Jildeh Toufic R, Peebles Annalise M, Brown Justin R, Mologne Mitchell S, Provencher Matthew T
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Steadman Clinic, Vail, Colorado, U.S.A.
Arthrosc Tech. 2022 Jul 14;11(8):e1387-e1393. doi: 10.1016/j.eats.2022.03.027. eCollection 2022 Aug.
Acromioclavicular (AC) joint dislocations are a common injury affecting 2 of every 10,000 people in the general population and comprise 9% to 12% of all injuries to the shoulder. Most injuries occur through contact activity, which drives the acromion inferiorly with the clavicle remaining in its anatomic position, initiating a cascade of injury propagating from the AC ligament followed by failure of the coracoclavicular ligaments. Many techniques have been described for AC joint injuries, without a consensus gold standard. The revision setting offers even less consensus on treatment options and countless difficulties for surgeons. There have been more than 60 described procedures regarding AC and coracoclavicular ligament reconstructions, with significant controversy regarding the optimal intervention for each injury. When these techniques fail, it is important to pinpoint the mechanism of failure to construct a successful plan for revision. The purpose of this Technical Note is to describe our preferred method of primary AC and revision coracoclavicular reconstruction using a combination of autograft and allograft semitendinosus as well as TightRope fixation.
肩锁关节（AC）脱位是一种常见损伤，在普通人群中每10000人中有2人受影响，占肩部所有损伤的9%至12%。大多数损伤通过接触活动发生，即肩峰向下移位而锁骨保持在其解剖位置，引发一系列损伤，从肩锁韧带开始，随后是喙锁韧带断裂。针对肩锁关节损伤已描述了许多技术，但尚无公认的金标准。在翻修情况下，对于治疗选择的共识更少，对外科医生来说困难重重。关于肩锁关节和喙锁韧带重建已有60多种描述的手术方法，对于每种损伤的最佳干预存在重大争议。当这些技术失败时，重要的是查明失败机制，以制定成功的翻修计划。本技术说明的目的是描述我们首选的使用自体半腱肌和异体半腱肌联合以及TightRope固定进行原发性肩锁关节和翻修喙锁韧带重建的方法。
