الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: The acromio-clavicular (AC) joint serves as the main articulation that suspends the upper extremity from the trunk. Acromio-clavicular joint injuries account for about 12% of all shoulder injuries in clinical practice and nearly 50% in athletes participating in contact sports. Isolated coraco-clavicular (CC) ligament reconstruction by high strength suture cerclage and combined AC and CC ligaments reconstruction by high strength suture cerclage are surgical methods for treating acute AC dislocation from grade III to grade V. The aim of this study is to conduct a systematic review of literature to evaluate & compare both techniques for reconstruction of acute AC joint dislocation type III, IV & V.
Methods: 7 studies (from 2006-2017) were included (4 studies about combined AC & CC ligaments reconstruction by high strength suture cerclage & 3 studies about isolated CC ligaments reconstruction by high strength suture cerclage) and reviewed the results of total 176 patients (55 patients in the isolated CC ligaments reconstruction by high strength suture cerclage group and 121 patients in the combined AC & CC ligaments reconstruction by high strength suture cerclage group) in terms of: function scores ( constant score, visual analogue ” VAS ”score, disability of the arm, shoulder and hand ”DASH” score & the American Shoulder and Elbow Surgeons shoulder ”ASES” score ) , CC distance difference, CC distance and recurrence rate during post-operative follow up for 24 months.
Results: Isolated CC ligaments reconstruction showed statistical significant lower VAS score, higher constant, and lower CC distance difference and CC distance compared to combined AC and CC ligaments reconstruction for treatment of acute AC dislocation type III, IV & V. regarding the recurrence rate during 24 months of post-operative follow up, there is no significant statistical difference.
Conclusion: The results of this systematic review of literature suggest that the isolated CC ligaments reconstruction method is preferred than the combined AC & CC ligaments reconstruction method for surgical management of acute AC dislocation grade III, VI & V in terms of VAS score, DASH score, ASES score and constant score, the results show non significant statistic difference between two methods regarding the recurrence rate.