Journal: Arthroscopy Techniques
Article Title: All-Endoscopic Treatment of Acute Acromioclavicular Joint Dislocation: Coracoclavicular Double Cerclage EndoButton Technique and Acromioclavicular Stabilization Using the Coracoacromial Ligament
doi: 10.1016/j.eats.2024.103038
Figure Lengend Snippet: Surgical steps of an all-endoscopic double cerclage EndoButton technique in a patient with an acute acromioclavicular joint dislocation Rockwood type V of the right shoulder. The patient is in the beach-chair position. (A) Opening of rotator interval (viewing A portal, working D portal), (B) visualization of the MN (viewing I portal, working M portal), (C) exposition of lateral clavicula and acromioclavicular joint (viewing I portal, working M portal), (D) reduction of the clavicle and performing of the MSC portal (viewing I portal, working D portal), (E) clavicular tunnel drilling (viewing I portal, working M/MSC portal), (F) performing of both double cerclages viewing I portal, working E/LSC portal, (G) positioning of the first EndoButton (viewing I portal, working M portal), and (H) optional acromioclavicular reconstruction be transferring the CAL to the lateral EndoButton (viewing I portal). (B, long head of biceps tendon; CAL, coracoacromial ligament; CC, coracoclavicular ligaments; Cl, clavicle; Co, coracoid; D, canulated tunnel drilling device; E, EndoButton; i, inferior; l, lateral; m, medial; MN, musculocutaneous nerve; MSC, medial supraclavicular portal; Pmin, pectoralis minor muscle; RI, rotator interval; S, switching stick; s, superior; ST, suture tape).
Article Snippet: For the CC fixation, a suture cerclage (FiberTape Arthrex, Naples, FL) and one EndoButton (Dog Bone, Arthrex) is used for each tunnel.
Techniques: Transferring