Measure of horizontal and vertical displacement of the acromioclavicular joint after cutting ligament using X-ray and opto-electronic system.
Surg Radiol Anat
; 34(7): 639-43, 2012 Sep.
Article
en En
| MEDLINE
| ID: mdl-22430761
ABSTRACT
INTRODUCTION:
Surgical versus orthopedic treatments of acromioclavicular disjunction are still debated. The aim of this study was to measure horizontal and vertical acromion's displacement after cutting the ligament using standard X-ray and an opto-electronic system on cadaver. MATERIALS ANDMETHODS:
Ten cadaveric shoulders were studied. A sequential ligament's section was operated by arthroscopy. The sequence of cutting was chosen to fit with Rockwood's grade. The displacement of the acromion was measured on standard X-ray and with an opto-electronic system allowing measuring of the horizontal displacement. Statistical comparisons were performed using a paired Student's t test with significance set at p < 0.05.RESULTS:
Cutting the coracoclavicular ligament and delto-trapezius muscles cause a statistical downer displacement of the acromion, but not after sectioning the acromioclavicular ligament. The contact surface between the acromion and the clavicle decreases statistically after sectioning the acromioclavicular ligament and the coracoclavicular ligament with no effect of sectioning the delto-trapezius muscles. Those results are superposing with those dealing with the anterior translation.DISCUSSION:
The measure concerning the acromioclavicular distance and the coracoclavicular distance are superposing with those of Rockwood. However, there is a significant horizontal translation after cutting the acromioclavicular ligament. Taking into account this displacement, it may be interesting to choose either surgical or orthopedic treatment.CONCLUSION:
There is a correlation between anatomical damage and importance of instability. Horizontal instability is misevaluated in clinical practice.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Articulación Acromioclavicular
/
Ligamentos Articulares
Límite:
Aged
/
Humans
/
Middle aged
Idioma:
En
Revista:
Surg Radiol Anat
Asunto de la revista:
ANATOMIA
/
RADIOLOGIA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Francia