Definition. injury to the acromioclavicular (AC) joint with disruption of the AC ligaments with or without coracoclavicular (CC) ligament disruption. View presentations and documents with title Luxación acromioclavicular on SlideShare, the world’s largest community for sharing presentations. LUXACION ACROMIOCLAVICULAR. JS. Jose Santana. Updated 8 July Transcript. son el 9% de todas las lesiones del hombro. más comúnes en atletas.

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The axillary radiograph shows no antero-posterior translation. Case 4 Case 4.

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L6 – years in practice. L8 – 10 years in practice. American Shoulder and Elbow Surgeons. Thank you for rating! AC tenderness; no AC instability. The selection of which patients with type III injuries for surgical intervention is difficult, but patients who are particularly thin, require great range of motion or do heavy lifting may benefit from operative repair These do not usually constitute ‘relevant negatives’ and as such, no comment is required.


Articles Cases Courses Quiz. How important is this topic for board examinations? Please vote below and help us build the most advanced adaptive learning platform in medicine. To quiz yourself on this article, log in to see multiple choice questions.


Case 1 Case 1. What is the most appropriate next step in treatment? Case 6 Case 6. Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury. Bishop JY, Kaeding C. A radiograph is shown in Figure A. Additional weight bearing stress views may be of benefit if:.

About Blog Go ad-free. Core Tested Community All. HPI – Acute injury in motorcycle accident 5 days ago. Other described grading systems include the Tossy and the Allman classification systems.

Luxación acromioclavicular rx2

Thank you for updating your details. Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the acromioclaviicular with an adducted arm. Support Radiopaedia and see fewer ads. Log in Sign up.

Synonyms or Alternate Spellings: In addition to a true AP and an axillary lateral, which of the following additional radiographic views is most appropriate to evaluate the AC joint? Edit article Share article View revision history. L7 – years in luxzcion.

Ligament Reconstruction indications acute type IV, V or VI injuries acute type III injuries in laborers, elite athletes, patients with cosmetic concerns chronic type III injuries that failed non-op treatment historically it was thought acute injuries were treated with ORIF and chronic injuries were treated with CC ligment reconstruction however, new studies have shown no difference in outcomes in types III injuries treated surgically with ORIF after 6 weeks non-op treatment versus immediate surgery contraindications patient unlikely to comply with postoperative rehabilitation skin problems over fixation approach site techniques ligament reconstruction with soft tissue graft Modified Weaver-Dunn distal clavicle excision with transfer of coracoacromial ligament to the distal clavicle to recreate CC ligament autograft allograft fixation suture hook plate CC screw Bosworth cortical flip button e.


Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades.

In most cases, plain films including an axillary view are sufficient for accurate grading although CT or MRI may be useful in cases where plain films are thought to underrepresent the degree of injury. How important is this topic for clinical practice? What additional Xrays would you get in this case? Unable to process the form. This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7.

Case 2 Case 2. Check for errors and try again. Surgical complications include migration of acromooclavicular and infection. Just as an injury to other joints, acromioclaviculra acromioclavicular dislocation predisposes the joint to osteoarthritis.

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