APEX Shoulder Mastering Surgical Techniques for Clinical Success-ACJ: Solutions, Case Based Acute and Chronic Cases

Video Transcription

Video Summary

In the video, Gus Mazak from the University of Connecticut discusses acromioclavicular (AC) joint solutions for acute and chronic cases. He begins by acknowledging his relationship with Arthrex, a company for which he is a consultant. Mazak emphasizes the importance of understanding the anatomy of the AC joint, particularly the ligament complex, in achieving stability. He presents videos and slides demonstrating how the ligament fibers prevent posterior rotation. Mazak also discusses coracoclavicular and deltoid anatomy, highlighting their relevance in surgical approaches.<br /><br />The video explores the decision-making process between operative and non-operative treatment for AC joint injuries. Multiple studies are discussed, indicating that there is no significant difference in outcomes between the two approaches. Mazak presents case examples of successful non-operative and operative treatments, emphasizing the importance of individualized care.<br /><br />The video also covers acute versus chronic injuries and different surgical techniques, such as arthroscopic debridement and anatomic cortical clavicular ligament reconstruction. Mazak discusses bone tunnels, graft passing, and post-operative management. He concludes by highlighting the importance of reconstructing the AC ligament complex for AC joint stability and providing recommendations for surgical techniques.<br /><br />No additional credits were mentioned in the video.

Asset Caption

Augustus Mazzocca, MD

Keywords

acromioclavicular joint

surgical techniques

operative treatment

ligament reconstruction

non-operative care