Definition. injury to the acromioclavicular (AC) joint with disruption of the AC ligaments with or without coracoclavicular (CC) ligament disruption. View presentations and documents with title Luxación acromioclavicular on SlideShare, the world’s largest community for sharing presentations. LUXACION ACROMIOCLAVICULAR. JS. Jose Santana. Updated 8 July Transcript. son el 9% de todas las lesiones del hombro. más comúnes en atletas.
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Acromioclavicular joint injuries usually occur from a direct blow or following a fall onto the shoulder with an adducted arm.
Acromio-Clavicular Injuries (AC Separation)
This pushes the acromion forcibly inferiorly and medially with respect to the clavicle 7. Imaging can be used to classify acromioclavicular injuries, with the Rockwood system most commonly used to classify injuries into six grades. adromioclavicular
Other described grading systems include the Tossy and the Allman classification systems. In most cases, plain films including an axillary view are sufficient for accurate grading although CT or MRI may be useful in cases where plain films are thought to underrepresent the degree of injury.
Luxación acromioclavicular rx2
Additional weight bearing stress views may be of benefit if:. These are performed with the patient erect and holding a weight in the arm. If the joint is normal, then acromioclavicular alignment should remain normal and symmetric.
Treatment largely depends on the age and lifestyle of the patient as well as the type of the injury. The selection of which patients with type III injuries for surgical intervention is difficult, acromioclabicular patients who are particularly thin, require great range of motion or do heavy lifting may benefit from operative repair K-wires have also been used, although rare cases of wire migration into vital organs, has dissuaded many surgeons from using them 4.
Just as an injury to other joints, prior acromioclavicular dislocation predisposes the joint to osteoarthritis. Surgical complications include migration of hardware and infection. These do not usually constitute ‘relevant negatives’ and ulxacion such, no comment is required. To quiz yourself on this article, log in to see multiple choice questions.
Acromioclavicular injury | Radiology Reference Article |
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Articles Cases Courses Quiz. About Blog Go ad-free. Bishop JY, Kaeding C. Treatment of the acute traumatic acromioclavicular separation. Edit article Share article View revision history.
Acromio-Clavicular Injuries (AC Separation) – Shoulder & Elbow – Orthobullets
Synonyms or Alternate Spellings: AC joint dislocation Acromio-clavicular separation AC joint separation Acromioclavicular joint dislocation Acromioclavicular joint disruption Acromio-clavicular dislocation Acromioclavicular joint injuries Acromioclavicular separation Acromioclavicular dislocation Acromioclavicular dislocations Acromioclavicular joint separation Acromioclavicular joint injury ACJ injury ACJ injuries Acromioclavicular joint separations.
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