Acromioclavicular Joint Stabilisation -Acute

Acute Dislocation

Indications for operation

Acute ACJ Dislocation

Anaesthetic

General Anaesthetic with an interscalene block (Fully asleep with a local anaesthetic injection into the side of the neck will numb the nerves to the shoulder for post-operative pain relief)

Operation type

Arthroscopic

Incisions

Figure 1
Subacromial incisions

3 ½ cm incisions will be made in the shoulder, one to the back, one at the side and one at the front of the shoulder.

Procedure

The glenohumeral joint is examined and the front of the joint is exposed to reveal the coracoid process. A special jig is then used to enable a hole to be drilled through the clavicle and the coracoid. The Tightrope system is then passed through the 2 holes and secured, placing the clavicle back in the correct position.

Images

Figure 1
Shoulder Anatomy - front view
Figure 2                     Figure 3
Figure 4 Figure 5
X-ray of the Acromioclavicular joint pre-operation  X-ray of the Acromioclavicular joint post-operation

Video

Wound Closure

Small butterfly paper stitches will be used to close the wounds.

Dressings

Elastoplast dressings will be placed over the top of the paper stitches and an adhesive bandage over the top of this.

Immediate aftercare

A sling will be placed on the arm and it may feel numb for the rest of the day. You can go home when you feel comfortable and will be given instructions on what to do next.

Further instructions for ACJ Stabilisation rehabilitation