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

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Presentation transcript:

Arthroscopic Coracoclavicular and Acromioclavicular Stabilization of Acute Acromioclavicular Joint Dislocation By Suspensory Fixation System Frank Martetschläger, M.D., Mark Tauber, M.D., Peter Habermeyer, M.D., Hisham Anis Selim, M.Sc. Arthroscopy Techniques Volume 8, Issue 6, Pages e611-e615 (June 2019) DOI: 10.1016/j.eats.2019.02.002 Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Arthroscopic view of left shoulder in beach-chair position showing establishment of anterolateral (Ant) portal secured with silicone cannula. (B) Switch to lateral trans-supraspinatus portal for better visualization of coracoid and preparation of coracoid base using radiofrequency ablation device. Arthroscopy Techniques 2019 8, e611-e615DOI: (10.1016/j.eats.2019.02.002) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic coracoclavicular stabilization with Dog Bone fiber tape for left-sided, acute acromioclavicular (AC) joint dislocation while viewing through lateral trans-supraspinatus portal. (A) Preparation of coracoid base using radiofrequency ablation device. (B) Proper positioning of drill guide under coracoid base. (C) Drilling of coracoclavicular tunnel with 2.4-mm drill and passage of shuttle wire. (D) Passage of fiber tapes through tunnel and placement of Dog Bone (DB) beneath coracoid base. Arthroscopy Techniques 2019 8, e611-e615DOI: (10.1016/j.eats.2019.02.002) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic view of subacromial space showing steps of acromioclavicular (AC) cerclage of left shoulder in beach-chair position while viewing through lateral portal. (A) Drilling of first, “anterior” (Ant) acromial tunnel. (B) Passage of shuttle suture. (C) Drilling of second, “posterior” acromial tunnel. (D) Shuttling of fiber tape from first to second tunnel and final arthroscopic view of AC cerclage from subacromial space. Arthroscopy Techniques 2019 8, e611-e615DOI: (10.1016/j.eats.2019.02.002) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 4 Outside view of right shoulder from behind with scope in posterior portal and silicone (PassPort) cannula in anterosuperior portal showing steps of acromioclavicular (AC) cerclage in beach-chair position. (A) The fiber tape is retrieved using a hemostat from the supraclavicular incision to the first acromial tunnel. (B) After passage of the fiber tapes through the acromion, the tapes are shuttled back to the clavicular incision. (C) Tying of both fiber tapes together—"final construct." Arthroscopy Techniques 2019 8, e611-e615DOI: (10.1016/j.eats.2019.02.002) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions