Acromion reconstruction after total arthroscopic acromionectomy
Autor: | Helmut H. Fredrich, Andreas B. Imhoff, Jens D. Agneskirchner |
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Rok vydání: | 2001 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.diagnostic_test business.industry Arthroscopy Iliac crest Surgery medicine.anatomical_structure Joint stiffness Deltoid muscle medicine Shoulder Impingement Syndrome Orthopedics and Sports Medicine Shoulder joint Acromion medicine.symptom Range of motion business |
Zdroj: | Arthroscopy: The Journal of Arthroscopic & Related Surgery. 17:1-4 |
ISSN: | 0749-8063 |
DOI: | 10.1053/jars.2001.21252 |
Popis: | We report 2 cases of acromion reconstruction with a bone graft as a salvage procedure after total arthroscopic acromionectomy. Complete removal of the acromion had produced severe shoulder abnormality with pain and joint stiffness. We present the operative technique of acromion reconstruction using a corticocancellous bone graft from the iliac crest. Recreation of the acromion as a fulcrum of the shoulder joint as well as an important physiological insertion area for the deltoid muscle markedly improved pain and range of motion in these patients. In conclusion, based on these cases, we believe that total acromionectomy is an inadequate procedure for treatment of shoulder impingement syndrome. Acromion reconstruction with a bone graft is an alternative that may lead to improvement of clinical symptoms. |
Databáze: | OpenAIRE |
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