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

Masionis, Povilas; Bobina, Rokas; Ryliškis, Sigitas

doi:10.7759/cureus.6681

Cited by 8 publications

(8 citation statements)

References 24 publications

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“…They also found that SSV, CS, Taft score, and Acromioclavicular Joint Instability scores improved as the amount of ossification increased, but only the Acromioclavicular Joint Instability score improvement was statistically significant. Another study by Masionis et al 15 reported that patients with ossification had better Simple Shoulder Test scores than those who did not.…”

Section: Discussionmentioning

confidence: 98%

Is coracoclavicular ossification a complication or a good prognostic factor after surgical treatment of acromioclavicular joint injury?

Ertogrul

Şahin

Çelik³

et al. 2022

JSES International

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Section: Discussionmentioning

confidence: 98%

Is coracoclavicular ossification a complication or a good prognostic factor after surgical treatment of acromioclavicular joint injury?

Ertogrul

Şahin

Çelik³

et al. 2022

JSES International

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“…In addition, studies have demonstrated that the application of a hook plate had achieved good clinical outcomes despite loss of reduction [31,32]. Although previous studies have shown that clinical outcomes were not directly correlated with radiographic findings based on osteolysis, the relatively high occurrence rate might suggest a disadvantage of hook plate fixation [33]. It was possible that different materials, angles, and depths of hook plates during fixation increased the stress between the plate and acromion, leading to osteolysis of the acromion [7,10,34].…”

Section: Discussionmentioning

confidence: 99%

Clavicular hook plate for acute high-grade acromioclavicular dislocation involving Rockwood type V: clinical and radiological outcomes and complications evaluation

Liu

et al. 2022

International Orthopaedics (SICOT)

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Background The surgical treatment of high-grade acromioclavicular joint dislocation remains a matter of debate. Clavicular hook plate internal fixation was widely used in the treatment of acromioclavicular dislocation because of its easy-to-master surgical technique. This study aimed to evaluate outcomes using hook plate fixation for acromioclavicular dislocation. Methods A consecutive series of 57 patients with acute acromioclavicular joint dislocation involving Rockwood type V were treated between November 2013 and September 2019 using hook plate fixation. The functional outcomes (using the visual analogue score, Constant-Murley score, and University of California Los Angeles score), the quality of surgical reduction (using the coracoclavicular distance), and post-operative complications were assessed with about 46 months of follow-up. Results The mean Constant-Murley score increased from 72.6 before surgery to 87.6 at final follow-up. The mean University of California Los Angeles score was 14.1 pre-operatively and 31.6 at final follow-up. Meanwhile, the visual analogue scores were significantly reduced from 3.4 pre-operatively to 1.3 post-operatively. The coracoclavicular distance decreased from 19.4 mm pre-operatively to 10.9 mm at the last follow-up. Post-operative functional and radiological outcomes were significantly improved compared with pre-operative outcomes (P < 0.01). The overall excellent and good result was 35.1% (20/57) and 54.1% (31/57), respectively. At follow-up, the overall complication rate was 15.8% (9/57) including subacromial impingement (three patients), acromial osteolysis (three patients), reduction loss (one patient), acromioclavicular joint osteoarthritis (one patient), and calcification (one patient). Conclusion Hook plate fixation was a viable treatment approach, and achieved good clinical outcomes in the treatment of acute acromioclavicular dislocation involving V. But some complications of hook plate fixation should not be ignored.

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“…It is stabilized by the tendinous attachments of articular capsule to coracoclavicular ligament, acromioclavicular ligament, trapezius muscle and deltoid muscle. [8][9][10] Some researches have shown that coracoclavicular ligament can affect kinetic equilibrium and static stability of shoulder girdle, independently bear 75% of compressive stress from acromioclavicular joint, and help with clavicle rotation. [11] When acromion is affected by the direct action of top-down violence, the stabilizing device of acromioclavicular joint will be destroyed.…”

Section: Discussionmentioning

confidence: 99%

Clinical study on treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair

Sun¹,

Wang²,

Zhang³

2021

DCC

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Objective: To explore the treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair and its clinical effect.Methods: 80 patients with TOSSY type III acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected. They were randomly divided into the control group (n = 39, treated with clavicular hook plate) and the observation group (n = 41, treated with clavicular hook plate combined with coracoclavicular ligament repair) by the random number table method. The clinical efficacy in 12 months after operation, related clinical indicators, 12-month postoperative recovery and postoperative complications were compared between the two groups.Results: The excellent and good rate was 92.68% (38/41) in 12 months after operation in the observation group, which was higher than that (76.92%, 30/39) in the control group (p < .05). There were no significant differences in the duration of surgery, intraoperative blood loss and HLOS between the observation group and the control group (p > .05). In 12 months after operation, abduction activity and forward flexion activity of the observation group were higher than those of the control group, and visual analogue score (VAS) was lower than that of the control group (p < .05). The incidence of complications in the observation group was slightly lower than that in the control group, but there was no statistically significant difference between the two groups (p > .05).Conclusions: For TOSSY type III acromioclavicular joint dislocation, clavicular hook plate combined with coracoclavicular ligament repair has a good clinical efficacy. It can improve shoulder joint function, alleviate shoulder pain and have fewer complications. It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.

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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

Cited by 8 publications

References 24 publications

Is coracoclavicular ossification a complication or a good prognostic factor after surgical treatment of acromioclavicular joint injury?

Is coracoclavicular ossification a complication or a good prognostic factor after surgical treatment of acromioclavicular joint injury?

Clavicular hook plate for acute high-grade acromioclavicular dislocation involving Rockwood type V: clinical and radiological outcomes and complications evaluation

Clinical study on treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair

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