Indication for Surgery
- Acute trauma, the acromioclavicular (AC) joint dislocated
- after ongoing problems post shoulder injury (Lu et al., 2014)
The AC joint is supported by both, capsular and strong ligaments and muscles attaching to it (Keener, 2014). Movement of the AC joint includes rotation, elevation and translation.
Usually indicated when an AC joint dislocation is still painful after 3-6 months. LARS (artificial ligament) ligament is performed according to literature → extremely strong and provides earlier mobilisation and return to work and sports than other crafts.
Pre-operative rehabilitation is advisable (Pre-hab). Especially surgical intervention is more common in young and active persons, heavy laborers and soldiers (Owens, 2016).
Lu N. et al., 2014, Evaluation of the coracoclavicular reconstruction using LARS artificial ligament in acute acromioclavicular joint dislocation, Knee Surgery, Sports Traumatology, Arthroscopy, 22(9), pp: 2223-2227
Keener J.D., 2014, Acromioclavicular Joint Anatomy and Biomechanics, Operative Techniques in Sports Medicine, 22(3); pp: 210-213
Owens B. D., 2016, Acromioclavicular Joint Injury Treatment & Management, a source from http://emedicine.medscape.com/article/92337-treatment