Risk for Fracture with Acromioclavicular Joint Reconstruction and Strategies for Mitigation

Nikolaos Platon Sachinis; Knut Beitzel

doi:10.1016/j.csm.2023.05.010

Risk for Fracture with Acromioclavicular Joint Reconstruction and Strategies for Mitigation

Clin Sports Med. 2023 Oct;42(4):613-619. doi: 10.1016/j.csm.2023.05.010. Epub 2023 Jul 6.

Authors

Nikolaos Platon Sachinis¹, Knut Beitzel²

Affiliations

¹ First Orthopaedic Department of Aristotle University of Thessaloniki, "Georgios Papanikolaou" Hospital, Exohi, 57010, Thessaloniki, Greece. Electronic address: nick.sachinis@gmail.com.
² Orthoparc Klinik, Aachener Street, 1021B, 50858, Cologne, Germany.

PMID: 37716725
DOI: 10.1016/j.csm.2023.05.010

Abstract

Acromioclavicular (AC) joint injuries are a common cause of shoulder pain, especially among athletes. Surgical reconstruction of the AC joint can lead to complications such as fracture of the coracoid process, clavicle or acromion, which can negatively affect the patient's outcome. The purpose of this review is to discuss the risk factors for fractures associated with AC joint reconstruction, as well as the strategies that can be used to mitigate this risk. Risk factors for fractures include low mineral density, coracoid/clavicle drilling, larger holes in the coracoid, and the number of tunnels used for reconstruction.

Keywords: AC joint; Acromioclavicular reconstruction; Fracture; Review; Risk factors.

Publication types

Review

MeSH terms

Acromioclavicular Joint* / surgery
Arthroplasty, Replacement*
Athletes
Fractures, Bone* / surgery
Humans
Upper Extremity