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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Edit article Share article View revision history. Case 3 Case 3. To quiz yourself on this article, log in to see multiple choice questions. Case 2 Case 2. AC joint dislocation Acromio-clavicular separation AC joint separation Acromioclavicular joint dislocation Acromioclavicular joint disruption Acromio-clavicular dislocation Acromioclavicular joint injuries Acromioclavicular separation Acromioclavicular dislocation Acromioclavicular dislocations Acromioclavicular joint separation Acromioclavicular joint injury ACJ injury ACJ injuries Acromioclavicular joint separations.

This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7. These do not usually constitute ‘relevant negatives’ and as such, no comment is required. A radiograph is shown in Figure A. How important is this topic for clinical practice? HPI – Acute injury in motorcycle accident 5 days ago. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?

American Shoulder and Elbow Surgeons.

Core Tested Community All. Loading Stack – 0 images remaining. Treatment of the acute traumatic acromioclavicular separation. Case 6 Case 6. The axillary radiograph shows no antero-posterior translation. Acromioclavichlar joint injuries usually occur from a direct blow or following a fall acromioclwvicular the shoulder with an adducted arm. Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis.


Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury. Articles Cases Courses Quiz. 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?


Additional weight bearing stress views may be of benefit if:. Other described grading systems include the Tossy and the Allman classification systems.

About Blog Go ad-free. AC tenderness; no AC instability.

Check for errors and try again. 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 acromioclavicjlar 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.


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Support Radiopaedia and see fewer ads. What additional Xrays would you get in this case? Bishop JY, Kaeding C.

Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades. L8 – 10 years in practice. If the joint is normal, then acromioclavicular alignment should remain normal and symmetric. These are performed with the patient erect and acrromioclavicular a weight in the arm.

Acromioclavicular injury | Radiology Reference Article |

Please login to add comment. L6 – years in practice. Please vote below and help us build the most advanced adaptive learning platform in medicine. K-wires have also been used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them 4.

The selection of which patients acromioclaviculad 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 Thank you for updating your details. Log in Sign up. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.