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

Verstift, Daniel E; Welsink, Chantal; Spaans, Anne J.; Bekerom, Michel P.J. van den

doi:10.1007/s00167-019-05528-w

Cited by 17 publications

(21 citation statements)

References 42 publications

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“…7,9,11,13,14,16,24,25 While many researchers attempted to investigate the athletic performance following AC reconstruction, the effect of loss of reduction of the AC joint on the athletic performance of the patients was not reported in the literature before. 8,19,26,27 In a systematic review done by Verstift et al, 19 they reviewed 12 articles that evaluated the return to the preinjury level of sport after a repair of Rockwood types III to VI dislocations, with a total number of patients of 498, of which 462 patients were engaged in sports activities. They concluded that the return to sport participation after this kind of surgery is high.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In a systematic review done by Verstift et al., 19 they reviewed 12 articles that evaluated the return to the preinjury level of sport after a repair of Rockwood types III to VI dislocations, with a total number of patients of 498, of which 462 patients were engaged in sports activities. They concluded that the return to sport participation after this kind of surgery is high.…”

Section: Discussionmentioning

confidence: 99%

“…At recruitment, each subject was given a code; the code key was kept with the code keeper, who was nonmedical personnel. A baseline assessment was done for all the study subjects using (1) the Subjective Patient Outcome for Return to Sports (SPORTS) score 18 ; (2) Athletic Shoulder Outcome Scoring System (ASOSS) 19 ; (3) Disabilities of the Arm, Shoulder, and Hand (DASH) score 20 , 21 ; (4) Constant–Murley score (CMS), which was done by a single experienced examiner in shoulder surgery; and (5) CC distance in the AC joint projection, which was measured and recorded by 2 independent radiographers to avoid intra- and interobserver bias. This baseline assessment was performed in all subjects at the time of recruitment, keeping in mind that subjects were recruited only if a 6-month duration had passed since the operation as a part of the inclusion criteria.…”

Section: Methodsmentioning

confidence: 99%

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Coracoclavicular Space Widening on Radiographs After Arthroscopic Stabilization With Suspensory Fixation Does Not Affect Athletic Performance

Ibrahim

Gameel

Ghandour

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To evaluate the effect of the coracoclavicular distance widening in athletes after arthroscopic acromioclavicular (AC) stabilization using a suspensory button fixation device in terms of function, athletic performance, or isokinetic assessment. Methods: Sixty-eight athletes with a minimum 6-month follow-up after AC stabilization using suspensory button fixation were allocated in 2 groups, the widening group and non-widening group, according to the measured coracoclavicular distance after 6 months from the operation. The assessment was done every 6 months by Subjective Patient Outcome for Return to Sports (SPORTS) score, Athletic Shoulder Outcome Scoring System (ASOSS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, ConstanteMurley score (CMS), and the coracoclavicular distance. Isokinetic testing was performed at 24 months postoperatively to evaluate shoulder abduction and external rotation strength. Results: No statistically significant differences were found between the 2 groups in terms of the DASH, ASOSS, SPORTS, and the CMS, in addition to the isokinetic testing (P > .05). A statistically significant improvement in both groups over the follow-up stage was identified in the DASH, ASOSS, SPORTS, and the CMS (P < .05). Conclusions: Coracoclavicular distance widening following arthroscopic suspensory button fixation for AC joint dislocation did not affect function, athletic performance, or isokinetic evaluation in athletes. Level of Evidence: III; nonrandomized, comparative trial.A cromioclavicular (AC) joint dislocations are a common injury that account for almost 50% of sports-related shoulder injuries. [1][2][3] The Rockwood classification is the most commonly used classification system. Conservative management is widely used for type I and II dislocations, whereas surgical treatment the intervention of choice for type IV to VI dislocations. 1,[4][5][6] Many surgical options have been reported in the literature, all of which aim for full recovery with the return to the preinjury level of activity and sport participation. [6][7][8] The suspensory button fixation was reported initially for the fixation of syndesmotic ankle injuries. The use of these devices in the treatment of AC dislocations has been described in open and arthroscopic techniques. 7,[9][10][11] The loss of AC joint reduction, as evident by coracoclavicular (CC) distance widening, is commonly reported after AC stabilization using suspensory button fixation devices. The effect of such findings on the athletic performance of patients is not yet fully understood. 7,9,[11][12][13][14][15] The purpose of this study is to evaluate the effect of CC distance widening in athletes after arthroscopic AC joint stabilization using a suspensory bottom fixation device in terms of function, athletic performance, and/or isokinetic assessment. We hypothesized that the CC distance rewidening after AC joint stabilization using a suspensory button fixation might affect the function and athletic performance of the shoulder joint. Methods

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Coracoclavicular Space Widening on Radiographs After Arthroscopic Stabilization With Suspensory Fixation Does Not Affect Athletic Performance

Ibrahim

Gameel

Ghandour

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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“…In addition, several studies recommend operations for type III injuries in heavy manual laborers and athletes 3 , 4 . Surgery is usually recommended for Rockwood type IV, V and VI AC joint injuries 5 – 7 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis

Shen

Sun

Tang

et al. 2021

Sci Rep

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This study compared the results of the minimally invasive coracoclavicular (CC) fixation with a single TightRope (MITR) procedure and the hook plate (HP) procedure for acute acromioclavicular (AC) joint dislocation treatment. Sixteen patients with a mean age of 44.9 ± 11 years were treated with the MITR procedure. Nineteen patients with a mean age of 40.2 ± 8.7 years were treated using the HP procedure. Clinical outcomes were evaluated with the Visual Analog Scale (VAS) for pain, Constant–Murley Score (CMS), and University of California at Los Angeles (UCLA) Shoulder score. Vertical displacement of the clavicle with reference to the height of the acromion was measured in standard anteroposterior radiographs. The mean follow-up was 27 months in the MITR group and 30 months in the HP group. No statistically significant differences were found between the MITR group and the HR group in terms of VAS score (0.4 ± 0.6 vs 0.7 ± 0.6, P = 0.138), UCLA Shoulder score (33.9 ± 2.5 vs 33.7 ± 1.5, P = 0.843), or CMS (95.7 ± 7.3 vs 93.7 ± 6.6, P = 0.400). No redislocation was identified in the HP group, while redislocation occurred in 1 of 16 (6.3%) patients in the MITR group. One patient in the HP group (5.3%) had acromial osteolysis, while no acromial osteolysis was found in the MITR group. No other adverse events, such as infections, tunnel widening, fractures, or implant-related complications, were observed. Both procedures provided satisfactory results. The HP procedure provided better reduction, while the MITR procedure provided a slightly lower tendency of pain. Long-term follow-up is needed to investigate the clinical outcomes and radiological outcomes of both groups.

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Rehabilitation and Return to Sports After Shoulder Injuries

Asker,

Whiteley

2024

Orthopaedic Sports Medicine

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

Cited by 17 publications

References 42 publications

Coracoclavicular Space Widening on Radiographs After Arthroscopic Stabilization With Suspensory Fixation Does Not Affect Athletic Performance

Coracoclavicular Space Widening on Radiographs After Arthroscopic Stabilization With Suspensory Fixation Does Not Affect Athletic Performance

Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis

Rehabilitation and Return to Sports After Shoulder Injuries

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