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Journal of Orthopaedics and Traumatology

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Open Access 01-12-2017 | Review Article

Management of chronic unstable acromioclavicular joint injuries

Authors: Luis Natera Cisneros, Juan Sarasquete Reiriz

Published in: Journal of Orthopaedics and Traumatology | Issue 4/2017

Abstract

The acromioclavicular joint represents the link between the clavicle and the scapula, which is responsible for the synchronized dynamic of the shoulder girdle. Chronic acromioclavicular joint instability involves changes in the orientation of the scapula, which provokes cinematic alterations that might result in chronic pain. Several surgical strategies for the management of patients with chronic and symptomatic acromioclavicular joint instability have been described. The range of possibilities includes anatomical and non-anatomical techniques, open and arthroscopy-assisted procedures, and biological and synthetic grafts. Surgical management of chronic acromioclavicular joint instability should involve the reconstruction of the torn ligaments because it is accepted that from three weeks after the injury, these structures may lack healing potential. Here, we provide a review of the literature regarding the management of chronic acromioclavicular joint instability.

Level of evidence

Expert opinion, Level V.

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Title: Management of chronic unstable acromioclavicular joint injuries
Authors: Luis Natera Cisneros
Juan Sarasquete Reiriz
Publication date: 01-12-2017
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 4/2017
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-017-0452-0

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Springer Medicine

Management of chronic unstable acromioclavicular joint injuries

Abstract

Level of evidence

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Springer Medicine

Abstract

Level of evidence

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