Abstract

Background: The aim of study is to evaluate the effectiveness of surface marking in determining working portal for acromioclavicular joint pathology during shoulder arthroscopy.

Method: This prospective study was conducted in Walsall Manor Hospital from January 2015 to December 2017 during which 47 patient of shoulder arthroscopy was admitted with diagnosis of acromioclavicular joint pathology. Surface marking of acromioclavicular joint was done in every patient with the technique described below before starting shoulder arthroscopy, which later used for making ACJ portal.

Result: Out of 47 patient we were able to reach acromioclavicular joint in 45 patients with help of surface marking before shoulder arthroscopy which results in decrease in intraoperative time and complications in shoulder arthroscopy.

Conclusion: Surface marking of acromioclavicular joint by described technique is helpful in making acromioclavicular joint decompression portal during shoulder arthroscopy.

Keywords: Acromioclavicular Joint (ACJ); Surface Marking; Shoulder Arthroscopy

References

1. Tauber M. “Diseases of the acromioclavicular joint”. Der Orthopade6 (2016): 555-568.
2. De Witte PB., et al. “Study protocol subacromial impingement syndrome: the identification of pathophysiologic mechanisms (sistim)”. BMC Musculoskeletal Disorders1 (2011): 282.
3. Javed S., et al. “A simple method for identifying the acromioclavicular joint during arthroscopic procedures”. Journal of Hand and Microsurgery1 (2014): 26.
4. Huisstede BM., et al. “Multidisciplinary consensus on the terminology and classification of complaints of the arm, neck and/or shoulder”. Occupational and Environmental Medicine 64 (2007): 313-319.
5. Park HB., et al. “Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome”. Journal of Bone and Joint Surgery 87 (2005): 1446-1455.
6. Silva L., et al. “Accuracy of physical examination in subacromial impingement syndrome”. Rheumatology 47 (2008): 679-683.
7. Neer CS. “Impingement lesions”. Clinical Orthopaedics and Related Research 173 (1983): 70-77.
8. Micheal P., et al. “Arthroscopic shoulder decompression”. Operative Techniques in Orthopaedics 25 (2015): 10-14.
9. Kevin W Farmer., et al. “Shoulder arthroscopy: the basic”. Journal of Bone and Joint Surgery4 (2015): 817-821.
10. E Scott Paxton., et al. “Shoulder arthroscopy basic principle of positioning anaesthesia and portal anatomy”. Journal of the American Academy of Orthopaedic Surgery 21 (2013): 332-342.
11. Lars Aage., et al. “Arthroscopic shoulder decompression results after two year”. Danish Medical Journal 3 (2015): A5026.

Citation

Citation: Munawar Shah., et al. “Surface Marking a Helpful Technique in the Approach of Acromioclavicular Joint During Shoulder Arthroscopy".Acta Scientific Orthopaedics 4.2 (2020): 02-05.

Copyright

Copyright: © 2020 Munawar Shah., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.