Volume 2, Issue 4, Pages (December 2018)

Slides:

Advertisements

Similar presentations

Chapter 13 – The Shoulder and Upper Arm Pages

Advertisements

THE SHOULDER GIRDLE Chapter 4.

Trapezius (Upper fibers) O: base of skull, occipital protuberance, posterior ligaments of neck I: posterior aspect of lateral 1/3 of clavicle A: elevation.

Chapter 4 Shoulder Girdle.

Relationships Between Capsular Stiffness and Clinical Features in Adhesive Capsulitis of the Shoulder Sang Yoon Lee, MD, Kyu Jin Lee, PhD, Won Kim, MD,

All-Arthroscopic Double-Bundle Coracoclavicular Ligament Reconstruction Using Autogenous Semitendinosus Graft: A New Technique Juha O. Ranne, M.D., Janne.

Completed for flashcards

José L. Osma-Rueda, MD, Julián Amaya-Mujica JSES Open Access

Volume 1, Issue 2, Pages (June 2017)

MICHAEL A. MEYERSON, M.D., PHILIP R. COHEN, M.D.

The Geometric Classification of Rotator Cuff Tears: A System Linking Tear Pattern to Treatment and Prognosis James Davidson, M.D., Stephen S. Burkhart,

The effect of rotator cuff repair on early overhead shoulder function: a study in 1600 consecutive rotator cuff repairs Hayden A. Robinson, Patrick H.

Arthroscopically Assisted Acromioclavicular and Coracoclavicular Ligament Reconstruction for Chronic Acromioclavicular Joint Instability Frank Martetschläger,

Surgical Technique for Arthroscopy-Assisted Anatomical Reconstruction of Acromioclavicular and Coracoclavicular Ligaments Using Autologous Hamstring Graft.

Volume 2, Issue 1, Pages 8-12 (March 2018)

Volume 1, Issue 3, Pages (October 2017)

Acromioclavicular Joint Dislocation: Repair Through Open Ligament Transfer and Nonabsorbable Suture Fixation Ricardo Canquerini da Silva, M.D., Bruno.

Arthroscopically Assisted Reconstruction of Acute Acromioclavicular Joint Dislocations: Anatomic AC Ligament Reconstruction With Protective Internal Bracing—The.

Arthroscopic repair of an isolated teres minor tear with associated posterior glenohumeral ligament avulsion Aaron Schwartz, MD, Spero Karas, MD JSES.

Drew Lansdown, M. D. , Eamon D. Bernardoni, M. S. , Eric J. Cotter, B

Brenden J. Balcik, MD, Aaron J. Monseau, MD, William Krantz, MD

All-Arthroscopic Double-Bundle Coracoclavicular Ligament Reconstruction Using Autogenous Semitendinosus Graft: A New Technique Juha O. Ranne, M.D., Janne.

Volume 1, Issue 3, Pages (October 2017)

Distal Clavicle Fracture Repair Using Cortical Button Fixation With Coracoclavicular Ligament Reconstruction Gautam P. Yagnik, M.D., David A. Porter,

Persistent diaphragmatic paralysis associated with interscalene nerve block after total shoulder arthroplasty: a case report John T. Nickless, MD, Brian.

Volume 2, Issue 3, Pages (October 2018)

Arthroscopic Distal Clavicle and Medial Border of Acromion Resection for Symptomatic Acromioclavicular Joint Osteoarthritis Adinun Apivatgaroon, M.D.,

Volume 2, Issue 4, Pages (December 2018)

Cholawish Chanlalit, MD, Thitinut Dilokhuttakarn, MD JSES Open Access

Volume 2, Issue 1, Pages (March 2018)

Volume 1, Issue 2, Pages (June 2017)

Reverse hemiarthroplasty

Volume 2, Issue 1, Pages (March 2018)

Arthroscopic Acromioclavicular Fixation With Suture Tape Augmentation After Coracoclavicular Fixation With Dog Bone Button: Surgical Technique Joong-Bae.

Volume 1, Issue 2, Pages (June 2017)

Revision Acromioclavicular-Coracoclavicular Reconstruction: Use of Precontoured Button and 2 Allografts Daniel B. Haber, M.D., Robert C. Spang, M.D.,

Steven lee M.S. Pathology FTCC.

Open Anatomic Coracoclavicular Ligament Reconstruction by Modified Conjoint Tendon Transfer for Treatment of Acute High-Grade Acromioclavicular Dislocation

Arthroscopic Coracoclavicular Ligament Reconstruction Using Graft Augmentation and Titanium Implants Juha O. Ranne, M.D., Terho U. Kainonen, M.D., Jussi.

Sepp Braun, M. D. , Knut Beitzel, M. D. , Stefan Buchmann, M. D

Patrick J. Denard, MD, Matthew P. Noyes, MD, Alexandre Lädermann, MD

Michael B. Banffy, M. D. , Carola F. van Eck, M. D. , Ph. D

Bipolar Acromioclavicular Joint Resection

Joaquin Sanchez-Sotelo, Yaser Baghdadi, Ngoc Tram V. Nguyen

Lewis L. Shi, M. D. , Andrew K. Sohn, Xiexiang Shao, M. D

Arthroscopic Anatomic Coracoclavicular Ligament Repair Using a 6-Strand Polyester Suture Tape and Cortical Button Construct MAJ Todd P. Balog, M.D.,

Volume 2, Issue 2, Pages (July 2018)

Volume 2, Issue 1, Pages (March 2018)

Arthroscopic Distal Clavical Resection Using “Vis-à-Vis” Portal

An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position James M. Paci,

Arthroscopic Distal Clavical Resection Using “Vis-à-Vis” Portal

Volume 3, Issue 1, Pages 1-4 (March 2019)

Osteoporosis Associated With Megestrol Acetate

Horizontal and Vertical Stabilization of Acute Unstable Acromioclavicular Joint Injuries Arthroscopy-Assisted Luis Natera Cisneros, M.D., Juan Sarasquete.

Volume 1, Issue 1, Pages (March 2017)

All-Arthroscopic Coracoclavicular Ligament Reconstruction Surgical Technique Using a Semitendinosus Allograft and Tenodesis Screws Xinning Li, M.D.,

Michael Marsalli, M.D., Nicolás Moran, M.D., Jose I. Laso, M.D.

Vitamin D: Mechanisms of Action and Clinical Applications

Long-term results of latissimus dorsi transfer for internal rotation contracture of the shoulder in patients with obstetric brachial plexus injury Jean-David.

Volume 3, Issue 1, Pages 5-11 (March 2019)

Primary Acromioclavicular-Coracoclavicular Reconstruction Using 2 Allografts, TightRope, and Stabilization to the Acromion Daniel B. Haber, M.D., Petar.

Volume 3, Issue 1, Pages (March 2019)

Anatomic Reconstruction of Chronic Coracoclavicular Ligament Tears: Arthroscopic- Assisted Approach With Nonrigid Mechanical Fixation and Graft Augmentation

Aspergillosis Related to Long-Term Nasal Corticosteroid Use

Bipolar Acromioclavicular Joint Resection

Arthroscopic-Assisted Management of Unstable Distal-Third Clavicle Fractures: Conoid Ligament Reconstruction and Fracture Cerclage With Sutures Luis.

Arthroscopic Coracoclavicular and Acromioclavicular Stabilization of Acute Acromioclavicular Joint Dislocation By Suspensory Fixation System Frank Martetschläger,

Nata Parnes, M. D. , Maryellen Blevins, P. A-C. , M. P. A. S

Drew Lansdown, M. D. , Eamon D. Bernardoni, M. S. , Eric J. Cotter, B

Arthroscopically Assisted Reconstruction of Acute Acromioclavicular Joint Dislocations: Anatomic AC Ligament Reconstruction With Protective Internal Bracing—The.

Presentation transcript:

Volume 2, Issue 4, Pages 183-189 (December 2018) The medial coracoclavicular ligament: anatomy, biomechanics,and clinical relevance—a research study Daniel Moya, MD, Luciano A. Poitevin, MD, Daniel Postan, MD, Guillermo A. Azulay, MD, Sergio Valente, MD, Fernando Giacomelli, Eng, Luis A. Mamone, MRI Technologist JSES Open Access Volume 2, Issue 4, Pages 183-189 (December 2018) DOI: 10.1016/j.jses.2018.07.001 Copyright © 2018 The Author(s) Terms and Conditions

Figure 1 (A) Linear length measurement of the ligament. (B) Sequential transection of the ligaments under a constant load (left shoulder). Ac, acromioclavicular; Co, coracoid process; Cl, clavicle; MCCL, medial coracoclavicular ligament, black arrow: cephalic traction. JSES Open Access 2018 2, 183-189DOI: (10.1016/j.jses.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 2 (A) Tensile test machine. (B) Tensile strength test. JSES Open Access 2018 2, 183-189DOI: (10.1016/j.jses.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 3 (A) Coracoid origin: anterosuperior and posteroinferior bundles (right shoulder). Co, coracoid process; Cl, clavicle; MCCL, medial coracoclavicular ligament; AS, anterosuperior bundle; PI, posteroinferior bundle. (B) Fascial expansions (right shoulder). M, medial; S, superior, I, inferior; Co, coracoid process; Cl, clavicle; MCCL, medial coracoclavicular ligament. JSES Open Access 2018 2, 183-189DOI: (10.1016/j.jses.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 4 (Right shoulder) (A) Transection of the capsule and acromioclavicular ligaments. (B) Transection of the lateral coracoclavicular ligaments, showing further increase of the acromioclavicular distance. (C) Before and (D) after the transection of the medial coracoclavicular ligament (MCCL). Ac, acromion; Co, coracoid process; Cl, clavicle; black arrows, acromioclavicular distance. JSES Open Access 2018 2, 183-189DOI: (10.1016/j.jses.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 5 Sequential transection of the ligaments under x-ray control. (A) Intact capsule and ligaments under traction. (B) After the transection of the capsule and acromioclavicular ligaments. (C) Transection of the lateral coracoclavicular ligaments (conoid and trapezoid). (D) After transection of the medial coracoclavicular ligaments. Notice the additional increase in acromioclavicular distance. JSES Open Access 2018 2, 183-189DOI: (10.1016/j.jses.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 6 (A) Mechanical strength curves of the 4 isolated medial coracoclavicular ligament tests. Each curve corresponds to a different specimen. (B) Mechanical strength curves of the 4 specimens including all of the ligaments (conoid, trapezoid, and medial coracoclavicular ligament). JSES Open Access 2018 2, 183-189DOI: (10.1016/j.jses.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions

Figure 7 (A) Ligament staggered rupture pattern. (B) Medial coracoclavicular ligament (MCCL) has 27% the strength of the lateral coracoclavicular ligaments (LCCLs). JSES Open Access 2018 2, 183-189DOI: (10.1016/j.jses.2018.07.001) Copyright © 2018 The Author(s) Terms and Conditions