98%
921
2 minutes
20
Arthroscopic acromioclavicular joint (ACJ) reconstruction is widely applied in ACJ dislocation. A 4.0-mm bone tunnel is the most used size in the clavicle; drilling a bone tunnel in the coracoid process is also commonly applied. However, large-diameter bone tunnels in the clavicle and coracoid process may cause many complications. Therefore, we present a pragmatic surgical technique of ACJ reconstruction with a 2.0-mm tunnel in the clavicle and looping the suture around the coracoid process. Due to the minimal trauma to the bone, the risk of fracture in the clavicle and the coracoid process can be significantly reduced; repeated drilling in the bone will not occur, and surgical difficulty and time will be greatly reduced accordingly.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177385 | PMC |
http://dx.doi.org/10.1016/j.eats.2024.103407 | DOI Listing |
Eur J Orthop Surg Traumatol
September 2025
Pontifical Bolivarian University, Medellín, Colombia.
Introduction: Accurate diagnosis of subscapularis tears remains challenging due to the limitations of physical examinations and imaging techniques. Therefore, specific radiological parameters have been proposed as predictors of atraumatic subscapularis tears to improve diagnostic sensitivity and accuracy. These parameters include coracohumeral distance (CHD), coracoglenoid angle (CGA), coracoid angle (CA), coracoid overlap (CO), and coracohumeral angle (CHA).
View Article and Find Full Text PDFJ Multidiscip Healthc
August 2025
Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, People's Republic of China.
Objective: The purpose of this study was to evaluate and compare the clinical efficacy and radiological results of three surgical methods for treating Rockwood III-V acromioclavicular dislocation.
Methods: A retrospective analysis was conducted on 62 patients with acute Rockwood III-V acromioclavicular dislocation who were admitted to our hospital from September 2017 to December 2022. Among these patients, 19 received the modified Weaver-Dunn technique (Group A), 20 underwent the arthroscopic single tunnel technique (Group B), and 23 received the arthroscopic coracoid sling technique (Group C).
Arthrosc Tech
July 2025
Institute of Advanced Orthopedics, MOSC Medical College Hospital, Kolenchery, Kochi, Kerala, India.
Although the arthroscopic Latarjet procedure has evolved as the most reliable bony sling procedure for shoulder instability with bone loss, the soft cancellous nature of the coracoid makes the FiberTape option for metal-free fixation difficult because of cheese wiring and cutting into the coracoid when the tape is tensioned. Hence, long titanium screws or titanium buttons are used to fix the coracoid in all existing methods for the Latarjet procedure. Rigid and metal-based methods can cause abrasion of the bony moving surfaces coated with cartilage and can cause wear to contact areas, especially when osteolysis occurs during remodeling of the coracoid bone.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of Orthopaedics and Traumatology, University of Medicine and Pharmacy "Grigore T. Popa" Iasi, Iasi, Romania.
Rationale: Glenoid fractures, representing approximately 10% of scapular fractures, are uncommon but clinically significant due to their frequent association with high-energy trauma. Without timely and adequate management, such injuries may lead to complications including nonunion, osteoarthritis, and chronic instability, especially when fracture patterns are complex or extend into the scapular body. This report highlights the unique diagnostic and therapeutic challenges of managing an Ideberg type Vb glenoid fracture.
View Article and Find Full Text PDFClin Orthop Surg
August 2025
Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Backgroud: Proper sizing of the coracoid is an important factor when using the Latarjet procedure. However, several studies have reported that the Asian coracoid may not be large enough for the Latarjet. A distal clavicle has recently been suggested as a locally available osteoarticular graft for restoring glenoid bone loss.
View Article and Find Full Text PDF