Return to sport after acute acromioclavicular stabilization: a randomized control of double-suture-button system versus clavicular hook plate compared to uninjured shoulder sport athletes

Müller, Daniel; Reinig, Y.; Hoffmann, Reinhard; Blank, Manfred; Welsch, F.; Schweigkofler, Uwe; Stein, Thomas

doi:10.1007/s00167-018-5044-x

Cited by 33 publications

(36 citation statements)

References 37 publications

(60 reference statements)

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“…Overhead athletes needed to change sport activity significantly more often (54% vs 12%; p = 0.011) and 27% had to reduce their sports level to low-demanding sports, while none of the non-overhead athletes lowered their level ( p = 0.029). Muller et al [24] found that overhead athletes had more benefit from a double-suture-button technique than collision athletes and suggested non-anatomic clavicle hookplate as a good alternative for the collision athletes.…”

Section: Discussionmentioning

confidence: 99%

“…A recent review of Gowd et al [7] showed, although there is a trend toward minimally invasive procedures, there are no differences in loss of reduction, complication rate and revision rate between open and arthroscopic AC joint reconstruction. Considering return to sport outcomes, the RCT by Muller et al [24] showed that patients treated arthroscopically by double cortical buttons had a superior level of performance in shoulder sport, close to the level of performance in healthy athletes, compared to patients treated by a hookplate.…”

Section: Discussionmentioning

confidence: 99%

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Return to sport after surgical treatment for high-grade (Rockwood III–VI) acromioclavicular dislocation

Verstift

Welsink

Spaans

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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PurposeAcromioclavicular (AC) joint dislocations are common in a young and active population, especially in people performing contact sports. Full recovery with a fast and high rate of return to sport is desirable. This systematic review aims to combine patient outcomes in order to help surgeons in addressing patient expectations regarding the return to sport after surgical intervention for AC dislocations.MethodsTo conduct this systematic review, the PRISMA guidelines were followed. Articles were included if written in English or Dutch and evaluated return to sport after any type of surgical intervention for Rockwood types III to VI AC dislocations in patients practicing sports. Outcome parameters were return to sport, time to return to sport, level of sport, functional outcome scores and complications.ResultsTwelve studies involving 498 patients were included, of which 462 patients practiced sports. 432 (94%) patients returned to sport. The weighted mean time to return to sport was 4.0 months. 338 out of 401 patients (84%) returned to the same level of pre-injury sport and 35 patients (9%) lowered their level of sport. The weighted mean Constant score was 92 out of 100.ConclusionThe rate of return to sport after surgical intervention for Rockwood (RW) III–VI AC dislocations is high. However, the level of evidence was low and due to the methodological heterogeneity between studies, subgroup analyses of return to sport outcomes were not feasible.Level of evidenceSystematic review of level I–IV studies, level IV.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Return to sport after surgical treatment for high-grade (Rockwood III–VI) acromioclavicular dislocation

Verstift

Welsink

Spaans

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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show abstract

“… 13 and Müller et al. 24 evaluated the rate of return to play following AC joint stabilization and found the arthroscopic SB enabled greater sport-specific outcomes and an ability to return at a greater level. A recent systematic review by Kay et al.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Suture-Button Versus Hook-Plate Fixation for Acromioclavicular Joint Injuries—A Systematic Review of Comparative Studies

Lloyd

Hurley

Davey

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To systematically review the comparative studies in the literature to compare joint stability, clinical outcomes, and complications of acromioclavicular joint fixation using a hook plate versus arthroscopic suture-button (SB) fixation. Methods A literature search was performed in accordance with the PRISMA guidelines to identify clinical studies comparing the hook plate and arthroscopic SB techniques for acromioclavicular joint injuries. Qualitative statistical analysis was performed using SPSS, and a P value of ≤.05 was considered to be statistically significant. Results Six clinical studies including 285 patients were included in the systematic review. In 3 of the studies, there was a significant difference in favor of SB for Constant score. Patients treated with the SB technique had a lower visual analog scale score at final follow-up in 2 of the 4 studies that measured this outcome. In addition, there were no significant difference in the rate of complications, revisions, or joint malreduction in any of the included studies. Conclusions The arthroscopic SB procedure resulted in lower postoperative pain scores, and improved postoperative functional outcomes, although this was not a clinically significant difference. In addition, there were no significant differences in the rate of complications, revisions, or joint malreduction. Level of Evidence Level III, systematic review of Level I, II, and III studies.

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“…Bajnar et al also highlighted this tendency [27]. Recent literature also shows that patients treated with double suture button reconstruction were much more likely to return to previous sport activity levels compared to patients treated with hook plating [28].…”

Section: Discussionmentioning

confidence: 99%

Different treatment strategies for acromioclavicular dislocation injuries: a nationwide survey on open/minimally invasive and arthroscopic concepts

et al. 2019

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BackgroundInjuries to the acromioclavicular (AC) joint are one of the most common among sporting injuries of the upper extremity. Several studies investigated different treatment options comparing surgical and non-surgical treatment, and type of operative interventions. This study aims to evaluate treatment decisions regarding injuries of the AC joint and to compare different treatment strategies depending on the specific training of the treating physician.MethodsWe performed a nationwide survey by contacting different experienced physicians and sending them questionnaires. The questionnaire included 37 questions that assessed preferred treatment strategies in AC joint injuries. We addressed different surgical and nonsurgical options as well as level of experience and factors that might influence the decision on treatment strategy. The physicians were stratified according to their training into general surgeons (group trauma associated) and orthopedic surgeons (orthopedic associated). The AC joint lesions were categorized according to the widely used Rockwood classification.ResultsThis study analyses 96 questionnaires. We included 46 (47.9%) colleagues in group trauma and 50 (52.1%) in group orthopedics. Most of the colleagues (98.9%) prefer non-operative treatment of type I and type II AC lesions. Similarly, 96.8% agree on surgical treatment of types IV, V, and VI lesions. The treatment of type III lesions is performed in 41.6% of cases non-operatively and in 58.4% of cases surgically. Trauma-associated colleagues are 3.4 times more likely to treat AC lesions with a hook plate compared to orthopedic-associated colleagues (p = 0.05). In decreasing order, the most commonly used non-surgical technique is sling immobilization (63.7%), and the most commonly performed surgical treatment is the hook plate (41.1%) in treating type III injuries.ConclusionThis study shows a distinct difference in treatment of AC joint injuries depending on the training of the physician. Further, the need for high-quality studies arises to define the optimal treatment of type III lesions.

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Return to sport after acute acromioclavicular stabilization: a randomized control of double-suture-button system versus clavicular hook plate compared to uninjured shoulder sport athletes

Abstract: I.

Cited by 33 publications

References 37 publications

Return to sport after surgical treatment for high-grade (Rockwood III–VI) acromioclavicular dislocation

Return to sport after surgical treatment for high-grade (Rockwood III–VI) acromioclavicular dislocation

Arthroscopic Suture-Button Versus Hook-Plate Fixation for Acromioclavicular Joint Injuries—A Systematic Review of Comparative Studies

Different treatment strategies for acromioclavicular dislocation injuries: a nationwide survey on open/minimally invasive and arthroscopic concepts

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