Welcome to ‘On the Table’ – UPMC Sports Surgery Clinic’s first orthopaedic advances podcast hosted by Dr Andy Franklyn-Miller, Consultant Sports & Exercise Medicine Physician at SSC.

The purpose of the podcast is to explore the reasons behind deciding to operate in common orthopaedic conditions and explore the latest evidence and post-operative strategies.

In Episode Two, we are delighted to speak to Ms Ruth Delaney, Consultant Orthopaedic Surgeon and Assistant Clinical Professor, University College Dublin.

This episode focuses on the topic of acromioclavicular joint injury and clavicular fractures.

Shownotes:

3:42
The epidemiology of AC joint disruption, the anatomy of the joint, and how it is injured.

5:08
Talk us through imaging and how radiologists like to give these a graded score and referrers often get confused both about what the grading means and the imaging to make that grading, can you explain it and is it useful?

10:51
What do write on the X-Ray referral form to make an appropriate assessment?

12:02
What does conservative management mean to you?

13:35
When does an AC joint need stabilisation surgery and what does that entail?

14: 47
What complications of surgery exist?

18:37
How do you manage pain in the ACJ further down the line, When does excision of the distal clavicle play a part?

21:26
Clavicular fractures, management is tricky; how do you approach it? What re the risks of NSAIDS? What are the surgical options for repair?

25:30
The post-operative surgical timeline is predictable, talking through the return to sport protocols

29:00
Different approaches to clavicular management

Selected papers from Ms Delaney

Complications of the Latarjet procedure. Gupta A, Delaney R, Petkin K, Lafosse L.
Curr Rev Musculoskelet Med. 2015 Mar;8(1):59-66.

Neer Award Paper: neuromonitoring the Latarjet procedure. Delaney RA, Freehill MT, Janfaza DR, Vlassakov KV, Higgins LD, Warner JJ. J Shoulder Elbow Surg. 2014 Oct;23(10):1473-80.

Immobilisation in internal or external rotation does not change recurrence rates after traumatic anterior shoulder dislocation. Vavken P, Sadoghi P, Quidde J, Lucas R, Delaney R, Mueller AM, Rosso C, Valderrabano V. J Shoulder Elbow Surg. 2014 Jan;23(1):13-9.

Durability of partial humeral head resurfacing. Delaney RA, Freehill MT, Higgins LD, Warner JJ. J Shoulder Elbow Surg. 2014 Jan;23(1):e14-22.
Effectiveness of bracing in the treatment of nonosseous restriction of elbow mobility: a systematic review and meta-analysis of 13 studies.Müller AM, Sadoghi P, Lucas R, Audige L, Delaney R, Klein M, Valderrabano V, Vavken P. J Shoulder Elbow Surg. 2013 Aug;22(8):1146-52.. Review.

Utilisation of the safe surgical dislocation approach of the hip to retrieve a bullet from the femoral head. Delaney R, Albright M, Rebello G. Case Rep Orthop. 2011;2011:160591.

About Ms Delaney

Ms Ruth Delaney has personal website www.dublinshoulderinstitutecom, and you can follow Ruth on twitter @RDShoulder