Scope Essentials 2024-AC/CC Joint Repair & Reconstruction

Video Transcription

Video Summary

Dr. Courtney Holland discusses the surgical reconstruction of the acromioclavicular (AC) joint and coracoclavicular (CC) ligaments. The AC joint is commonly injured due to direct trauma or falls, and the severity of the injury is classified using the Rockwood classification system. Type 1 and 2 injuries are typically treated conservatively, while type 3 injuries may require surgical intervention based on continued dysfunction and pain. Surgical techniques for type 4 to 6 injuries vary, but AC joint reconstruction with or without CC ligament repair is favored. Various open and arthroscopic approaches have been used, with the goal of providing a durable construction, restoring normal anatomy, and minimizing complications. The surgical techniques involve creating bone tunnels and using grafts to reconstruct the AC and CC ligaments. Complications may include clavicle fractures, implant irritation, loss of reduction, and shoulder pain. Overall, surgical treatment yields good outcomes and a high return to sports.

Asset Caption

Courtney A. Holland, M.D.

Keywords

AC joint reconstruction

coracoclavicular ligaments

Rockwood classification system

surgical techniques

complications