| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Department of Orthopaedic Surgery, Prince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia
Presented at the 24th annual meeting of the AOSSM, Vancouver, British Columbia, Canada, July 1998, at which it won the Aircast Award for Basic Science.
Address correspondence and reprint requests to William R. Walsh, PhD, Department of Orthopaedic Surgery, Prince of Wales Hospital, Randwick Sydney NSW, Australia 2031
Numerous procedures have been described for the operative management of acromioclavicular joint injuries, but surprisingly little information is available on the ultimate mechanical behavior of the native coracoclavicular ligament complex or on the various methods of reconstruction. We tested 19 fresh-frozen cadaveric bone-ligament-bone preparations of the coracoclavicular ligament in uniaxial tension at 25 mm/min until failure. Seven specimens were left intact, six had the trapezoid ligament sectioned, and six had the conoid ligament sectioned. Reconstruction of the coracoclavicular ligament was achieved using coracoacromial ligament transfers, woven polyester slings, suture anchors, and Bosworth screws; all reconstructions were also tested to failure. The intact coracoclavicular ligament failed by avulsion or midsubstance tear at 500 (±134) N, with a stiffness of 103 (±30) N/mm and elongation to failure of 7.7 (±1.9) mm. There was no significant difference between the contributions of the conoid or trapezoid ligaments in this loading configuration. Coracoclavicular slings and suture anchors provided strength similar to that of the coracoclavicular ligament, but with significantly greater deformations (14 to 26 mm). Screw fixation resulted in comparable stiffness and superior strength to the coracoclavicular ligament, but only if bicortical purchase was obtained. Coracoacromial ligament transfers were the weakest and least stiff, and augmentation with another form of coracoclavicular fixation is recommended. These results provide a useful baseline for comparison of the initial performance of reconstructive techniques with the performance of the native coracoclavicular ligament.
This article has been cited by other articles:
|
|
 |
|
  S. J. Lee, E. P. Keefer, M. P. McHugh, I. J. Kremenic, K. F. Orishimo, S. Ben-Avi, and S. J. Nicholas Cyclical Loading of Coracoclavicular Ligament Reconstructions: A Comparative Biomechanical Study Am. J. Sports Med., October 1, 2008; 36(10): 1990 - 1997. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. D. Mazzocca, J. T. Spang, R. R. Rodriguez, C. G. Rios, K. P. Shea, A. A. Romeo, and R. A. Arciero Biomechanical and Radiographic Analysis of Partial Coracoclavicular Ligament Injuries Am. J. Sports Med., July 1, 2008; 36(7): 1397 - 1402. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Fraser-Moodie, N. L. Shortt, and C. M. Robinson Injuries to the acromioclavicular joint J Bone Joint Surg Br, June 1, 2008; 90-B(6): 697 - 707. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. W. Choi, T. J. Lee, K. H. Moon, K. J. Cho, and S. Y. Lee Minimally Invasive Coracoclavicular Stabilization With Suture Anchors for Acute Acromioclavicular Dislocation Am. J. Sports Med., May 1, 2008; 36(5): 961 - 965. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. J. Nicholas, S. J. Lee, M. J. Mullaney, T. F. Tyler, and M. P. McHugh Clinical Outcomes of Coracoclavicular Ligament Reconstructions Using Tendon Grafts Am. J. Sports Med., November 1, 2007; 35(11): 1912 - 1917. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Wellmann, T. Zantop, A. Weimann, M. J. Raschke, and W. Petersen Biomechanical Evaluation of Minimally Invasive Repairs for Complete Acromioclavicular Joint Dislocation Am. J. Sports Med., June 1, 2007; 35(6): 955 - 961. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. D. Mazzocca, R. A. Arciero, and J. Bicos Evaluation and Treatment of Acromioclavicular Joint Injuries Am. J. Sports Med., February 1, 2007; 35(2): 316 - 329. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. D. Mazzocca, S. A. Santangelo, S. T. Johnson, C. G. Rios, M. L. Dumonski, and R. A. Arciero A Biomechanical Evaluation of an Anatomical Coracoclavicular Ligament Reconstruction Am. J. Sports Med., February 1, 2006; 34(2): 236 - 246. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. W. Grutter and S. A. Petersen Anatomical Acromioclavicular Ligament Reconstruction: A Biomechanical Comparison of Reconstructive Techniques of the Acromioclavicular Joint Am. J. Sports Med., November 1, 2005; 33(11): 1723 - 1728. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. S. Costic, J. E. Labriola, M. W. Rodosky, and R. E. Debski Biomechanical Rationale for Development of Anatomical Reconstructions of Coracoclavicular Ligaments After Complete Acromioclavicular Joint Dislocations Am. J. Sports Med., December 1, 2004; 32(8): 1929 - 1936. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. J. Lee, S. J. Nicholas, K. H. Akizuki, M. P. McHugh, I. J. Kremenic, and S. Ben-Avi Reconstruction of the Coracoclavicular Ligaments with Tendon Grafts: A Comparative Biomechanical Study Am. J. Sports Med., September 1, 2003; 31(5): 648 - 655. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. P. Jones, M. J. Lemos, and A. A. Schepsis Salvage of Failed Acromioclavicular Joint Reconstruction Using Autogenous Semitendinosus Tendon from the Knee: Surgical Technique and Case Report Am. J. Sports Med., March 1, 2001; 29(2): 234 - 237. [Full Text] [PDF]
|
|
|
|
|
|
A. R. Motamedi, F. T. Blevins, M. C. Willis, T. P. McNally, and M. Shahinpoor Biomechanics of the Coracoclavicular Ligament Complex and Augmentations Used in Its Repair and Reconstruction Am. J. Sports Med., May 1, 2000; 28(3): 380 - 384. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
