Epidemiology of Isolated Acromioclavicular Joint Dislocation (original) (raw)
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Acromioclavicular third degree dislocation: surgical treatment in acute cases
Journal of orthopaedic surgery and research, 2015
BackgroundThe management of acute Rockwood type III acromioclavicular joint (ACJ) dislocation remains controversial, and the debate about whether patients should be conservatively or surgically treated continues. This study aims to compare conservative and surgical treatment of acute type III ACJ injuries in active sport participants (<35 years of age) by analysing clinical and radiological results after a minimum of 24 months follow-up.MethodsThe records of 72 patients with acute type III ACJ dislocations who were treated from January 2006 to December 2011 were retrospectively evaluated. Patients were categorised into two groups. group A included 25 patients treated conservatively, and group B included 30 patients treated surgically with the TightRope¿ system. Seventeen patients were lost to follow-up.All patients were evaluated at final follow-up with these clinical scores: Constant, University of California Los Angeles scale (UCLA), American Shoulder and Elbow Surgeons Scale (...
Comparison of Conservative and Surgical Treatment of Grade III Acromio-Clavicular Dislocation
Pakistan Journal of Medical and Health Sciences, 2021
Objectives: To compare the mean of constant score between conservative and surgical treatment in patients with Grade-III acromio-clavicular dislocation. Design: This was an RCT (randomized controlled trial). Study Settings: It was conducted at the Orthopedic Department of Sir Ganga Ram Hospital Lahore over 1 year from July 2020 to June 2021. Study Procedure: This study involved 94 both male and female patients aged between 18-60 years presenting in orthopedic emergency with Grade-III AC dislocation. These patients were assigned into two treatment groups randomly. Patients in Group-A were managed conservatively while those in Group-B were managed surgically with hook plate. Outcome variable was functional shoulder outcome which was assessed after 6 weeks of treatment using constant score. An informed written consent was gained from every patient. Results: The mean age of the patients was 29.9±9.5 years. Majority (n=44, 46.8%) of the patients were young and were aged between 18-30 yea...
Different modalities of fixation of Acromio-Clavicular joint dislocation: joint stability outcome
Aswan University Medical Journal
Background: Severe acromioclavicular (AC) joint injuries Rockwood types III, IV, V and VI always need surgical management. Aim of the work: The aim of this study was to evaluate for how long the AC joint is stable with different surgical methods. Patients and methods: twenty patients were conducted in this cohort prospective study with AC joint dislocation. Rockwood types III, IV, V and VI treated surgically by 3 different techniques Group 1 by mersilene tape with AC k wires, Group 2 by percutaneous AC joint screw and Group 3 by tension band wire. All Surgeries were performed at Orthopedic Department of Aswan University Hospital between May 2019 and August 2021and follow up time between 6 to 15 months. Patients age ranged from 20 to 57 (mean; 34.95±11.57) years, 17 male and 3 female. Constant score of the shoulder joint was used for final functional outcome. Results: AC joint was stable in all patients treated with the different techniques. Constant score of the shoulder joint showed no significant difference between the 3 groups; however the mersilene tape was superior to other used procedures. Operative time was highest with Group 1. Bleeding time is the least with Group 2. Conclusion: AC joint stability was achieved with using either mersilene tape, percutaneous AC joint screw, or tension band with no significant difference, however after 6 months of follow up mersilene tape achieve the highest stability over other used procedures.
A Novel Radiographic Index for the Diagnosis of Posterior Acromioclavicular Joint Dislocations
The American Journal of Sports Medicine, 2013
Background:Posterior acromioclavicular (AC) joint dislocations are frequently misclassified because posterior translation of the clavicle is difficult to evaluate in Zanca radiograph views. A novel radiographic index was used in this study to accurately diagnose posterior dislocations of the AC joint.Hypothesis:This novel index has a high degree of accuracy for the diagnosis of posterior AC joint dislocations.Study Design:Cohort study (diagnosis); Level of evidence, 2.Methods:This was an analytic, descriptive study of 150 patients with different grades of AC injuries according to the Rockwood classification (30 patients for each grade of injury: I, II, III, IV, and V). The diagnosis of an AC injury was made both clinically and radiographically by using comparative Zanca and axillary views. Two measurements were performed in Zanca views: the coracoclavicular distance and the AC width distance. A width index was calculated for each patient. The Student t test, Bonferroni test, logisti...
Acromioclavicular joint dislocation: diagnosis and management
Shoulder & Elbow, 2012
We present a review of the literature with respect to the anatomy, biomechanics, classification, diagnosis and rationale for contemporary management of both acute and chronic acromioclavicular joint dislocations. Both conservative and surgical management are discussed.
The evaluation and results of the surgery in the acromioclavicular joint dislocations
The aim of this study is to evaluate the results of patients with acromioclavicular joint (AC) dislocation treated surgically in terms of current literature. Material and Method. 26 patients with acute AC joint dislocation that were treated surgically were evaluated. Four of the patients were female and twenty two were male. Treatment method for 16 patients were coracoclavicular screw fixation and for 10 patients acromioclavicular kirschner wire (k-wire) fixation. Results. Patients were evaluated with radiological findings and clinic scorings (VAS, Quick DASH, Constant Score). Mean VAS score was 1.58 (distribution 0-4), mean Quick DASH score of the patients was 8.13 (distribution 0-36.36) and mean constant functional shoulder score was 90.61 (distribution 66-100). Radilogically, one of the patients (3.8%) had major coracoclavicular calcification and ankylosis of coracoclavicular and acromioclavicular joint. Conclusion. We recommend transfixation with k-wire or coracoclavicular screw...
Outcome of Acromio-Clavicular joint dislocation operated using clavicle hook plate
Journal of Chitwan Medical College, 2018
Rockwood classification of AC joint dislocation is generally accepted worldwide. Treatment of Rockwood Type 1 and 2 AC joint is non-operative while all authors advocate operative treatment for Rockwood Type 4 and 5 AC joint dislocations. Thirty consecutive patients who underwent operation for acromioclavicular joint dislocation using clavicle hook plate from June 2015 were studied. The dislocations ranged from Rockwood type III to type V. Average follow up time was fourteen months ranging from four to twenty-four months. The outcome was measured using University of California Los Angeles (UCLA) shoulder score. All-the patient had good to excellent result.
International Orthopaedics, 2014
Purpose Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and present an overview of the outcome of conservative versus operative treatment of Rockwood type III dislocations. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was used to conduct this review. A systematic search was performed in the Pubmed, Cochrane library, Embase, Scopus and Cumulative Index to Nursing and Allied Health Literature databases. Titles and abstracts were screened using predefined criteria and articles were critically appraised on relevance and validity. Results After critical appraisal eight articles were included in the study. The objective and subjective shoulder function outcome was better in the operative group, especially in young adults, though the rate of complications and radiographic abnormalities were higher. The rehabilitation time was shorter in the conservative group, however the cosmetic outcome was worse.
Outcome of fixation of acromioclavicular joint dislocation type-iii with clavicular hook plate
Nepal Journal of Medical Sciences, 2020
Introduction: Acromioclavicular (AC) joint dislocation is one of the most common shoulder injuries accounting for approximately 9-12% of all shoulder girdle injuries. Rockwood classification of AC joint dislocation is the most widely accepted classification system which classifies the injury into six types. Surgical management with open reduction and fixation with clavicular hook plate without the repair of coracoclavicular ligament has proved to be one of the best treatment options for Type III AC joint dislocations. Methods: Twenty-three patients with Rockwood Type III AC joint dislocation were included in the study. Open reduction was done and the fixation was done with the clavicular hook plate. The functional outcomes were assessed before and two months after the implant was removed using the Constant- Murley Score. Results: A total of 23 patients were included in the study with the mean age of 30.74 years. The plates were removed on an average of 6.43 months and mean follow up...