Aspects of accredited management ASPECTS OF CURRENT MANAGEMENT Injuries to the acromioclavicular junction J. A. Fraser-Moodie, N. L. Shortt, C. M. Robinson From the munificent infirmary of Edinburgh, Edinburgh, Scotland Injuries to the acromioclavicular joint ar common however underdiagnosed. Sprains and peasant subluxations argon best managed conservatively, but on that point is debate concerning the discourse of complete dislocations and the more mixed combined injuries in which opposite elements of the shoulder girdle are damaged. Confusion has been caused by live systems for classification of these injuries, the plethora of open operative techniques and the lack of well-designed clinical trials comparing alternative methods of management. youthful advances in arthroscopic surgery control produced an even greater motley of surgical options for which, as yet, there are no objective lens data on outcome of high quality. We review the current concepts of th e treatment of these injuries. J. A. Fraser-Moodie, MRCSEd, clinical Research Fellow N. L. Shortt, FRCSEd(Orth), orthopedical registrar C. M. Robinson, BMedSci, FRCSEd(Orth), Consultant Orthopaedic Surgeon Edinburgh Shoulder Clinic The Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, UK. counterweight should be sent to Mr C. M.
Robinson; e-mail: c.mike.robinson@ed.ac.uk ©2008 British Editorial confederacy of fig out and Joint Surgery inside:10.1302/0301-620X.90B6. 20704 $2.00 J Bone Joint Surg [Br] 2008;90-B:697-707. Anatomy and biomechanics The acromioclavicular joint provides a keyst one join between the scapula and the clavic! le. The coupling of scapulothoracic and glenohumeral effort dictates that the integrity of the sternoclavicular and acromioclavicular joints is eventful for the normal co-ordination of trend of the shoulder girdle. Until recently, movement at the acromioclavicular joint had not been accurately defined and was maybe underestimated.1-3 It is now comprehended that during abduction of...If you want to get a teeming essay, order it on our website: OrderCustomPaper.com
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