{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:38:58Z","timestamp":1760920738204,"version":"build-2065373602"},"reference-count":9,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T00:00:00Z","timestamp":1417478400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T00:00:00Z","timestamp":1417478400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The different approaches used in arthroscopic stabilisation of the acromioclavicular joint are well known. However, and despite a great incidence of ectopic pectoralis minor insertion, an alternative choice for the use of arthroscopic portal has not being sufficiently described. Here, we describe a case of acute acromioclavicular dislocation grade III. The arthroscopic stabilisation was achieved using the TightRope (Arthrex, Naples, USA) implant. Through this technique, the approach to the articular portion of the coracoid process can be made intra\u2010articularly or from the subacromial space. We accessed intra\u2010articularly, by opening the rotator interval to reach the coracoid process from the joint cavity. After opening the rotator interval, an ectopic insertion of the pectoralis minor was observed. The choice of approach of the coracoid process from the subacromial space would have complicated the intervention, making it necessary to sever the ectopic tendon to complete the technique, lengthening the surgical time and increasing the chance of complications. For this reason, the use of a standard posterior portal providing intra\u2010articular arthroscopic access through the rotator interval is recommended since the aforementioned anatomical variation is not infrequent.<\/jats:p><jats:p><jats:italic>Level of evidence<\/jats:italic> Therapeutic studies\u2014investigating the results of treatment, Level V.<\/jats:p>","DOI":"10.1007\/s00167-014-3463-x","type":"journal-article","created":{"date-parts":[[2014,12,1]],"date-time":"2014-12-01T14:24:27Z","timestamp":1417443867000},"page":"2197-2199","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Arthroscopic stabilisation of an acute acromioclavicular dislocation grade III in a patient with ectopic insertion of the pectoralis minor: technical considerations"],"prefix":"10.1002","volume":"24","author":[{"given":"Alvaro","family":"Minuesa\u2010Asensio","sequence":"first","affiliation":[{"name":"Department of Traumatology University Hospital of Guadalajara Guadalajara Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Barrio\u2010Asensio","sequence":"additional","affiliation":[{"name":"Department of Anatomy and Human Embryology School of Medicine Complutense University of Madrid 28040 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"Gonz\u00e1lez\u2010G\u00f3mez","sequence":"additional","affiliation":[{"name":"Department of Traumatology University Hospital of Guadalajara Guadalajara Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Murillo\u2010Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Anatomy and Human Embryology School of Medicine Complutense University of Madrid 28040 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,2]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_5_2_1","DOI":"10.1016\/j.ocl.2010.02.008"},{"issue":"9","key":"e_1_2_5_3_1","first-page":"1007","article-title":"Anomalous insertion of the pectoralis minor muscle: ultrasound findings","volume":"84","author":"Homsi C","year":"2003","journal-title":"J Radiol"},{"key":"e_1_2_5_4_1","first-page":"252","volume-title":"Trait\u00e8 des variations du syst\u00e8me musculaire de l'homme et de leur signification au point de vue de l'anthropologie zoologique","author":"Le Double AF","year":"1987"},{"doi-asserted-by":"publisher","key":"e_1_2_5_5_1","DOI":"10.1007\/s00256\u2010010\u20100926\u20100"},{"issue":"5","key":"e_1_2_5_6_1","first-page":"401","article-title":"Syndrome de la coiffe des rotateurs par anomalie d'insertion du petit pectoral [Rotator cuff syndrome caused by an anomaly of the insertion of the pectoralis minor]","volume":"70","author":"Samuel P","year":"1984","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"doi-asserted-by":"crossref","unstructured":"TestutL(1884)Les anomalies musculaires chez l'homme expliqu\u00e9es par l'anatomie compar\u00e9e: leur importance en anthropologie. In: G. Masson (ed). Paris pp34\u201344.https:\/\/archive.org\/details\/lesanomaliesmusc00testuoft","key":"e_1_2_5_7_1","DOI":"10.5962\/bhl.title.100796"},{"doi-asserted-by":"publisher","key":"e_1_2_5_8_1","DOI":"10.1002\/ca.20113"},{"doi-asserted-by":"publisher","key":"e_1_2_5_9_1","DOI":"10.1007\/s00276\u2010008\u20100382\u2010x"},{"doi-asserted-by":"publisher","key":"e_1_2_5_10_1","DOI":"10.1159\/000146149"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-014-3463-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-014-3463-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-014-3463-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T13:08:14Z","timestamp":1760879294000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-014-3463-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,2]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1007\/s00167-014-3463-x"],"URL":"https:\/\/doi.org\/10.1007\/s00167-014-3463-x","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"type":"print","value":"0942-2056"},{"type":"electronic","value":"1433-7347"}],"subject":[],"published":{"date-parts":[[2014,12,2]]}}}