Aspects of accredited management ASPECTS OF CURRENT MANAGEMENT Injuries to the acromioclavicular fit J. A. Fraser-Moodie, N. L. Shortt, C. M. Robinson From the kingly infirmary of Edinburgh, Edinburgh, Scotland Injuries to the acromioclavicular joint ar common however underdiagnosed. Sprains and minor subluxations argon best managed conservatively, but in that respect is debate concerning the preaching of complete dislocations and the more mixed combined injuries in which new(prenominal) elements of the shoulder girdle are damaged. Confusion has been caused by be 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 choose 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 the tre atment of these injuries. J. A. Fraser-Moodie, MRCSEd, clinical Research Fellow N. L. Shortt, FRCSEd(Orth), orthopaedic 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. balance wheel should be sent to Mr C. M.
Robinson; e-mail: c.mike.robinson@ed.ac.uk ©2008 British Editorial orderliness of cram 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 keystone conn ectedness 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 authorised 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 appreciated that during abduction of...If you want to get a teeming essay, order it on our website: OrderCustomPaper.com
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