title: Anatomical principles for minimally invasive reconstruction of the acromioclavicular joint with anchors.
abstract: The aim of this study was to evaluate the outcome of a minimally invasive surgical technique for the treatment of patients with acromioclavicular joint dislocation.
  
  
  
  Sixteen patients with complete acromioclavicular joint dislocation were enrolled in this study. All patients were asked to follow the less active rehabilitation protocol post-operatively. Computed tomography with 3-D reconstruction of the injured shoulder was performed on each patient post operatively for the assessment of the accuracy of the suture anchor placement in the coracoid process and the reduction of the acromioclavicular joint. Radiographs of Zanca view and axillary view of both shoulders were taken for evaluating the maintenance of the acromioclavicular joint reduction at each follow-up visit. The Constant shoulder score was used for function assessment at the final follow-up.
  
  
  
  Twenty seven of the 32 anchors implanted in the coracoid process met the criteria of good position. One patient developed complete loss of reduction and another had partial loss of reduction in the anteroposterior plane. For the other 14 patients, the mean Constant score was 90 (range, 82-95). For the patients with partial and complete loss of reduction, the Constant score were 92 and 76 respectively. All of them got nearly normal range of motion of the shoulders and restored to pre-operative life and works.
  
  
  
  With this minimally invasive approach and limited exposure of the coracoid, a surgeon can place the suture anchors at the anatomical insertions of the coracoclavicular ligament and allow the dislocated joint reduced and maintained well.
  
  
  
  Level IV, Case series; therapeutic study.
authors: The Orthopedic Department, Northern Jiangsu People's Hospital, Yangzhou University, NO. 98 Nantong West Road, Yangzhou, Jiangsu Province, 225001, China. drxiong@126.com.
authors: Chuanzhi
authors: C
authors: Xiong
authors: The Orthopedic Department, Northern Jiangsu People's Hospital, Yangzhou University, NO. 98 Nantong West Road, Yangzhou, Jiangsu Province, 225001, China.
authors: Yaojia
authors: Y
authors: Lu
authors: The Orthopedic Department, Northern Jiangsu People's Hospital, Yangzhou University, NO. 98 Nantong West Road, Yangzhou, Jiangsu Province, 225001, China.
authors: Qiang
authors: Q
authors: Wang
authors: The Orthopedic Department, Northern Jiangsu People's Hospital, Yangzhou University, NO. 98 Nantong West Road, Yangzhou, Jiangsu Province, 225001, China.
authors: Gang
authors: G
authors: Chen
authors: The Orthopedic Department, Northern Jiangsu People's Hospital, Yangzhou University, NO. 98 Nantong West Road, Yangzhou, Jiangsu Province, 225001, China.
authors: Hansheng
authors: H
authors: Hu
authors: The Orthopedic Department, Northern Jiangsu People's Hospital, Yangzhou University, NO. 98 Nantong West Road, Yangzhou, Jiangsu Province, 225001, China.
authors: Zhihua
authors: Z
authors: Lu
mesh_terms: D000173:Acromioclavicular Joint / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation; D019651:Plastic Surgery Procedures / Q000379:methods / Q000534:rehabilitation; D053441:Suture Anchors
keywords: Acromioclavicular dislocation; Anatomical reconstruction; Coracoclavicular ligament; Suture anchor