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AC SC Case 79 year old active female fell while skiing These do - - PowerPoint PPT Presentation
AC SC Case 79 year old active female fell while skiing These do - - PowerPoint PPT Presentation
AC SC Case 79 year old active female fell while skiing These do well without surgery Questions: 1. Treatment: A. Operative B. Non-operative Questions 1. Operative Treatment Choices: A. Transacromial Fixation B. Suture
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Questions:
- 1. Treatment:
– A. Operative – B. Non-operative
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Questions
- 1. Operative Treatment Choices:
- A. Transacromial Fixation
- B. Suture anchor(s)
- C. Plate
- D. Plate + CC fixation
- E. Coracoclavicular fixation
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2 weeks later
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“I thought these were supposed to do well without surgery???”
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Questions:
- 1. Treatment:
– A. Operative – B. Non-operative
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Questions
- 1. Operative Treatment Choices:
- A. Transacromial Fixation
- B. Suture anchor(s)
- C. Plate
- D. Plate + CC fixation
- E. Coracoclavicular fixation
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CC Fixation
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8 weeks postop – clinically healed
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Case 2
- 20 year old quarterback tackled and thrown on to one of
his shoulders and sustained a significant injury
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20 yo with football injury
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Weighted views
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20 yo with football injury
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20 yo with football injury
Cross body adduction AP radiographs
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20 yo with football injury
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20 yo with football injury
19 year follow-up: Patient is now a practicing orthopedic surgeon and feels his right shoulder is “normal”
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AC-SC Case 3
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52 yo tri-athlete bike accident
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AC-SC Case 4
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28 yo s/p bilateral clavicle fxs/MVA
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- 3 mos post-injury
- Developed severe
neurovascular claudication R arm
- No axillary or
musculocutaneous nerve function
- Massive HO about
fx involving axillary artery and brachial plexus
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- Emergent debredment
- f HO
- IM fixation of the
fracture
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- IM pinning and
debredment of HO
- Fell on to left shoulder
dislodging pin
- Revised to anterior, locked
LC-DCP plate
- HO morcelized and used
as bone graft
- Pending hardware removal
due to pain
- Surgery postponed due to