Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 9 , Pages 1153-1161 , September 2010

A Biomechanical Analysis of the Native Coracoclavicular Ligaments and Their Influence on a New Reconstruction Using a Coracoid Tunnel and Free Tendon Graft

  • Yonsik S. Yoo, M.D., Ph.D.

      Affiliations

    • Hallym University Medical Center, Chuncheon, South Korea
    • ,
  • Andrew G. Tsai, M.S.

      Affiliations

    • University of Minnesota, Minneapolis, Minnesota, U.S.A.
    • University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
    • ,
  • Anil S. Ranawat, M.D.

      Affiliations

    • Hospital for Special Surgery, New York, New York, U.S.A.
    • ,
  • Mohit Bansal, M.D.

      Affiliations

    • Hospital for Special Surgery, New York, New York, U.S.A.
    • ,
  • Freddie H. Fu, M.D.

      Affiliations

    • University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
    • ,
  • Mark W. Rodosky, M.D.

      Affiliations

    • University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
    • ,
  • Patrick Smolinski, Ph.D.

      Affiliations

    • University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
    • Corresponding Author InformationAddress correspondence and reprint requests to Patrick Smolinski, Benedum Hall 631, 3700 O'Hara St, Pittsburgh, PA 15213, U.S.A.

Received 7 June 2009 ,Accepted 22 December 2009.

References 

  1. Bearn JG. Direct observations on the function of the capsule of the sternoclavicular joint in clavicular support. J Anat. 1967;101:159–170(pt 1)
  2. Fraser-Moodie JA, Shortt NL, Robinson CM. Injuries to the acromioclavicular joint. J Bone Joint Surg Br. 2008;90:697–707
  3. Allman FL. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. 1967;49:774–784
  4. Bargren JH, Erlanger S, Dick HM. Biomechanics and comparison of two operative methods of treatment of complete acromioclavicular separation. Clin Orthop Relat Res. 1978;267–272
  5. Guy DK, Wirth MA, Griffin JL, Rockwood CA. Reconstruction of chronic and complete dislocations of the acromioclavicular joint. Clin Orthop Relat Res. 1998;1:138–149
  6. Fukuda K, Craig EV, An KN, Cofield RH, Chao EY. Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg Am. 1986;68:434–440
  7. Debski RE, Parsons IM IV, Woo SL, Fu FH. Effect of capsular injury on acromioclavicular joint mechanics. J Bone Joint Surg Am. 2001;83:1344–1351
  8. Lee SJ, Nicholas SJ, Akizuki KH, McHugh MP, Kremenic IJ, Ben-Avi S. Reconstruction of the coracoclavicular ligaments with tendon grafts: A comparative biomechanical study. Am J Sports Med. 2003;31:648–655
  9. Costic RS, Labriola JE, Rodosky MW, Debski RE. Biomechanical rationale for development of anatomical reconstructions of coracoclavicular ligaments after complete acromioclavicular joint dislocations. Am J Sports Med. 2004;32:1929–1936
  10. LaPrade RF, Hilger B. Coracoclavicular ligament reconstruction using a semitendinosus graft for failed acromioclavicular separation surgery. Arthroscopy. 2005;21:1277.e1–1277.e5www.arthroscopyjournal.org
  11. Eskola A, Vainionpaa S, Korkala O, Rokkanen P. Acute complete acromioclavicular dislocation (A prospective randomized trial of fixation with smooth or threaded Kirschner wires or cortical screw). Ann Chir Gynaecol Suppl. 1987;76:323–326
  12. Kumar S, Sethi A, Jain AK. Surgical treatment of complete acromioclavicular dislocation using the coracoacromial ligament and coracoclavicular fixation: Report of a technique in 14 patients. J Orthop Trauma. 1995;9:507–510
  13. Harris RI, Wallace AL, Harper GD, Goldberg JA, Sonnabend DH, Walsh WR. Structural properties of the intact and the reconstructed coracoclavicular ligament complex. Am J Sports Med. 2000;28:103–108
  14. Motamedi AR, Blevins FT, Willis MC, McNally TP, Shahinpoor M. Biomechanics of the coracoclavicular ligament complex and augmentations used in its repair and reconstruction. Am J Sports Med. 2000;28:380–384
  15. Mazzocca AD, Santangelo SA, Johnson ST, Rios CG, Dumonski ML, Arciero RA. A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med. 2006;34:236–246
  16. Debski RE, Parsons IM, Fenwick J, Vangura A. Ligament mechanics during three degree-of-freedom motion at the acromioclavicular joint. Ann Biomed Eng. 2000;28:612–618
  17. Shin SJ, Yun YH, Yoo JD. Coracoclavicular ligament reconstruction for acromioclavicular dislocation using 2 suture anchors and coracoacromial ligament transfer. Am J Sports Med. 2009;37:346–351
  18. Wellmann M, Zantop T, Weimann A, Raschke MJ, Petersen W. Biomechanical evaluation of minimally invasive repairs for complete acromioclavicular joint dislocation. Am J Sports Med. 2007;35:955–961
  19. Lim YW. Triple endobutton technique in acromioclavicular joint reduction and reconstruction. Ann Acad Med Singapore. 2008;37:294–299
  20. Tauber M, Gordon K, Koller H, Fox M, Resch H. Semitendinosus tendon graft versus a modified Weaver-Dunn procedure for acromioclavicular joint reconstruction in chronic cases: A prospective comparative study. Am J Sports Med. 2009;37:181–190
  21. Grutter PW, Petersen SA. Anatomical acromioclavicular ligament reconstruction: A biomechanical comparison of reconstructive techniques of the acromioclavicular joint. Am J Sports Med. 2005;33:1723–1728
  22. Farber AJ, Cascio BM, Wilckens JH. Type III acromioclavicular separation: Rationale for anatomical reconstruction. Am J Orthop (Belle Mead, NJ). 2008;37:349–355
  23. Fujie H, Mabuchi K, Woo SL, Livesay GA, Arai S, Tsukamoto Y. The use of robotics technology to study human joint kinematics: A new methodology. J Biomech Eng. 1993;115:211–217
  24. Debski RE, Fenwick JA, Vangura A, Fu FH, Woo SL, Rodosky MW. Effect of arthroscopic procedures on the acromioclavicular joint. Clin Orthop Relat Res. 2003;89–96
  25. Eskola A, Vainionpaa S, Korkala S, Santavirta S, Gronblad M, Rokkanen P. Four-year outcome of operative treatment of acute acromioclavicular dislocation. J Orthop Trauma. 1991;5:9–13
  26. Debski RE, McMahon PJ, Thompson WO, Woo SL, Warner JJ, Fu FH. A new dynamic testing apparatus to study glenohumeral joint motion. J Biomech. 1995;28:869–874
  27. Lee KW, Debski RE, Chen CH, Woo SL, Fu FH. Functional evaluation of the ligaments at the acromioclavicular joint during anteroposterior and superoinferior translation. Am J Sports Med. 1997;25:858–862
  28. Salzmann GM, Paul J, Sandmann GH, Imhoff AB, Schottle PB. The coracoidal insertion of the coracoclavicular ligaments: An anatomic study. Am J Sports Med. 2008;36:2392–2397
  29. Jari R, Costic RS, Rodosky MW, Debski RE. Biomechanical function of surgical procedures for acromioclavicular joint dislocations. Arthroscopy. 2004;20:237–245
  30. Baker JE, Nicandri GT, Young DC, Owen JR, Wayne JS. A cadaveric study examining acromioclavicular joint congruity after different methods of coracoclavicular loop repair. J Shoulder Elbow Surg. 2003;12:595–598
  31. Pavlik A, Csepai D, Hidas P. Surgical treatment of chronic acromioclavicular joint dislocation by modified Weaver-Dunn procedure. Knee Surg Sports Traumatol Arthrosc. 2001;9:307–312
  32. Walz L, Salzmann GM, Fabbro T, Eichhorn S, Imhoff AB. The anatomic reconstruction of acromioclavicular joint dislocations using 2 TightRope devices: A biomechanical study. Am J Sports Med. 2008;36:2398–2406

 Recipient of the John J. Joyce Award, International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine Congress, Osaka, Japan, April 2009.

 The authors report no conflict of interest.

PII: S0749-8063(09)01103-7

doi: 10.1016/j.arthro.2009.12.031

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 9 , Pages 1153-1161 , September 2010

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