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What is a coracoclavicular ligament reconstruction?

The anatomic coracoclavicular ligament reconstruction (ACCR) is a surgical procedure to address acriomioclavicular joint instability. The coracoclavicular ligaments are reconstructed using a semitendinosus allograft passed beneath the coracoid and through bone tunnels in the clavicle.

How do you repair coracoclavicular ligament?

The modified Weaver-Dunn procedure is the most widely used CC reconstruction method. After resecting the distal clavicle, it involves transfer of the coracoacromial (CA) ligament (which was detached from the under surface of the acromion) together with a small piece of boneto, the distal clavicle using cerclage wires.

What is the Coracoacromial ligament?

The coracoacromial ligament (CAL) connects the acromion and coracoid process of the scapula, forming an osseoligamentous static restraint to superior humeral head displacement.

When reconstructing the trapezoid ligament Where should the clavicular tunnel be drilled?

This tunnel should be positioned just anterior to the midline clavicle to match the anatomic position of the trapezoid ligament. Next, the acromion tunnel is drilled with a 4.5-mm drill and guide posi- tioned 10 to 15 mm medial to the AC joint.

Where is the coracoclavicular ligament located?

shoulder
The coracoclavicular ligament is a ligament of the shoulder. It connects the clavicle to the coracoid process of the scapula.

What is Costoclavicular ligament?

The costoclavicular ligament also known as the rhomboid ligament or Halsted’s ligament is a ligament of the shoulder girdle. It is short, flat, and rhomboid in form. It is the major stabilizing factor of the sternoclavicular joint and is the axis of movement of the joint, especially during elevation of the clavicle.

What is a Coracoclavicular joint?

Coracoclavicular joint (CCJ) is a rare anomalous joint occasionally found between the coracoid process of scapula and the conoid tubercle of clavicle. The articulation has been extensively studied by means of anatomical, osteological and radiological investigations.

Is coracoacromial ligament capsular?

The coracoacromial ligament is a strong triangular ligament between the coracoid process and the acromion….

Coracoacromial ligament
The left shoulder and acromioclavicular joints, and the proper ligaments of the scapula. (Coraco-acromial visible at upper right.)
Glenoid fossa of right side.
Details
From	coracoid process

What does the Costoclavicular ligament do?

The function of the coracoclavicular ligament is to allow complex shoulder movement without separation of the scapula from the clavicle.

What is the CPT code for Coracoclavicular ligament reconstruction?

CPT Code: 23550—Open treatment of acromioclavicular dislocation, acute or chronic.

What is the function of Costoclavicular ligament?

What type of joint is coracoclavicular?

The coracoclavicular joint represents a true synovial articulation between the conoid tubercle of the clavicle and the superior surface of coracoid process of the scapula. This accessory articulation may be found either unilaterally or bilaterally.

What are the surgical techniques used in the repair of AC-CC ligament?

The surgical techniques typically include either fixation of AC joint using pins, screws, or hook plates, or reconstruction of CC ligament with various techniques.

Is an autograft or allograft material used in acromioclavicular joint reconstruction?

Most of the anatomic AC joint reconstruction procedures described required autograft or allograft material, however, in our country, the use of an autograft or allograft is uncommon during AC joint surgery. Therefore, we promoted the use of a synthetic ligament fixed by 3 endobuttons.

What is acromioclavicular joint dislocation?

Acromioclavicular joint dislocation: a comparative biomechanical study of the palmaris longus tendon graft reconstruction with other augmentative methods in cadaveric models. J Orthop Surg Res2007; 2:22.

Is Weaver-Dunn ca ligament transfer effective for acute and chronic AC joint injuries?

For CC ligament reconstruction, Weaver-Dunn CA ligament transfer is commonly used for both acute and chronic AC joint injuries. However, its biomechanical properties including transfer and strength have come into question.

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What is a Coracoclavicular ligament reconstruction?

What is the recovery time for AC joint surgery?

The recovery time varies from patient to patient, but full recovery typically occurs within 6-12 weeks. A return to contact sports may require more recovery time to reduce the risk of re-injury.

When describing the ACCR anatomic Coracoclavicular reconstruction technique What is the distance from the distal clavicle to the tunnel placement for the graft?

A Drill Tip Guide Pin is used for placement of the tunnels. The first tunnel is for the conoid ligament, and that is roughly 45 mm away from the distal end of the clavicle in the posterior one half of the clavicle.

What is the CPT code for acromioclavicular joint?

CPT Code: 23550—Open treatment of acromioclavicular dislocation, acute or chronic.

How painful is AC joint surgery?

What are the results of AC joint surgery? Most patients get excellent pain relief with this operation, and nearly 95 percent return to their preinjury level of activity and sports. There are few complications and most patients are very satisfied with the result.

What is subluxation of acromioclavicular joint?

AC joint subluxation is a common sporting injury which, as the name suggests, involves the subluxation or partial separation of the clavicle from the joint which connects it to the acromion, usually as the result of a direct knock or fall.

How long does AC joint pain last?

Most AC injuries are grade I, II, or III and these generally do not require surgery. Usually the joint remains sore for two to six weeks and then full return to activity is the norm.

What is the CPT code for AC joint reconstruction with allograft?

Acromioclavicular Joint Reconstruction 23552 | eORIF.

What is procedure code 23350?

Introduction or Removal Procedures
CPT® 23350, Under Introduction or Removal Procedures on the Shoulder. The Current Procedural Terminology (CPT®) code 23350 as maintained by American Medical Association, is a medical procedural code under the range – Introduction or Removal Procedures on the Shoulder.

How is acromioclavicular joint reconstruction performed?

Acromioclavicular joint reconstruction. A double-loaded biocorkscrew anchor (Arthrex, Inc) is placed into the mid portion of the acromion at the level of the acromioclavicular joint. Using a No. 3 needle, one No. 2 Fiberwire is threaded through the anterior portion of the tendon graft in a Krakow type manner.

What is the failure rate of acromioclavicular joint reconstruction?

However, compli- cation rates of AC joint reconstruction have been reported to be as high as 80%, including hardware failure, graft ruptures, coracoid and clavicle fractures, adhesive capsulitis, and damage to the brachial plexus and axillary nerve. A large variety of stabilization methods have been introduced for the AC joint, with

Can we repair acromioclavicular joint separation using a semitendinosus allograft?

In this Technical Note, we describe our preferred technique for anatomic repair of acromioclavicular joint separation using a semitendinosus allograft. See video under supplementary data.

How much does the acromioclavicular joint rotate?

In addition, the acromioclavicular joint rotates 5–8° with scapulothoracic motion and 40–45° with shoulder abduction and elevation [ 5 ]. The acromioclavicular joint is a diarthrodial synovial joint between the flat medial surface of the acromion and the convex distal end of the clavicle ( Fig. 1 ).