). The mean follow-up time was 96 months for Group 1 and 93 months for Group 2 patients (p > 0.05). The mean Constant-Murley score at the final follow-up was 84.7 in Group 1 and 87.3 in Group 2 (p = 0.069). Radiological ...
Two joints facilitate shoulder movement. The acromioclavicular (AC) joint is located between the acromion (part of the scapula ... The glenohumeral joint, to which the term "shoulder joint" commonly refers, is a ball-and-socket joint that allows the arm to ... acromioclavicular joint, biceps tendon, cervical spine, coracoid process, scapula, and sternoclavicular joint. Range of motion ... "Osteoarthritis of the Acromioclavicular Joint". eOrthopod. Medical Multimedia Group, LLC. Retrieved 28 July 2016. American ...
C4 - Over the acromioclavicular joint. C5 - On the lateral (radial) side of the antecubital fossa, just proximally to the elbow ... L5 - On the dorsum of the foot at the third metatarsophalangeal joint. S1 - On the lateral aspect of the calcaneus. S2 - At the ...
Doctors also removed a cyst from his acromioclavicular joint. Lawton spent the entire 2002-03 winter rehabbing. Before the 2003 ...
"What is Subacromial Impingement?". Chen AL, Rokito AS, Zuckerman JD (April 2003). "The role of the acromioclavicular joint in ... osteoarthritic spurs on the acromioclavicular joint, and variations in the shape of the acromion. Thickening or calcification ... These two muscles act as a force couple within the glenohumeral joint to properly elevate the acromion process, and if a muscle ... A study in cadavera". J Bone Joint Surg Am. 70 (8): 1224-30. PMID 3417708. Pedowitz RA, Yamaguchi K, Ahmad CS, et al. (2012). " ...
... also known as acromioclavicular joint injury, is a common injury to the acromioclavicular joint. The AC joint is located at the ... "Dislocation of the acromioclavicular joint. An end-result study". The Journal of Bone and Joint Surgery. American Volume. 69 (7 ... X-ray indicates a separated shoulder when the acromioclavicular joint space is widened (it is normally 1 to 3 mm wide, and ... "Acromioclavicular Joint Separation". ISOST. Archived from the original on 2010-05-27. Retrieved 2010-05-05. Wheeless Online ...
In March 2012 she fractured her clavicle and acromioclavicular joint while training. At the Asian Beach Games Haiyang, June ...
Inspection Palpation of sternoclavicular joint, clavicle, acromioclavicular joint, subacromial bursa, bicipital tendon. ... positive test indicates acromioclavicular joint degeneration/arthritis Adson's sign tests for thoracic outlet syndrome ...
It articulates with the clavicle (collar bone) to form the acromioclavicular joint. The acromion forms the summit of the ... Acromion is "4" The left shoulder and acromioclavicular joints, and the proper ligaments of the scapula. Anterior view. This ... J Bone Joint Surg Am. 82 (3): 394-400. PMID 10724231. Retrieved March 2, 2013. Habermeyer, Magosch & Lichtenberg 2006, p. 4 ... Together with the coracoid process it extends laterally over the shoulder joint. The acromion is a continuation of the scapular ...
Scapular movement will also cause movement in the sternoclavicular joint and acromioclavicular joint. If the elbow bends during ... The movement is primarily limited to the two shoulder joints: the glenohumeral joint and the scapulothoracic joint. ... Ligaments that stabilize and prevent deformation of the elbow joint are involved due to the angle of lateral force on the ... It is mostly a joint isolation movement of the shoulder. During the transverse lifts, the scapulae will also articulate and ...
... is a specific technique used to evaluate acromioclavicular joint injuries. He was a Fellow of the American College of Radiology ...
The left shoulder and acromioclavicular joints, and the proper ligaments of the scapula. Human arm bones diagram This article ...
The left shoulder and acromioclavicular joints, and the proper ligaments of the scapula. "Wheeless anatomic neck of humerus". ... It gives attachment to the capsular ligament of the shoulder joint except at the upper inferior-medial aspects It is best ... It affords attachment to the articular capsule of the shoulder-joint, and is perforated by numerous vascular foramina. ...
In humans they are present in the knee, wrist, acromioclavicular, sternoclavicular, and temporomandibular joints; in other ... The Knee-joint". Gray's Anatomy of the Human Body. Archived from the original on February 21, 2008. Retrieved 2008-02-20. [full ... The menisci of the knee are two pads of fibrocartilaginous tissue which serve to disperse friction in the knee joint between ... animals they may be present in other joints. Generally, the term 'meniscus' is used to refer to the cartilage of the knee, ...
... degenerative arthritis of the acromioclavicular joint, instability of the glenohumeral joint, or adhesive capsulitis. All ... Osteoarthritis of the acromioclavicular (AC) joint may co-exist and is usually demonstrated on radiographs. MRI imagining can ... Joint contracture of the shoulder has also been found to be at a higher incidence in type two diabetics, which may lead to ... Free chapter on bursae around the shoulder joint. Wilk, Kevin E.; Andrews, James R. (1994). The Athlete's shoulder. Edinburgh: ...
... they typically occur at the acromioclavicular joint or along the biceps tendon. From their common origin at a joint or tendon, ... Sample chapter available on acromioclavicular joint ganglion Archived 2014-05-18 at the Wayback Machine.. Muir B, Kissel JA, ... A ganglion cyst is a fluid filled lump associated with a joint or tendon sheath. They most often occur at the back of the wrist ... It is possible for a cyst to be displaced considerably from its connection to the joint. In one extreme case, a ganglion cyst ...
Pain located below the acromioclavicular joint with internal rotation is considered a positive test result. "Hawkins Kennedy ...
Acromion Clavicle Acromioclavicular joint Acromioclavicular ligament Separated shoulder. ...
2004). "Stability of acromioclavicular joint reconstruction: biomechanical testing of various surgical techniques in a ... Especially Complete Acromioclavicular Separation" (Reprint). Journal of Bone and Joint Surgery. 54 (6): 1187-1194. PMID 4652050 ... However, such testing does not account for what the living body may perform in the process of healing, in terms of joint ... There is currently no "gold standard" surgery to repair acromioclavicular separations, and many surgeries have been created. ...
Arthritis or osteolysis of the acromioclavicular joint can be treated with the Mumford procedure (open or arthroscopic). ... The long head of the bicep passes through the shoulder joint and attaches to the labrum. During a biceps tenodesis procedure, ... Many surgeries have been developed to repair the muscles, connective tissue, or damaged joints that can arise from traumatic or ... shoulder joint) Glenoid cavity Glenoid labrum http://www.orthop.washington.edu/?q=patient-care/articles/sports/shoulder-scope. ...
The lateral end connects at the acromion of the scapula which is referred to as the acromioclavicular joint. The clavicle forms ... The arm must be supported by use of a splint or sling to keep the joint stable and decrease the risk of further damage. Usually ... Khan LA, Bradnock TJ, Scott C, Robinson CM (February 2009). "Fractures of the clavicle". J Bone Joint Surg Am. 91 (2): 447-60. ... horizontal falls on the shoulder joint, or contact sports such as football, rugby, hurling, or wrestling. It is most often ...
... acromioclavicular joint arthritis, and glenohumeral arthritis". The Medical Clinics of North America. 98 (4): 755-775, xii. doi ... This is because joint tissues are well innervated from nociceptive input and therefore, a surgical procedure in the joint ... Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage. Shoulder ... joint through a relatively nerve free passageway. The shoulder joint is initially covered by the rotator cuff muscles ( ...
In the game against the Eagles in week nine he suffered an acromioclavicular joint sprain in his right shoulder. Shortly ...
... acromioclavicular joint, and acromial process. The superior shoulder suspensory complex is extremely important biomechanically ... Owens, B. D.; Goss, T. P. (November 2006). "The floating shoulder" (PDF). The Journal of Bone and Joint Surgery. 88-B (11): ... but significant movement to occur through the coracoclavicular ligament and the acromioclavicular articulation, and it ...
... forming the acromioclavicular joint. The area surrounding the joint gives an attachment to the joint capsule. The anterior ... At its lateral end it articulates with the acromion, a process of the scapula (shoulder blade) at the acromioclavicular joint. ... The medial part is quadrangular in shape where it makes a joint with the manubrium of the sternum at the sternoclavicular joint ... Muscles and ligaments that attach to the collarbone include: Acromioclavicular dislocation ("AC Separation") Degeneration of ...
It also sends articular branches to the acromioclavicular joint and the shoulder joint, and a nutrient artery to the clavicle. ...
Talk:Acromioclavicular joint. *Talk:Adam's apple. *Talk:Adductor brevis muscle. *Talk:Adductor canal ...
Long-term outcome after surgery for grade-V acromioclavicular joint dislocation has not been reported. We performed a ... Effect of capsular injury on acromioclavicular joint mechanicsJ Bone Joint Surg (Am) (Research Support. Non-U.S. Govt)Year: ... A transverse incision was made over the lateral clavicle and AC joint. The AC joint was reset manually, and the joint was ... Acromioclavicular Joint / injuries, radiography, surgery*. Acromion / radiography. Adult. Aged. Bone Screws. Bone Wires. ...
The case presented here is a type 4 acromioclavicular joint dislocation where the lateral end of the clavicle is displaced ... 1. Acromioclavicular Joint Injuries: Diagnosis and Management Simovitch, Ryan MD; Sanders, Brett MD; Ozbaydar, Mehmet MD; ... The case presented here is a type 4 acromioclavicular joint dislocation where the lateral end of the clavicle is displaced ... Grade IV Dislocation of the AC joint of right shoulder.. AP view of the shoulder demonstrates disruption of the AC joint and ...
This video demonstrates a new technique for AC joint reconstruction that involves hook plate fixation and AC and ... joint injuries continues to be a challenge in orthopaedic surgery. No consensus currently exists on the optimal surgical ... may result in a construct robust enough to avoid the relatively high failure rates associated with previous AC joint ... Acromioclavicular Joint Reconstruction Using Both Hook Plate Fixation and Combined Coracoclavicular and Acromioclavicular Graft ...
This study compares the mid term outcome of two frequently performed surgical concepts of Rockwood grade III AC joint ... of Rockwood grade III AC joint injuries. Mid term outcome with a mean follow up of 3 years was measured using a standardized ... joint injuries depends mainly on the type of the dislocation and patient demands. ... Taft TN, Wilson FC, Oglesby JW: Dislocation of the acromioclavicular joint. An end-result study. J Bone Joint Surg Am. 1987, 69 ...
The clinical examination of the shoulder joint is an undervalued diagnostic tool for evaluating acromioclavicular joint (AC) ... acromioclavicular joint pathology, subacromial impingement or anterolateral pain syndrome, glenohumeral joint pathology, ... Managing acromio-clavicular joint pain: a scoping review.. Salma Chaudhury, Luckshman Bavan, Neal Rupani, Kyriacos Mouyis, Ro ... Acromioclavicular joint (ACJ) injuries are common, but their incidence is probably underestimated. As the treatment of some sub ...
The acromioclavicular joint occurs between the acromial articular surface of the clavicle and the acromial articular surface of ... 3D - Muscles of the trunk region - layer 5 ▶ Acromioclavicular joint *Abdominal hypaxial muscles ... The upper portion of the articular capsule is the strongest, and is still further reinforced by the acromioclavicular ligament ...
When this joint becomes injured, it is known as an acromioclavicular joint injury. ... The acromioclavicular joint is the union of bone where the high point of the shoulder blade meets with the collar bone. ... Also known as: AC joint injury, shoulder separation. What is acromioclavicular joint injury?. The acromioclavicular joint is ... What are acromioclavicular joint injury care options?. In mild cases, the acromioclavicular joint injury can resolve with rest ...
Acromioclavicular Joint Reconstruction. Home. /Patient Resources. /Post-Op Instructions. /Shoulder. /Acromioclavicular Joint ... Osteolysis of the Acromioclavicular Joint Rotator Cuff Tear Snapping Scapula Shoulder Arthritis Shoulder Fracture Shoulder ... Sternoclavicular Joint Injury Shoulder Treatments Shoulder Arthroscopy Arthroscopic AC Joint Repair and Reconstruction ... Shoulder Joint Preservation and Cartilage Restoration Elbow Elbow Conditions Elbow Anatomy Arthritis of the Elbow Distal Biceps ...
Bathis H, Tingart M, Bouillon B, Tiling T: Conservative or surgical therapy of acromioclavicular joint injury - what is ... Spencer EE: Treatmant of grade III acromioclavicular joint injuries: a systematic review. Clin Orthop. 2007, 455: 38-44. ... The relationship between chronic type III acromioclavicular joint dislocation and cervical spine pain. ... Hootman JM: Acromioclavicular dislocation: Conservative versus surgical therapy. J Athl Train. 2004, 39: 10-11.PubMedPubMed ...
Type III acromioclavicular joint dislocations- Is combined intra-articular K-wire and coracoclavicular screw fixation better ... jocpadmin April 29, 2015 Type III acromioclavicular joint dislocations- Is combined intra-articular K-wire and coracoclavicular ... Chachan S, Tudu B, Sahu B . Type III acromioclavicular joint dislocations- Is combined intra-articular K-wire and ... It included 54 (male=34, female=20) cases of type III acromioclavicular dislocations randomized into two groups A (operative) ...
True sternoclavicular joint dislocations are uncommon in athletics. Sternoclavicular joint integrity should be evaluated when a ... We present a superior sternoclavicular joint dislocation that occurred from a sports-related injury in ... clavicle fracture is suspected, and in younger athletes with a sternoclavicular joint dislocation, diagnostic imaging should be ... MacDonald P, Lapointe P. Acromioclavicular and sternoclavicular joint injuries. Orthop Clin North Am. 2008;39:535-545. doi: ...
In the setting of injury to the AC joint, these sites of injury act for the basis of the multiple acromioclavicular joint ... Together, these stabilize the acromioclavicular joint, which is one of the major shoulder joints. To better understand the role ... Its role is to help stabilize the acromioclavicular joint and act as a last brake, in the presence of cranial and posterior ... The AC joint serves a vital role as a synovial plane joint, which aids in the stability of the shoulder girdle [1]. The primary ...
Injury to the joint will affect the joint itself and an arm or both arms, especially the shoulders, causing pain in these areas ... Sternoclavicular Joint Injuries. The sternoclavicular joins the collarbone to the sternum and upper body, and is the one bone ... acromioclavicular joint injury. *fractured clavicle. *frozen shoulder. *rotator cuff injury. *shoulder impingement ... This pain will be present if the joint is only mildly sprained, but is considerably sharper and instantly recognisable if the ...
... using radiographs of both acromioclavicular joints) were made. RESULTS: The mean follow-up period was 26 (range, 15-43) months ... METHODS: Five patients aged 21 to 50 (mean, 37) years with acute Rockwood type-III acromioclavicular dislocation underwent ... Research Outputs , Coracoclavicular ligament reconstruction using a gracilis tendon graft for acute type-III acromioclavicular ... Coracoclavicular ligament reconstruction using a gracilis tendon graft for acute type-III acromioclavicular dislocation. ...
... over the ball and socket joint), spurs off the acromioclavicular joint and/or front part of the acromion (the roof of the joint ... Why is SIS so common? The short answer is because the ball and socket part of the shoulder joint is shallow to allows for a ... In turn, this results in a high position of the humeral head (the ball part of the joint), which when it shifts upwards, causes ... Manual therapies (manipulation and mobilization) to the shoulders multiple joints.. *Physical therapy modalities (ice, ...
... joint is situated at the distal end of the clavicle forming an articulation with the acromion of the scapula (). The AC joint ... Acromioclavicular joint injuries ("separated" shoulder). Author. Scott M Koehler, MD. Scott M Koehler, MD ... The acromioclavicular (AC) joint is situated at the distal end of the clavicle forming an articulation with the acromion of the ... See Acromioclavicular joint disorders and Evaluation of the patient with shoulder complaints and Glenohumeral ...
... joint is a diarthrodial joint that joins the distal end of the clavicle with the acromion. It is surrounded by a joint capsule ... encoded search term (Acromioclavicular Joint Injection) and Acromioclavicular Joint Injection What to Read Next on Medscape. ... The acromioclavicular (AC) joint is a diarthrodial joint that joins the distal end of the clavicle with the acromion. It is ... Acromioclavicular Joint Injection. Updated: Nov 27, 2018 * Author: Stephen Kishner, MD, MHA; Chief Editor: Erik D Schraga, MD ...
... : Judo Injuries. The acromioclavicular joint connects the shoulder and collarbone and can be ... Causes of Acromioclavicular Joint Sprain An abrupt traumatic incident is usually the cause of such sprains. In judo this might ... When the acromioclavicular joint has healed and is pain free, seek your doctors approval and then move on to stretching and ... Symptoms of Acromioclavicular Joint Sprain The most widespread symptom is pain that is restricted at first to the intersection ...
Care guide for Acromioclavicular Joint Reconstruction. Includes: possible causes, signs and symptoms, standard treatment ... What do I need to know about acromioclavicular joint (AC) reconstruction?. AC reconstruction is surgery to repair a ligament ... An arthroscope is used to look inside your joint. Your surgeon will talk to you about which kind of surgery is right for you. ... What are the risks of an AC joint reconstruction?. You may develop an infection or bleed more than expected during surgery. You ...
... joint is a diarthrodial joint that joins the distal end of the clavicle with the acromion. It is surrounded by a joint capsule ... Injection Into Acromioclavicular Joint. To locate the acromioclavicular (AC) joint line, palpate the acromion from the lateral ... encoded search term (Acromioclavicular%20Joint%20Injections) and Acromioclavicular Joint Injections What to Read Next on ... Acromioclavicular Joint Injections Technique. Updated: Apr 06, 2017 * Author: Stephen Kishner, MD, MHA; Chief Editor: Erik D ...
Acromioclavicular+Joint. The acromioclavicular joint, or AC joint, is a joint at the top of the shoulder. It is the junction ... In other joints no synovial joint is present with the joint being made by a pad of fibrous tissue attached to the outer end of ... The joint is stabilized by three ligaments:. *The acromioclavicular ligament, which attaches the clavicle to the acromion of ... a b URIST, M. R. (1946). COMPLETE DISLOCATIONS OF THE ACROMIOCLAVICULAR JOINT: The Nature of the Traumatic Lesion and Effective ...
acromioclavicular joint dislocation. ac joint dislocation. acromioclavicular joint separation. hook plate. Rockwood. ... The study aims to answer if surgery with hook plate for acute dislocation of the acromioclavicular joint (AC joint) grade III ... Operative or Conservative Treatment of Acute Acromioclavicular Joint Dislocation. The safety and scientific validity of this ... Operative or Conservative Treatment of Acute Acromioclavicular Joint Dislocation Rockwood Grade III and V - a Prospective ...
Degeneration of the AC joint can be painful. ... Acromioclavicular joint arthritis in the shoulder is a common ... Osteoarthritis of the Acromioclavicular Joint. by A Patients Guide to Osteoarthritis of the Acromioclavicular Joint. ... However, the AC joint is different from joints like the knee or ankle, because it doesnt need to move very much. The AC joint ... AC joint osteoarthritis may also develop following an injury to the joint, such as an AC joint separation. This injury is ...
Radiographic osteoarthrosis in the acromioclavicular joint resulting from manual work or exposure to vibration.. Stenlund B1, ... The frequency of osteoarthrosis in the acromioclavicular joint was studied in three groups of workers in the construction ... The radiographic appearance of the right and left acromioclavicular joints was classified into one of five grades of ... and the sum of years of manual work seem to be risk factors for osteoarthrosis of the acromioclavicular joint, whereas ...
What is the AC joint?. The acromioclavicular joint is not a typical joint that enables motion and movement of an extremity. ... There is no joint instability, simply pain with examination by touch over the injured ligament at the acromioclavicular joint. ... Pain with palpation over the acromioclavicular joint is a constant feature of all AC joint injuries. With grade 1 or 2 injuries ... the name acromioclavicular joint.. Two major ligaments, the acromioclavicular ligament and the coracoclavicular ligament, ...
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