Morphology and tissue structure of acromioclavicular joint

ZHOU Ri XIE Xiao-xiao WANG Shuang REN Shi-you ZHANG Wen-tao

Acta Anatomica Sinica ›› 2022, Vol. 53 ›› Issue (1) : 103-107.

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Acta Anatomica Sinica ›› 2022, Vol. 53 ›› Issue (1) : 103-107. DOI: 10.16098/j.issn.0529-1356.2022.01.014
Anatomy

Morphology and tissue structure of acromioclavicular joint

  • ZHOU Ri  XIE Xiao-xiao  WANG Shuang  REN Shi-you  ZHANG Wen-tao* 
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Abstract

Objective  To explore the morphology and the tissue structure of acromioclavicular joint.    Methods  Anatomical analysis was performed on 27 fresh adult cadavers and the morphology of the acromioclavicular joint was observed. The relevant bone structure and ligament parameters were measured, and the specimens were randomly divided into group A and group B. Group A reserved the acromioclavicular ligament and coracoclavicular ligament, and group B reserved only the acromioclavicular ligament. The difference in tension between the two groups was compared.    Results  The distance from the midpoint of the conical ligament to the distal end of the clavicle was (42.68±6.34) mm, the width of the end point was (16.97±4.28) mm, and the thickness of the center point was (5.39±0.34) mm; the distance from the midpoint of the trapezoidal ligament to the clavicle was (20.35 mm±4.18)mm, the width of the end point was (10.35±1.31)mm, the thickness of the center point was (5.19±0.342)mm; the average vertical distance from the base of the coracoid process to the surface of the clavicle was 30.75 mm, and the mean coracoclavicular gap was 12.02 mm; the length of the central axis of the conical ligament was (15.68±3.30)mm and the angle was (117.25±10.80)°, while the length of the central axis of the trapezoidal ligament was (9.67±2.25)mm, and the angle was (75.42±11.37)°. The distance between the start joint of the trapezoidal ligament and the trapezium was (8.96±3.00) mm, and the distance between the end points (13.09±3.50) mm. The average tensile force of group A was higher than that of group B [(610.04±51.24) N vs (560.41±44.63) N, P<0.05].    Conclusion  During distal clavicular resection, the resection of the distal clavicle shall be within 10-30 mm. The depth shall not exceed 42 mm when drilling under the coracoid process. The reconstruction of the coracoclavicular ligament during acromioclavicular joint dislocation has an anatomical and biomechanical basis.

Key words

Acromioclavicular joint / Morphology / Bony structure / Anatomical measurement / Adult

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ZHOU Ri XIE Xiao-xiao WANG Shuang REN Shi-you ZHANG Wen-tao. Morphology and tissue structure of acromioclavicular joint[J]. Acta Anatomica Sinica. 2022, 53(1): 103-107 https://doi.org/10.16098/j.issn.0529-1356.2022.01.014

References

[1] Wang Ch,Yang N,Heng LS,et al. Functional anatomy and vertical biomechanics of the acromioclavicular joint[J]. Chinese Journal of Orthopaedic Trauma,2019,21(11): 986-990.(in Chinese) 
王晨,杨娜,衡立松,等. 肩锁关节功能解剖及垂直方向的生物力学研究[J]. 中华创伤骨科杂志,2019,21(11):986 -990.
[2] Li ChH,Shen R,Qin ChY,et al. Improved adjustable Rigidloop double plates for anatomic reconstruction of coracoclavicular ligament in the treatment of acromioclavicular joint dislocation [J]. Journal of Clinical Orthopaedics,2019,22(4): 498-500.(in Chinese) 
李传和,沈锐,秦春跃,等. 改良可调式Rigidloop双钢板解剖重建喙锁韧带治疗肩锁关节脱位[J]. 临床骨科杂志,2019,22(4):498-500.
[3] Chernchujit B,Artha A. High grade acromioclavicular injury: Comparison of arthroscopic assisted acromioclavicular joint fixation and anatomic acromioclavicular joint reconstruction[J]. J Orthop,2020,22(6):1350-1354. 
[4] Zhang ZhH, Wang LB, Cui WM, et al. Anatomy of scapular safe zone [J]. Acta Anatomica Sinica, 2017, 48 (1): 164-167.(in Chinese) 
张振华,王立博,崔雯铭,等. 肩胛骨安全区的解剖[J]. 解剖学报, 2017,48(1):164-167.
[5] Xu GL, Xu LY, Zhang ZhH, et al. Measurement of glenoid position and its clinical significance [J]. Acta Anatomica Sinica, 2016, 47(5): 670-671.(in Chinese) 
徐高磊,许路阳,张振华,等. 肩胛骨关节盂的位置数据测量及其临床意义[J]. 解剖学报, 2016,47(5): 670-671.
[6] Xue C,Song L J,Zhang H,et al. Truly anatomic coracoclavicular ligament reconstruction with 2 Endobutton devices for acute Rockwood type Ⅴ acromioclavicular joint dislocations[J]. J Shoulder Elb Surg,2018,7(6):1058-1062. 
[7] Wang DF,Wang T,Kang H. Research advances in treatment of acromioclavicular joint dislocation[J]. Chinese Journal of Trauma,2018,34(12): 1101-1108.(in Chinese) 
王登峰,王涛,康汇. 肩锁关节脱位治疗的研究进展[J]. 中华创伤杂志,2018,34(12):1101-1108.
[8] Cui HL,Guo B,Li Ch,et al. Coracoclavicular ligament reconstruction combined with acromioclavicular joint repair in the treatment of acute Rockwood type Ⅴ acromioclavicular joint dislocation [J]. Chinese Journal of Bone and Joint Injury,2018,33(7): 749-751.(in Chinese) 
崔红林,郭标,李超,等. 喙锁韧带重建联合肩锁关节修复治疗急性Rockwood Ⅴ型肩锁关节脱位[J]. 中国骨与关节损伤杂志,2018,33(7):749-751.
[9] Le Hanneur M,Thoreson A,Delgrande D,et al. Biomechanical comparison of anatomic and extra-anatomic reconstruction techniques using local grafts for chronic instability of the acromioclavicular joint[J]. Am J Sports Med,2018,7(5):36-38. 
[10] Li J,Lu ShX,Ding L,et al. Design and clinical application of a self-designed acromion & clavicle anatomic plate with combinatorial hinge[J]. Chinese Journal of Orthopedics and Traumatology,2019,21(1): 65-69.(in Chinese) 
李俊,卢士学,丁磊,等. 组合铰链式肩峰,锁骨解剖板的设计及临床研究[J]. 中华创伤骨科杂志,2019,21(1):65-69.
[11] Deng JCh,Cong YH,Jiang HJ,et al. Acromioclavicular joint dislocation combined with coracoid process fracture and partial coracoclavicular ligament rupture: a case report and literature review [J]. Chinese Journal of Bone and Joint Injury,2019,6(7): 778-779.(in Chinese) 
邓介超,丛云海,姜海军,等. 肩锁关节脱位合并喙突骨折及喙锁韧带部分断裂1例并文献复习[J]. 中国骨与关节损伤杂志,2019,6(7):778-779.
[12] Yeranosian M,Rangarajan R,Bastian S,et al. Anatomic reconstruction of acromioclavicular joint dislocations using allograft and synthetic ligament[J]. JSES Int,2020,4(3):515-518. 
[13] Song X,Abdusalam A,Ding HY,et al. Clinical study of acromioclavicular joint osteoarthritis after three kinds of internal fixation for acromioclavicular joint dislocation[J]. Chinese Journal of Bone and Joint injury,2018,7(12): 334-337.(in Chinese) 
宋鑫,阿布都萨拉木〖DK〗·阿布都克力木,丁慧勇,等. 肩锁关节脱位3种内固定术后并发肩锁关节骨性关节炎的临床研究[J]. 中国骨与关节损伤杂志,2018,7(12):334-337.
[14] Ye ChX. Heterotopic ossification of coracoclavicular space after acromioclavicular joint dislocation:a case report[J]. China Orthopaedics and Traumatology,2020,33(1): 76-77.(in Chinese) 
叶春晓. 肩锁关节脱位术后喙锁间隙异位骨化1例[J]. 中国骨伤,2020,33(1):76-77.
[15] Banffy MB,Uquillas C,Neumann JA,et al. Biomechanical evaluation of a single-versus doubletunnel coracoclavicular ligament reconstruction with acromioclavicular stabilization for acromioclavicular joint injuries.[J]. Am J Sports Med,2018,7(4):36-47. 
[16] Zhou J,Li ShH,Gong YS,et al. Progress of minimally invasive treatment of acromioclavicular joint dislocation [J]. Chinese Journal of Orthopaedics and Traumatology of Traditional Chinese Medicine,2018,26(3): 84-88.(in Chinese) 
周君,李盛华,宫玉锁,等. 微创治疗肩锁关节脱位进展[J]. 中国中医骨伤科杂志,2018,26(3):84-88.
[17] Hu L,Chen XS,Cheng XSh,et al. Effect of reconstruction of coracoclavicular ligament and acromioclavicular ligament combined with clavicular hook plate in the treatment of Rockwood type Ⅲ acromioclavicular joint dislocation [J]. Anhui Medical Journal,2020,41(2): 62-64.(in Chinese) 
胡亮,陈肖松,程迅生,等. 重建喙锁及肩锁韧带联合锁骨钩钢板治疗RockwoodⅢ型肩锁关节脱位的效果[J]. 安徽医学,2020,41(2):62-64.
[18] Sircana G,Saccomanno MF,Mocini F,et al. Anatomic reconstruction of the acromioclavicular joint provides the best functional outcomes in the treatment of chronic instability[J]. Knee Surgery Sports Traumatology Arthroscopy,2020,29(7):1-12. 
[19] Jiang ChY,Lin S. Acromion morphology affects acromion osteolysis and fracture after clavicular hook plate fixation[J]. Chinese Journal of Orthopaedics Trauma,2019,21(5): 405-410.(in Chinese) 
姜晨轶,林森. 肩峰形态对锁骨钩钢板固定术后肩峰骨溶解及骨折的影响[J]. 中华创伤骨科杂志,2019,21(5):405-410.

[20] Song X,Wang B,Shen YG,et al. Clinical effect of acromioclavicular joint reduction forceps in the treatment of acromioclavicular joint dislocation [J]. Journal of Clinical Military Medicine,2018,46(9): 1097-1098.(in Chinese) 

宋鑫,王斌,沈燕国,等. 肩锁关节复位钳治疗肩锁关节脱位临床效果观察[J]. 临床军医杂志,2018,46(9):1097-1098.

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