Sports Medicine: Just the Facts

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CHAPTER 46 • STERNOCLAVICULAR, CLAVICULAR, AND ACROMIOCLAVICULAR INJURIES 273

Gerber C, Krushell RJ: Isolated rupture of the tendon of the sub-
scapularis muscle. Clinical features in 16 cases. J Bone Joint
Surg73B:389–394, 1991.
Greis PE, Kuhn JE, Schultheis J, et al: Validation of the lift-off
test and analysis of subscapularis activity during maximal
internal rotation. Am J Sports Med24:589–593,1996.
Harmon HP: Methods and results in the treatment of 2580 painful
shoulders. With special reference to calcific tendinitis and the
frozen shoulder. Am J Surg95:527–544, 1958.
Hertel R, Ballmer FT, Lombert SM, et al: Lag signs in the diag-
nosis of rotator cuff rupture. J Shoulder Elbow Surg5:307–
313,1996.
Hawkins RJ, Kennedy JC: Impingement syndrome in athletes.
Am J Sports Med8:151–158, 1980.
Jobe FW, Jobe CM: Painful athletic injuries of the shoulder. Clin
Orthop173:117–124, 1983.
Jobe FW, Kvitne RS, Giangarra CE: Shoulder pain in the over-
hand or throwing athlete: The relationship of anterior stability
and rotator cuff impingement. Orthop Rev18:963–975, 1989.
Jobe FW, Moynes DR: Delineation of diagnostic criteria and a
rehabilitation program for rotator cuff injuries. Am J Sports
Med10:336–339, 1982.
Kelly BT, Kadrmas WR, Kirkendall DT, et al: Optimal normal-
ization tests for shoulder muscle activation: An electromyo-
graphic study. J Orthop Res14:647–53, 1996.
MacDonald PB, Clark P, Sutherland K: An analysis of the diag-
nostic accuracy of the Hawkins and Neer subacromial
impingement signs. J Shoulder Elbow Surg9:299–301, 2000.
McFarland EG, Hsu CY, Neira C, et al: Internal impingement of
the shoulder: A clinical and arthroscopic analysis. J Shoulder
Elbow Surg 8:458–460,1999.
McLaughlin HL: Lesions of the musculotendinous cuff of the
shoulder. Part I. The exposure and treatment of tears with
retraction. J Bone Joint Surg 26A:31–51, 1944.
Moseley HF: The results of nonoperative and operative treatment
of calcified deposits. Surg Clin North Am 43:1505–1506, 1963.
Murray TF, Jr, Lajtai G, Mileski RM, et al: Arthroscopic repair of
medium to large full-thickness rotator cuff tears: Outcome at
2- to 6-year follow-up. J Shoulder Elbow Surg 11:19–24, 2002.
Neer CS, II: Anterior acromioplasty for the chronic impingement
syndrome in the shoulder: A preliminary report. J Bone Joint
Surg 54A:41–50, 1972.
Neer CS, II: Impingement lesions. Clin Orthop 173:70–77, 1983.
Nirschl RP: Rotator cuff tendinitis: Basic concepts of pathoetiol-
ogy. Instr Course Lect439–445, 1989.
St Pierre P, Olson EJ, Elliott JJ, et al: Tendon-healing to cortical
bone compared with healing to a cancellous trough. A biome-
chanical and histological evaluation in goats. J Bone Joint Surg
77A:1858–66, 1995.
Tauro JC: Arthroscopic rotator cuff repair: Analysis of technique
and results at 2- and 3-year follow-up. Arthroscopy14:45–51,
1998.
Valadie AL, III, Jobe CM, Pink MM, et al: Anatomy of provoca-
tive tests for impingement syndrome of the shoulder.
J Shoulder Elbow Surg 9:36–46, 2000.
Walch G, Bioleau P, Noel E: Impingement of the deep surface
of the supraspinatus on the posterosuperior glenoid rim: An
arthroscopic study. J Shoulder Elbow Surg 1:238–245,
1992.


Warner JJP, Allen AA, Gerber C: Diagnosis and management
of subscapularis tendon tears. Te ch Orthop 9:116–125,
1994.
Warner JJ, Higgins L, Parsons IM, IV, et al: Diagnosis and treat-
ment of anterosuperior rotator cuff tears. J Shoulder Elbow
Surg 10:37–46, 2001.
Wilk KE, Arrigo C: Current concepts in the rehabilitation of the
athletic shoulder. J Orthop Sports Phys Ther18:365–378,
1993.
Wilson F, Hinov V, Adams G: Arthroscopic repair of full-thickness
tears of the rotator cuff: 2- to 14-year follow-up. Arthroscopy
18:136–144, 2002.
Yamaguchi K, Tetro AM, Blam O, et al: Natural history of
asymptomatic rotator cuff tears: A longitudinal analysis of
asymptomatic tears detected sonographically. J Shoulder
Elbow Surg 10:199–203, 2001.
Yocum LA: Assessing the shoulder. History, physical examina-
tion, differential diagnosis, and special tests used. Clin Sports
Med 2:281–289, 1983.

46 STERNOCLAVICULAR,


CLAVICULAR, AND
ACROMIOCLAVICULAR
INJURIES
Carl J Basamania, MD, FACS

INTRODUCTION

•Few animals other than primates, birds, humans and,
surprisingly, marsupials have a functional clavicle.


  • Injuries to the clavicle and its articulations are very
    common.

  • High energy injuries have been seen in increasing fre-
    quency as more people participate in higher risk
    sports such as mountain biking and rollerblading.

  • Since man is an upper extremity dependent animal,
    these injuries can lead to significant disabilities and
    limitations.


STERNOCLAVICULAR JOINT


  • The sternoclavicular joint is the only true articulation
    between the upper extremity and the rest of the axial
    skeleton.

  • Although the sternoclavicular joint has the least
    amount of osseous stability of any major joint, it is
    seldom injured in comparison to other joints.

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