{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:16:22Z","timestamp":1773605782876,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T00:00:00Z","timestamp":1542326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T00:00:00Z","timestamp":1542326400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T00:00:00Z","timestamp":1542326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T00:00:00Z","timestamp":1542326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002701","name":"Ministry of Education","doi-asserted-by":"publisher","award":["NRF-2016R1D1A1A09920056"],"award-info":[{"award-number":["NRF-2016R1D1A1A09920056"]}],"id":[{"id":"10.13039\/501100002701","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To introduce an arthroscopically assisted coracoclavicular (CC) fixation technique using multiple low\u2010profile devices to evaluate the clinical and radiologic outcomes in patients with acute high\u2010grade acromioclavicular (AC) joint dislocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between July 2014 and September 2015, cases of AC joint dislocation that were treated with arthroscopic CC fixation using multiple low\u2010profile devices with a minimum follow\u2010up of 24\u00a0months were included. We measured the vertical coracoclavicular distance (CCD) on the anteroposterior view and the horizontal acromioclavicular distance on 3\u2010dimensional computed tomography images to evaluate the changes in radiologic outcomes before and after surgery. We compared final radiologic outcomes between initial AC reduction groups based on hierarchical clustering. Clinical outcomes were evaluated using the Constant\u2010Murley score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We enrolled 27 patients in total, and the mean follow\u2010up period was 27.2\u00a0months. The mean CCD of the injured shoulder was 13.68 \u00b1 3.98\u00a0mm preoperatively and decreased to 5.72 \u00b1 1.68\u00a0mm immediately postoperatively but increased to 7.32 \u00b1 2.29\u00a0mm at last follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.07). Horizontal displacement of the distal clavicle was 1.1 \u00b1 1.0\u00a0mm immediately postoperatively but decreased to 0.9 \u00b1 0.6\u00a0mm at last follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). In particular, in the 2 groups that were determined using the hierarchical cluster analysis, patients with excellent recovery of the initial CCD (20 patients) showed less of an increase in the CCD at last follow\u2010up than did those in the other group (7 patients) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). The Constant\u2010Murley score was 93.5 \u00b1 2.7 points on the injured side at last follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .074).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our CC fixation technique with multiple low\u2010profile devices exhibited satisfactory clinical and radiologic outcomes. In particular, ensuring good initial recovery of the CCD and the precise placement and location of the AC joints was important in maintaining the proper AC position at the final follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.07.007","type":"journal-article","created":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T18:37:05Z","timestamp":1542393425000},"page":"14-21","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Arthroscopic Coracoclavicular Fixation Using Multiple Low\u2010Profile Devices in Acute Acromioclavicular Joint Dislocation"],"prefix":"10.1002","volume":"35","author":[{"given":"Seung\u2010Jin","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Hallym University Dongtan Sacred Heart Hospital Medical College of Hallym University Hwaseong Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yon\u2010Sik","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Hallym University Dongtan Sacred Heart Hospital Medical College of Hallym University Hwaseong Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoon\u2010Sang","family":"Kim","sequence":"additional","affiliation":[{"name":"School of Computer Science and Engineering Korea University of Technology and Education Cheonan Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seong\u2010Wook","family":"Jang","sequence":"additional","affiliation":[{"name":"School of Computer Science and Engineering Korea University of Technology and Education Cheonan Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeehyoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Seoul Sacred Heart General Hospital Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung\u2010Jae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Hallym University Dongtan Sacred Heart Hospital Medical College of Hallym University Hwaseong Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byung\u2010Su","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Hallym University Dongtan Sacred Heart Hospital Medical College of Hallym University Hwaseong Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koo\u2010Hyun","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Hallym University Dongtan Sacred Heart Hospital Medical College of Hallym University Hwaseong Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankit","family":"Varshney","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Hallym University Dongtan Sacred Heart Hospital Medical College of Hallym University Hwaseong Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,16]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-014-2117-2"},{"key":"e_1_2_2_3_2","first-page":"97","article-title":"Complications following arthroscopic fixation of acromioclavicular separations: A systematic review of the literature","volume":"6","author":"Woodmass J.M.","year":"2015","journal-title":"Open Access J Sports Med"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-016-2437-5"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.06.007"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/230949900701500315"},{"key":"e_1_2_2_7_2","first-page":"828","article-title":"Open anatomical coracoclavicular ligament reconstruction using a tendon graft with an Endobutton loop","volume":"75","author":"Shetty N.S.","year":"2009","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-010-1124-3"},{"key":"e_1_2_2_9_2","first-page":"455","article-title":"Bosworth and modified Phemister techniques revisited. A comparison of intraarticular vs extraarticular fixation methods in the treatment of acute Rockwood type III acromioclavicular dislocations","volume":"51","author":"Cetinkaya E.","year":"2017","journal-title":"Acta Orthop"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.09.013"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-015-1617-2"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.11.001"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2015.09.012"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508322524"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512473438"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513502459"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512445273"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4728-y"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281795"},{"key":"e_1_2_2_20_2","unstructured":"Jobmann S Buckup J Colcuc C et\u00a0al. Anatomic ligament consolidation of the superior acromioclavicular ligament and the coracoclavicular ligament complex after acute arthroscopically assisted double coracoclavicular bundle stabilization [published September 18 2017].Knee Surg Sports Traumatol Arthrosc. doi:10.1007\/s00167\u2010017\u20104717\u20101."},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.62.BJR-2016-0225.R1"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504264637"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/4859262"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806318305723?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806318305723?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2018.07.007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2018.07.007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2018.07.007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:29:31Z","timestamp":1773566971000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2018.07.007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,16]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1016\/j.arthro.2018.07.007"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2018.07.007","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,16]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Arthroscopic Coracoclavicular Fixation Using Multiple Low-Profile Devices in Acute Acromioclavicular Joint Dislocation","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2018.07.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}