Sherman Benjamin, French Michael, Faerber Wade
Riverside University Health System, Moreno Valley, California, U.S.A.
Arthrosc Tech. 2019 May 23;8(6):e605-e610. doi: 10.1016/j.eats.2019.02.001. eCollection 2019 Jun.
Acromioclavicular (AC) joint separations are common injuries and account for 3.2% of shoulder injuries. These injuries typically occur among adolescent and young adult athletes during contact sports, such as hockey, wrestling, and rugby. Low-grade AC joint separations (Rockwood grade I-II) are often successfully treated nonoperatively. High-grade AC joint separations (Rockwood grade IV-VI) have the potential to alter scapular kinematics, causing painful and restricted motion, and are often treated surgically. Over 150 surgical techniques have been described to treat AC joint separations. Techniques vary in the types of implants used (screws, pins), use of anatomic or nonanatomic reconstructions, number of drill holes used, use of arthroscopic or open procedures, use of distal clavicle resection, and types of augmentation (allografts, autografts, sutures). The procedure can be expensive, with the implants and grafts costing varied amounts and, at times, thousands of dollars. The purpose of this Technical Note is to describe an inexpensive method of open anatomic AC joint reconstruction using a single bone tunnel, suture tape, and a semitendinosus autograft.
肩锁关节（AC）分离是常见损伤，占肩部损伤的3.2%。这些损伤通常发生在青少年和年轻成年运动员进行接触性运动时，如曲棍球、摔跤和橄榄球运动。低度肩锁关节分离（Rockwood I-II级）通常采用非手术治疗即可成功治愈。高度肩锁关节分离（Rockwood IV-VI级）有可能改变肩胛骨的运动学，导致疼痛和活动受限，通常需进行手术治疗。目前已有超过150种手术技术用于治疗肩锁关节分离。这些技术在所用植入物类型（螺钉、钢针）、解剖或非解剖重建的使用、钻孔数量、关节镜或开放手术的使用、远端锁骨切除的使用以及增强方式（同种异体移植物、自体移植物、缝线）等方面各不相同。该手术可能费用高昂，植入物和移植物的成本各不相同，有时高达数千美元。本技术说明的目的是描述一种使用单一骨隧道、缝线带和半腱肌自体移植物进行开放解剖性肩锁关节重建的低成本方法。
