Inter- and intraobserver reliability of the Rockwood classification in acute acromioclavicular joint dislocations

Schneider, M. M.; Balke, Maurice; Koenen, Paola; Fröhlich, Matthias; Wafaisade, Arasch; Bouillon, Bertil; Banerjee, Marc

doi:10.1007/s00167-014-3436-0

Cited by 46 publications

(43 citation statements)

References 17 publications

(19 reference statements)

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“…All clinical tests were negative in 12 patients, seven had one positive test, three had two positive tests, and one had three positive tests. The mean CS result at the follow-up was 93.44 ± 4.90 (range, 84-100), and the mean SST result was 10.78 ± 1.51 (range, [6][7][8][9][10][11][12]. There was no statistically significant association between the CS results and either shoulder tests or radiological findings.…”

Section: Resultsmentioning

confidence: 92%

“…Considering that Tossy III consists of Rockwood III-VI and the majority of our patients are young and active, in clinical work we prefer the Tossy classification. It would probably be more beneficial to use the Rockwood classification in clinical work because recent literature defines the Rockwood classification as a gold standard for grading ACJ dislocations, and shows excellent inter-and intra-observer reliability for acute ACJ dislocations [11].…”

Section: Discussionmentioning

confidence: 99%

“…ACJ dislocations were classified for the first time in 1963 by Tossy from type I to type III according to the injury pattern of the acromioclavicular (AC) and coracoclavicular (CC) ligaments [8,9]. Later, the classification was expanded by Rockwood and Green to types I to VI [4,[9][10][11]. It is widely accepted that type I-II injuries should be treated conservatively, and type IV-VI surgically [3][4][5][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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The Relationship Between the Clinical and Radiological Findings and the Outcomes of Early Surgical Treatment After Tossy Type III Acromioclavicular Joint Dislocation

Masionis

Bobina

Ryliškis

2020

Cureus

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Background Acromioclavicular joint (ACJ) dislocation is a common injury among young and physically active persons. Evaluating surgical outcomes clinically and radiographically is widely accepted, but it is not known which clinical tests or radiological indicators are the most important. Our hypothesis is that there is a significant correlation between clinical and radiological findings and outcomes after the early surgical treatment of Tossy type III ACJ dislocation.

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Section: Resultsmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Relationship Between the Clinical and Radiological Findings and the Outcomes of Early Surgical Treatment After Tossy Type III Acromioclavicular Joint Dislocation

Masionis

Bobina

Ryliškis

2020

Cureus

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“…Las luxaciones tipo iv pueden presentar menor deformidad, ya que el desplazamiento es en dirección posterior. Para diferenciar una luxación tipo iii de una tipo v hay que valorar si esta es reductible o no 11 . Para ello, se estabiliza la escápula con una mano y se realiza un movimiento en dirección proximal desde el codo ipsilateral, pudiendo reducirse tan solo en las tipo iii.…”

Section: Deformidadunclassified

Exploración y evaluación radiológica de la articulación acromioclavicular

Mora

Heredia

Díaz

et al. 2015

Revista Española de Artroscopia y Cirugía Articular

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r e v e s p a r t r o s c c i r a r t i c u l . 2 0 1 5;2 2(1):11-17 información del artículo Historia del artículo: Recibido el 21 de marzo de 2015 Aceptado el 2 de junio de 2015 On-line el 2 de julio de 2015 Palabras clave: Exploración física Resonancia magnética Articulación acromioclavicular Radiología simple Dolor hombror e s u m e n La situación anatómica de la articulación acromioclavicular nos permite realizar una evaluación mediante la observación y la palpación más sencilla que en la articulación glenohumeral. Sin embargo, el dolor proveniente de la misma puede irradiar a diferentes zonas del hombro, del brazo y del cuello y solaparse con otras afecciones. Por ello, es importante conocer las diferentes maniobras exploratorias, así como estar familiarizado con la interpretación de las pruebas de imagen.En este artículo se revisan de forma sistemática los test más utilizados en la exploración de la articulación acromioclavicular, valorando sensibilidad, especificidad y valores predictivos, así como la forma correcta de realizarlos. Además, se analizan las peculiaridades radiológicas de dicha articulación y las utilidades de las diferentes proyecciones y técnicas en el diagnóstico de enfermedad acromioclavicular. © 2015 Fundación Española de Artroscopia. Publicado por Elsevier España, S.L.U. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/). Physical examination and radiological imaging of the acromioclavicular jointKeywords: Physical examinationMagnetic resonance imaging Acromioclavicular joint Simple X-ray image Shoulder pain a b s t r a c tThe subcutaneous location of the acromioclavicular joint allows the clinician to evaluate deformities directly and palpate the joint. This is more complicated in the glenohumeral joint. However, pain arising from the joint can irradiate to different areas of the shoulder, arm and neck, and can be misleading. Thus, it is important to be familiar with the spectrum of physical examination tests, specific radiological projections and MRI findings in order to reach an accurate diagnosis.The aim of this article is to systematically describe the most commonly used physical examination tests for acromioclavicular pathology, including sensitivity, specificity, and * Autor para correspondencia.Correo electrónico: maria.valencia.mora@gmail.com (M. Valencia Mora). http://dx.

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“…2 Although this is still the commonly used classification system, recent studies have suggested an overall lack of reliability of the Rockwood classification of ACJ dislocations and of decisions regarding their treatment. 3,4 Less severe (types I, II and III) ACJ injuries are more common, 2 with recent studies suggesting that of those who present to hospital, the most common are type III injuries. 5 The treatment of ACJ injuries can be broadly stratified by the severity of the injury, with type I and II injuries almost universally treated conservatively with expected return to painless full range of motion few weeks after the injury.…”

Section: Introductionmentioning

confidence: 99%

Current practice in the management of Rockwood type III acromioclavicular joint dislocations—National survey

Dömös

Dunne

et al. 2017

Journal of Orthopaedic Surgery

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Purpose: Our aim was to conduct this survey among consultant shoulder surgeons in the United Kingdom to document the current management of Rockwood type III acromioclavicular joint (ACJ) injuries. Methods: British Elbow and Shoulder Society Research Committee-approved online survey was used and 137 responses were collected within 3 months. Results: One hundred percent of responders would treat type III injuries conservatively initially. Routine physiotherapy would be offered by 86% of surgeons. The patient's factors that influence the decision to consider surgery are pre-injury functional demand, current functional deficit, pain and patient request for surgery. Across all groups the mean time to surgical intervention from injury was 3.8 months. About 45% of all consultants would use the same technique for all cases and there were differences between the varieties of techniques used by surgeons, depending on their degree of experience. LockDown was the most widely used technique in all groups of patients. This was followed by Ligament Augmentation & Reconstruction System (LARS), hook plate and Arthroscopic TightRope/DogBone technique for acute injuries. LARS, modified Weaver-Dunn and ACJ resection were used most commonly after LockDown for delayed cases. Conclusion: Our survey revealed the current trends in clinical practice to treat symptomatic Rockwood type III ACJ injuries, but it also confirmed the controversial and complex management differences, which vary among shoulder surgeons in the United Kingdom.

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Inter- and intraobserver reliability of the Rockwood classification in acute acromioclavicular joint dislocations

Abstract: Case series, Level IV.

Cited by 46 publications

References 17 publications

The Relationship Between the Clinical and Radiological Findings and the Outcomes of Early Surgical Treatment After Tossy Type III Acromioclavicular Joint Dislocation

The Relationship Between the Clinical and Radiological Findings and the Outcomes of Early Surgical Treatment After Tossy Type III Acromioclavicular Joint Dislocation

Exploración y evaluación radiológica de la articulación acromioclavicular

Current practice in the management of Rockwood type III acromioclavicular joint dislocations—National survey

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