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Acromioclavicular Joint Injury
Posted: May 3 2018 #(C101069)
A

Acute AC Separation in a 45M

HPI

Acute injury in motorcycle accident 5 days ago

PMH

None

PE

Closed, isolated, NV intact

Poll
1 of 9
1. What additional Xrays would you get in this case?
No additional Xrays needed
34%
631/1828
Bilateral AP only
13%
255/1828
Axillary lateral only
18%
335/1828
Bilateral AP AND axillary lateral
33%
607/1828
2. What Rockwood Type would you classify this as?
Type I
0%
5/1684
Type II
1%
27/1684
Type III A
13%
222/1684
Type III B
13%
234/1684
Type IV
18%
307/1684
Type V
41%
706/1684
Type VI
2%
48/1684
Unable to classify
8%
135/1684
3. How would you treat this?
Non-operative
10%
188/1717
ORIF
42%
733/1717
Ligament Reconstruction
46%
796/1717
4. If you choose ORIF, what technique would you use?
ORIF with Suture Fixation
8%
134/1526
ORIF with Bosworth screw
5%
88/1526
ORIF with Hook Plate
24%
376/1526
ORIF with Pin Fixation
4%
66/1526
ORIF with a suture and button-type device (ex. Dog Bone)
43%
667/1526
Question does not apply to me
12%
195/1526
5. If you performed Ligament Reconstruction, what technique would you use?
Modified Weaver-Dunn CC Ligament Reconstruction
37%
514/1363
Palmaris Longus Autograft CC Ligament Reconstruction
13%
185/1363
Allograft CC Ligament Reconstruction
32%
449/1363
Question does not apply to me
15%
215/1363
6. If you performed an ORIF with a suture and button-type device, would you use arthroscopy?
No - I would do it open
60%
779/1296
Yes, I would do it arthroscopic-assisted
29%
388/1296
Question does not apply to me
9%
129/1296
7. If performing a CC Ligament Reconstruction, would you augment it with a suture and button-type device (ex. Dog Bone)?
No
12%
155/1223
Yes, I would augment with a suture and button-type device
58%
711/1223
I would use the suture and button-type device ALONE in this case (no graft)
18%
223/1223
Question does not apply to me
10%
134/1223
8. If you performed ORIF (hook plate etc), when would you start ROM?
Immediately
18%
241/1277
3 days post-op
9%
119/1277
7 days post-op
12%
163/1277
2 weeks post-op
19%
254/1277
3 weeks post-op
7%
93/1277
4 weeks post-op
8%
111/1277
6 weeks post-op
11%
147/1277
Question does not apply to me
11%
149/1277
9. If you performed CC Ligament Reconstruction, when would you start ROM?
Immediately
11%
144/1234
3 days post-op
4%
60/1234
7 days post-op
9%
118/1234
2 weeks post-op
21%
270/1234
3 weeks post-op
11%
137/1234
4 weeks post-op
12%
157/1234
6 weeks post-op
20%
259/1234
Question does not apply to me
7%
89/1234
PROCEDURE #1

Hook Plate Reduction

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OUTCOMES
Post-procedure P1
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