Determining the closest distances from the coracoid base and tip to neurovascular structures in acute high-grade acromioclavicular joint injuries: a cadaveric study

Bibliographic Details
Title: Determining the closest distances from the coracoid base and tip to neurovascular structures in acute high-grade acromioclavicular joint injuries: a cadaveric study
Authors: Amornrat Chookliang, Prapakorn Klabklay, Wachiraphan Parinyakhup, Tanarat Boonriong, Korakot Maliwankul, Hafizz Sanitsakul, Trisak Kingchan, Chaiwat Chuaychoosakoon
Source: BMC Musculoskeletal Disorders, Vol 26, Iss 1, Pp 1-6 (2025)
Publisher Information: BMC, 2025.
Publication Year: 2025
Collection: LCC:Diseases of the musculoskeletal system
Subject Terms: Acromioclavicular joint, Coracoclavicular ligament, Iatrogenic injury, Neurovascular structure, Patient positioning, Stabilization, Diseases of the musculoskeletal system, RC925-935
More Details: Abstract Background High-grade acromioclavicular (AC) joint injuries often require coracoclavicular (CC) stabilization, which increases the risk of neurovascular injury due to coracoid process proximity to vital structures. Previous intact AC joint measurements may have underestimated the surgical risks of high-grade injuries with altered anatomy. Therefore, this study investigated the distance from the coracoid base and tip to the adjacent neurovascular structures in simulated acute high-grade AC joint injuries. Methods Eight freshly frozen cadaveric specimens, consisting of four male and four female specimens, were subjected to simulated high-grade AC joint injuries via AC capsule and CC ligament transection and deltotrapezial fascia detachment. Closest distances from the coracoid base and tip to the lateral border of adjacent neurovascular structures were measured in the supine, beach chair, and lateral decubitus positions. Results The distance from the coracoid base to the neurovascular structures varied significantly depending on the body position. The supine position provided the greatest distance, reducing the risk of neurovascular injury compared to the beach chair and lateral decubitus positions (p = 0.030 and p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2474
Relation: https://doaj.org/toc/1471-2474
DOI: 10.1186/s12891-025-08359-8
Access URL: https://doaj.org/article/b43e239b8c84401092c926026c98a61d
Accession Number: edsdoj.b43e239b8c84401092c926026c98a61d
Database: Directory of Open Access Journals
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More Details
ISSN:14712474
DOI:10.1186/s12891-025-08359-8
Published in:BMC Musculoskeletal Disorders
Language:English