Scope Essentials 2024-AC_CC Joint Repair & Reconstruction

Video Transcription

Video Summary

Dr. Courtney Holland discusses open and arthroscopic approaches to acromioclavicular (AC) and coracoclavicular (CC) joint reconstruction, focusing on anatomy, injury mechanisms, and surgical techniques. AC joint stability involves three ligaments; injuries usually result from trauma with classifications by Rockwood types I-VII. Conservative treatment suits low-grade injuries, while surgery is favored for types IV-VI; type III remains controversial. Historically, over 100 techniques exist with no clear superior method, shifting toward anatomic reconstructions that replicate native ligament biomechanics using grafts and careful tunnel placement. Open procedures involve precise dissection, graft preparation, and fixation with implants, emphasizing avoidance of complications like tunnel blowout. Arthroscopic-assisted surgery offers minimally invasive benefits and better visualization but has a steep learning curve, optimal in acute cases. Surgical complications can include fractures, loss of reduction, and persistent pain. Overall, anatomic reconstructions yield good functional outcomes and high return-to-sport rates despite complication risks.

Asset Caption

Courtney A. Holland, M.D.

Keywords

acromioclavicular joint reconstruction

coracoclavicular ligament repair

Rockwood classification

anatomic reconstruction techniques

arthroscopic surgery benefits