Abstract
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.
Highlights
Acromioclavicular joint (ACJ) dislocations have been approached differently in terms of surgical management
Reduction and stabilization of the ACJ, usually via hardware fixation, allows for primary healing as the ligaments are held in anatomical apposition
There is no gold standard in ACJ reconstruction (ACJR) and many methods have been described in literature, with variable outcomes
Summary
Acromioclavicular joint (ACJ) dislocations have been approached differently in terms of surgical management. Reduction and stabilization of the ACJ, usually via hardware fixation, allows for primary healing as the ligaments are held in anatomical apposition. If it is a chronic injury, a reconstructive procedure is often required, one of the most commonly done being the modified WeaverDunn procedure. There is no gold standard in ACJ reconstruction (ACJR) and many methods have been described in literature, with variable outcomes. A technique using autogenous semitendinosus tendon graft has been advocated and proven to be superior biomechanically, clinically and radiologically compared to more conventional methods[1,2]. It is important to note that postoperative rehabilitation after reconstruction can determine the outcome of surgery
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