Neue Operationsverfahren am Akromioklavikulargelenk und an der lateralen Klavikula

Background

Instabilities of the acromioclavicular joint and fractures of the lateral clavicle belong to the most common trauma sequelae of the shoulder girdle. A variety of surgical procedures have been described for these pathologies and a number of innovations were recently introduced. This article gives an overview about the current state of knowledge and useful tips for the daily clinical routine.

Methods

For both pathologies minimally invasive arthroscopically-assisted procedures are being used increasingly more. Compared to conventional open procedures several advantages are evident: less approach-related morbidity, the possibility of detection and treatment of common concomitant pathologies and a one-stage procedure without a mandatory implant removal.

Results

Very good mid-term results have been published for the arthroscopic double-button technique for treatment of acromioclavicular instability. For fracture treatment the appropriate procedure must be chosen depending on the individual fracture morphology. The hybrid procedure consisting of plate osteosynthesis and coracoclavicular augmentation is the most stable technique.