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Acromioclavicular Reconstruction using Autogenous Semitendinosus Tendon Graft and the Importance of Postoperative Rehabilitation: A Case Report.

Ho JP, Ahmad Faizal A, Sivapathasundaram N - Malays Orthop J (2013)

Bottom Line: We present a case of chronic acromioclavicular joint dislocation (Rockwood type 5) in which the choice of acromioclavicular reconstruction using autogenous semitendinosus tendon graft was made due to its superiority in anatomical reconstruction of the coracoclavicular ligaments, and the impact of postoperative rehabilitation on the recovery of this patient.We also discuss the rationale behind this. acromioclavicular joint dislocation, acromioclavicular reconstruction, autogenous semitendinosus tendon graft, rehabilitation approach.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Malacca General Hospital, Malacca, Malaysia.

ABSTRACT

Unlabelled: We present a case of chronic acromioclavicular joint dislocation (Rockwood type 5) in which the choice of acromioclavicular reconstruction using autogenous semitendinosus tendon graft was made due to its superiority in anatomical reconstruction of the coracoclavicular ligaments, and the impact of postoperative rehabilitation on the recovery of this patient. We also discuss the rationale behind this.

Key words: acromioclavicular joint dislocation, acromioclavicular reconstruction, autogenous semitendinosus tendon graft, rehabilitation approach.

No MeSH data available.


Related in: MedlinePlus

: Five months post operative pictures showing range of motion of both shoulders.
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Figure 3: : Five months post operative pictures showing range of motion of both shoulders.

Mentions: The patient appeared to make good progress butunfortunately, by the tenth week post-op, the shoulder APradiograph showed subluxation of the ACJ (Figure 2(a)).Nevertheless, he did not complain of pain and we advised thepatient to continue performing the exercises we had taughthim as mentioned above. Radiograph taken at five monthspost-operatively showed a dislocated ACJ with a displacedfracture (Figure 2(b)). At this point, he was able to achieveabduction up to 140 degrees, forward flexion up to 150degrees, internal rotation up to the tip of scapula and fullrange of motion for external rotation (Figure 3). There wassome tenderness on palpation of the ACJ.


Acromioclavicular Reconstruction using Autogenous Semitendinosus Tendon Graft and the Importance of Postoperative Rehabilitation: A Case Report.

Ho JP, Ahmad Faizal A, Sivapathasundaram N - Malays Orthop J (2013)

: Five months post operative pictures showing range of motion of both shoulders.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4322141&req=5

Figure 3: : Five months post operative pictures showing range of motion of both shoulders.
Mentions: The patient appeared to make good progress butunfortunately, by the tenth week post-op, the shoulder APradiograph showed subluxation of the ACJ (Figure 2(a)).Nevertheless, he did not complain of pain and we advised thepatient to continue performing the exercises we had taughthim as mentioned above. Radiograph taken at five monthspost-operatively showed a dislocated ACJ with a displacedfracture (Figure 2(b)). At this point, he was able to achieveabduction up to 140 degrees, forward flexion up to 150degrees, internal rotation up to the tip of scapula and fullrange of motion for external rotation (Figure 3). There wassome tenderness on palpation of the ACJ.

Bottom Line: We present a case of chronic acromioclavicular joint dislocation (Rockwood type 5) in which the choice of acromioclavicular reconstruction using autogenous semitendinosus tendon graft was made due to its superiority in anatomical reconstruction of the coracoclavicular ligaments, and the impact of postoperative rehabilitation on the recovery of this patient.We also discuss the rationale behind this. acromioclavicular joint dislocation, acromioclavicular reconstruction, autogenous semitendinosus tendon graft, rehabilitation approach.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Malacca General Hospital, Malacca, Malaysia.

ABSTRACT

Unlabelled: We present a case of chronic acromioclavicular joint dislocation (Rockwood type 5) in which the choice of acromioclavicular reconstruction using autogenous semitendinosus tendon graft was made due to its superiority in anatomical reconstruction of the coracoclavicular ligaments, and the impact of postoperative rehabilitation on the recovery of this patient. We also discuss the rationale behind this.

Key words: acromioclavicular joint dislocation, acromioclavicular reconstruction, autogenous semitendinosus tendon graft, rehabilitation approach.

No MeSH data available.


Related in: MedlinePlus