Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 3 Issue 10

Clinical Results of Flexible Coracoclavicular Fixation with Fiber Tape in Acromioclavicular Dislocation. A Retrospective Study

José Tomás Echeverría Ubilla1, Maximiliano Rosenkranz Caroca2 and Felipe Cichero Zamorano1*

1Department of Orthopaedics, Clínica Dávila, Chile
2Department of Orthopaedics, Cínica Dávila, Universidad de los Andes, Chile

*Corresponding Author: Felipe Cichero Zamorano, Department of Orthopaedics, Clínica Dávila, Chile.

Received: August 25, 2020; Published: September 29, 2020



Background: The injury to the acromioclavicular joint is very common in the young athlete population. Treatment, depending on the type of injury, can be conservative or surgical. There are multiple surgical options described in the literature for these injuries and there is no consensus regarding the best surgical technique. The objective of this study is to describe the clinical results of the surgical management of acromioclavicular dislocations with the use of a double loop of subcoracoid Fiber Tape.

Methods: We retrospectively reviewed the cases of acromioclavicular dislocations that required surgery (Rockwood types IIIb, IV, V and VI) between 2014 and 2017, operated by the same surgical team in the same center. In all cases, the surgical technique included the fixation with double loop of subcoracoid Fiber Tape. All patients were assessed radiographically and clinically using The Constant Score and The Disabilities of the Arm, Shoulder and Hand Score at six months follow-up. All patients underwent the same rehabilitation protocol.

Results: A sample of 124 patients with acromioclavicular dislocation treated with open surgery was obtained. The average age was 35 years. The mean post-operative Constant score was 93. The mean post-operative Disabilities of the Arm, Shoulder and Hand Score was 6.2. There were 3 cases of minimal loss of range of motion, 21 cases of slight loss of radiological reduction, and 4 cases of mild pain at 6 months of follow-up, but all without clinical repercussion in their activities of daily life. There was 1 case of complete loss of reduction (handled in another rehabilitation center). All the patients returned to their usual activities, including work and sports.

Conclusion: The postoperative results were satisfactory, and the complication rate was low with this technique. The fixation with double loop of subcoracoid fiber tape is a valid surgical option for the management of acromioclavicular dislocations.

Result: There was statistical significant difference within foam roller and self stretching group. Using Post hoc analysis, there was significant difference between foam roller-control group and self stretching-control group (p value 0.000). There was no significant difference between foam roller and self stretching group (p value 0.422).

Conclusion: There was statistical significant difference within self stretching and foam roller release group but when all three groups were compared simultaneously, self stretching and foam roller release group were equally effective in reducing the tightness of tensor fascia lata.

Keywords: Acromioclavicular Dislocation; Coracoclavicular Fixation; Fibertape; Surgical Management



  1. Yewlett A., et al. “Acromioclavicular joint dislocation: diagnosis and management”. Journal of Shoulder and Elbow Surgery (2012): 81-86.
  2. Sirin E., et al. “Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures”. EFORT Open Reviews 3 (2018): 426-433.
  3. Gorbaty J., et al. “Classifications in Brief: Rockwood Classification of Acromioclavicular Joint Separations”. Clinical Orthopaedics and Related Research 475 (2017): 283-287.
  4. Li X., et al “Current Concepts Review: Management of Acromioclavicular Joint Injuries”. Journal of Bone and Joint Surgery American 96 (2014): 73-84.
  5. Beitzel K., et al. “ISAKOS Upper Extremity Committee Consensus Statement on the Need for Diversification of the Rockwood Classification for Acromioclavicular Joint Injuries”. Arthroscopy 2 (2014): 271-278.
  6. Mazzocca A., et al. “Evaluation and treatment of acromioclavicular joint injuries”. American Journal of Sports Medicine 35 (2007): 316-329.
  7. Joukainen A., et al. “Results of operative and nonoperative treatment of Rockwood types III and V acromioclavicular joint dislocation. A prospective, randomized trial with an 18- to 20-year follow-up”. American Orthopaedic Society for Sports Medicine 2 (2014): 1-9.
  8. Pallis M., et al. “Epidemiology of acromioclavicular joint injury in young athletes”. American Journal of Sports Medicine 40 (2012): 2072-2077.
  9. Mouhsine E., et al. “Grade I and II acromioclavicular dislocations: Results of conservative treatment”. Journal of Shoulder and Elbow Surgery 12 (2003): 599-602.
  10. Giuseppe U., et al. “Surgical versus conservative management of Type III acromioclavicular dislocation: a systematic review”. British Medical Bulletin 122 (2017): 31-49.
  11. Gumina S., et al. “Scapular dyskinesis and SICK scapula syndrome in patients with chronic type III acromioclavicular dislocation”. Arthroscopy 25 (2009): 40-45.
  12. Schlegel T., et al. “A prospective evaluation of untreated acute grade III acromioclavicular separations”. American Journal of Sports Medicine 29 (2001): 699-703.
  13. Dunphy T., et al. “Functional outcomes of type V acromioclavicular injuries with nonsurgical treatment”. The Journal of the American Academy of Orthopaedic Surgeons 24 (2016): 728-734.
  14. Beitzel K., et al. "Current concepts in the treatment of acromioclavicular joint dislocations”. Arthroscopy 29 (2013): 387-397.
  15. Tiefenboeck T., et al. “Acromioclavicular joint dislocation treated with Bosworth screw and additional Kwiring: results after 7.8 years – still an adequate procedure?”. BMC Musculoskeletal Disorders 18 (2017): 339.
  16. Moatshe G., et al. "Acromioclavicular and Coracoclavicular Ligament Reconstruction for Acromioclavicular Joint Instability: A Systematic Review of Clinical and Radiographic Outcomes”. Arthroscopy (2018): 1-17.
  17. Gowd A., et al. “Current Concepts in the Operative Management of Acromioclavicular Dislocations: A Systematic Review and Meta-analysis of Operative Techniques”. The American Journal of Sports Medicine (2018): 1-15.
  18. Vascellari A., et al. “Clinical and radiological results after coracoclavicular ligament reconstruction for type III acromioclavicular joint dislocation using three different techniques. A retrospective study”. JOINTS 2 (2015): 54-61.
  19. Arrigoni P., et al. “Associated Lesions Requiring Additional Surgical Treatment in Grade 3 Acromioclavicular Joint Dislocations”. Arthroscopy (2014): 6-10.


Citation: Felipe Cichero Zamorano., et al. “Clinical Results of Flexible Coracoclavicular Fixation with Fiber Tape in Acromioclavicular Dislocation. A Retrospective Study".Acta Scientific Orthopaedics 3.10 (2020): 63-67.


Acceptance rate33%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US