Biplanar Reconstruction With Pectoralis Minor Tendon and Coracoacromial Ligament Transfer for Chronic Acromioclavicular Joint Dislocations.

Cartaya Méndez, Marco; Turner Ruiz-Tagle, Felipe; Vargas Zúñiga, Jorge · Arthrosc Tech · 2024

case_series · Level IV

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Abstract

Acromioclavicular joint dislocation is a common pathology, affecting mostly young male patients. High-grade injuries require surgical treatment, but evidence is lacking regarding a gold standard technique. Chronic cases frequently are treated with graft reconstruction, but complications and availability remain as a limitation for autograft and allograft use, respectively. The objective of this Technical Note is to describe the treatment of chronic acromioclavicular dislocations by a reconstruction made with a local tendon graft, the pectoralis minor, in addition to transferring the coracoacromial ligament as a horizontal stabilizer.

Anatomy