Biomechanical analysis of distal clavicle excision with acromioclavicular joint reconstruction. (Record no. 1888)

MARC details
000 -LEADER
fixed length control field 04112nam a22004937a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 160715s20132013 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0363-5465
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 23698388
245 ## - TITLE STATEMENT
Title Biomechanical analysis of distal clavicle excision with acromioclavicular joint reconstruction.
251 ## - Source
Source American Journal of Sports Medicine. 41(7):1684-8, 2013 Jul.
252 ## - Abbreviated Source
Abbreviated source Am J Sports Med. 41(7):1684-8, 2013 Jul.
253 ## - Journal Name
Journal name The American journal of sports medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2013
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2014
266 ## - Date added to catalog
Date added to catalog 2016-07-15
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Acromioclavicular (AC) joint separation is a common injury, usually affecting young adults. Controversy exists regarding whether to excise the distal clavicle when surgical intervention is required.
520 ## - SUMMARY, ETC.
Abstract CLINICAL RELEVANCE: The study suggests that excision of the distal clavicle in this procedure is not associated with increased anterior-posterior or superior-inferior instability in this model.
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Abstract CONCLUSION: Excision of the distal clavicle did not have a significant effect on anterior-posterior or superior-inferior motion at the AC joint following single-tunnel CC and AC ligament reconstruction.
520 ## - SUMMARY, ETC.
Abstract METHODS: Nine matched pairs of cadaver shoulders were used. All shoulders were tested with intact CC and AC ligaments, and the ligaments were sectioned. For 1 shoulder in each pair, a 7-mm distal clavicle excision was performed. The contralateral distal clavicle was left intact. Single-tunnel CC ligament reconstruction was performed, and excess graft length was extended and secured across the AC joint to reconstruct the superior AC joint ligaments in all specimens. Specimens were then potted and cyclically loaded for 500 cycles in the anterior-posterior and superior-inferior planes using an MTS Minibionix load frame to evaluate displacement across the AC joint.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: To evaluate the biomechanical strength of AC and coracoclavicular (CC) ligament reconstruction with and without concurrent distal clavicle excision.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Regarding the clavicle-intact reconstructed versus the intact state, there was significantly greater AC joint translation in the reconstructed state in the anterior-posterior (20.2 +/- 7.0 mm vs 6.0 +/- 1.5 mm; P < .001) and superior-inferior directions (12.3 +/- 3.3 mm vs 4.2 +/- 1.2 mm; P < .001). In the clavicle-excised reconstructed versus the intact state, there was also significantly greater translation in the reconstructed state in the anterior-posterior (21.7 +/- 5.1 mm vs 8.9 +/- 4.3 mm; P < .001) and superior-inferior directions (12.3 +/- 6.1 mm vs 5.8 +/- 3.1 mm; P < .001). When the difference in translation between the reconstructed and intact groups in the clavicle-intact versus the clavicle-excised group was compared, no statistically significant difference was noted in anterior-posterior (14.2 +/- 7.8 mm vs 12.8 +/- 5.0 mm; P = .67) or superior-inferior translation (8.1 +/- 2.9 mm vs 6.6 +/- 3.9 mm; P = .39).
520 ## - SUMMARY, ETC.
Abstract STUDY DESIGN: Controlled laboratory study.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Acromioclavicular Joint/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Clavicle/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged, 80 and over
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Biomechanical Phenomena
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Union Memorial Hospital
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Department Department of Orthopaedic Surgery
656 ## - INDEX TERM--OCCUPATION
Department Orthopaedics
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Beaver, Andrew B
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Hinton, Richard Y
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Parks, Brent G
790 ## - Authors
All authors Beaver AB, Hinton RY, Parks BG
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="http://dx.doi.org/10.1177/0363546513488750">http://dx.doi.org/10.1177/0363546513488750</a>
Public note http://dx.doi.org/10.1177/0363546513488750
-- http://dx.doi.org/10.1177/0363546513488750
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="http://dx.doi.org/10.1177/0363546513488750">http://dx.doi.org/10.1177/0363546513488750</a>
Public note http://dx.doi.org/10.1177/0363546513488750
-- http://dx.doi.org/10.1177/0363546513488750
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Date last checked out Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 07/15/2016 1 23698388 23698388 09/26/2017 09/26/2017 07/15/2016 Journal Article

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