Bipolar Acromioclavicular Joint Resection

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Presentation transcript:

Bipolar Acromioclavicular Joint Resection Julien Gaillard, M.D., Michel Calò, M.D., Geoffroy Nourissat, M.D., Ph.D. Arthroscopy Techniques Volume 6, Issue 6, Pages e2229-e2233 (December 2017) DOI: 10.1016/j.eats.2017.08.027 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Example of a partial acromioclavicular joint resection leading to persistent pain (computed tomography scan, frontal view, of right acromioclavicular joint). The superior part of the joint has not been evenly resected, as shown by the arrow. Arthroscopy Techniques 2017 6, e2229-e2233DOI: (10.1016/j.eats.2017.08.027) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) An arthroscopic burr is used to resect the acromioclavicular joint inferior capsule (arthroscopic lateral view of a right shoulder). (B) The burr is used to resect the medial part of the acromion (arthroscopic lateral view of a right shoulder). The resection is carried out until the distal clavicle is visualized. Arthroscopy Techniques 2017 6, e2229-e2233DOI: (10.1016/j.eats.2017.08.027) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) The resection of the inferior and medial part of the acromion is extended until it is possible to see the entire lateral aspect of the clavicle (arthroscopic lateral view of a right shoulder). (B) The resection is carried out until the distal clavicle is totally resected (arthroscopic lateral view of a right shoulder). Arthroscopy Techniques 2017 6, e2229-e2233DOI: (10.1016/j.eats.2017.08.027) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 (A) An arthroscopic hook is used to check the posterior and superior margin of the clavicle after complete resection (arthroscopic lateral view of a right shoulder). (B) A final check from the anterior portal is realized (arthroscopic anterior view of a right shoulder). The bipolar resection is checked from inside the acromioclavicular joint. Arthroscopy Techniques 2017 6, e2229-e2233DOI: (10.1016/j.eats.2017.08.027) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions