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PURPOSE OF THE STUDY Acromioclavicular (AC) joint dislocation and its surgical treatment still raises a number of questions that remain to be answered. In some types of dislocations, Rockwood type III in particular, the indication for surgical treatment as such is relative. There are numerous techniques and implants available for the reconstruction of AC joint. In our research we focused on the necessity of coracoclavicular (CC) joint reconstruction. MATERIAL AND METHODS In this paper, a cohort of 56 patients with Rockwood type III AC joint injury who underwent surgical treatment at our department in 2010-2016 period was retrospectively evaluated. The patients were treated with open reduction with AC joint stabilisation using hook plate or tension band. The patients were divided into 2 groups, namely group 1 with CC ligament reconstruction and group 2 without CC ligament reconstruction. The assessment was done at 6 months, 1 year and 2 years after surgery. The clinical outcomes were assessed based on the absolute Constant score (CS) and coracoclavicular distance (CCD) on the X-ray. Subsequently, the outcomes were statistically processed and compared using the Student s ttest. RESULTS The least invasive surgical intervention, as to the length of incision, was the reconstruction using the hook plate without CC ligament suture, whereas the longest incision was performed in tension band with CC ligament suture. In the CC ligament suture group, the mean operative time was 10 minutes longer. When evaluating the CS of the compared groups with and without CC ligament reconstruction, no statistically significant difference (p > 0.05) was found between the two groups. Similarly, the CCD values at 2-year follow-up did not show any statistically significant difference between the two groups (p > 0.05). CONCLUSIONS The available outcomes suggest that the surgical methods used by us are adequately safe and reliable. Good clinical outcomes can be achieved by open reduction and fixation of Rockwood type III AC joint dislocation even without CC ligament reconstruction. Key words: acromioclavicular dislocation, classification, reconstruction, coracoclavicular ligament.

MeSH
dislokace kloubu * chirurgie MeSH
kloubní ligamenta chirurgie MeSH
lidé MeSH
luxace ramenního kloubu * chirurgie MeSH
retrospektivní studie MeSH
sutura MeSH
výsledek terapie MeSH
Check Tag
lidé MeSH
Publikační typ
časopisecké články MeSH

Kniha

Memorix anatómie

Praha : Triton, 2022

5. vydanie xxi, 607 stran : ilustrace (převážně barevné) ; 24 cm

Vysokoškolská učebnica, ktorá sa zameriava na ľudskú anatómiu.

MeSH
anatomie MeSH

Konspekt
Anatomie člověka a srovnávací anatomie
Učební osnovy. Vyučovací předměty. Učebnice
NLK Obory
anatomie
NLK Publikační typ
učebnice vysokých škol

Článek

3D printed custom-made titanium cranioplasty after repeatedly failed cranial reconstructions and surgical site infections

Rozhledy v chirurgii. 2021 ; 100 (7) : 361-363.

ISSN 0035-9351
Medvik
Zdroj

Klíčová slova
kranioplastika,
MeSH
3D tisk * MeSH
dospělí MeSH
dura mater * chirurgie MeSH
kraniocerebrální traumata chirurgie komplikace MeSH
lidé MeSH
meningitida diagnostické zobrazování terapie MeSH
pooperační komplikace MeSH
subdurální hematom chirurgie MeSH
titan terapeutické užití MeSH
zákroky plastické chirurgie * MeSH
Check Tag
dospělí MeSH
lidé MeSH
mužské pohlaví MeSH
Publikační typ
kazuistiky MeSH

Článek

Iniciativa zdravotníků: Důvěřujte nám!

Hudák, Radovan
Autor Autorita Klinika dětské a dospělé ortopedie a traumatologie 2. LF UK a FN Motol

Tempus medicorum. 2021 ; 30 (4) : 30-31.

ISSN 1214-7524
Medvik
Zdroj

Článek

The morphological stenosis pattern of the suprascapular notch is revealed yielding higher incidence in the discrete type and elucidating the inevitability of osteoplasty in horizontally oriented stenosis

Knee surgery, sports traumatology, arthroscopy. 2021 ; 29 (7) : 2272-2280. [pub] 20200725

Knee Surg Sports Traumatol Arthrosc
ISSN 1433-7347
Medvik
Zdroj

PURPOSE: To identify the morphological patterns of suprascapular notch stenosis. METHODS: Suprascapular notch space capacity was assessed by morphometric analysis of 333 dry scapulae. Suprascapular notch parameters-superior transverse distance, middle width, depth, medial border length and lateral border length-were measured. The probable suprascapular notch stenosis was referenced by (1) comparing each obtained parameter measurement to the range of the suprascapular nerve diameter, and (2) quantifying the reduced parameters. Finally, the morphological pattern was determined based on the collective reduction of the parameters and their alignments. RESULTS: Five types of suprascapular notch based on depth to superior transverse distance ratio were identified and assessed. Type-I showed low incidence of stenosis (6/333) and low frequency within type (6/28) with potential risk of horizontal compression. Type-II showed relatively low incidence of stenosis (9/333) and low frequency within type (9/50) with undetermined pattern. Type-III showed relatively higher incidence of stenosis (47/333) but low frequency within type (47/158) with potential risk of vertical compression. Type-IV (foramen) showed low incidence of stenosis (6/333) and relatively lower frequency within type (6/26) with potential risk of encircled compression. Finally, type-V (discrete) showed relatively high incidence of stenosis (40/333) and high frequency within type (40/71) with potential risk of vertical compression. The suprascapular notch was found to be stenosed beyond its capacity to accommodate the suprascapular nerve in 49/333. Type-V is at most risk followed by Type-III. CONCLUSIONS: Suprascapular notch stenosis takes three morphological patterns: horizontal, vertical or mixed. An osteoplasty of suprascapular notch margins may be required beside the common surgical approach of the superior transverse scapular ligamentectomy.