Anatomic reconstruction of the acromioclavicular joint provides the best functional outcomes in the treatment of chronic instability

Purpose To systematically review the outcomes of surgical treatments of chronic acromioclavicular joint dislocation. Methods Studies were identified by electronic databases (Ovid, PubMed). All studies reporting functional and radiological outcomes of surgical treatments of chronic acromioclavicular...

Full description

Saved in:
Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-07, Vol.29 (7), p.2237-2248
Main Authors: Sircana, Giuseppe, Saccomanno, Maristella F., Mocini, Fabrizio, Campana, Vincenzo, Messinese, Piermarco, Monteleone, Andrea, Salvi, Andrea, Scaini, Alessandra, Megaro, Almerico, Milano, Giuseppe
Format: Article
Language:English
Subjects:
Acromioclavicular Joint - surgery
Adolescent
Adult
Aged
Arthroscopy - methods
Complications
Data analysis
Dislocation
Fracture Fixation, Internal - methods
Humans
Joint Dislocations - surgery
Joint Instability - surgery
Knee
Ligaments
Ligaments, Articular - surgery
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Plastic Surgery Procedures - methods
Quality assessment
Radiography - methods
Shoulder
Shoulder - surgery
Shoulder Dislocation - surgery
Software
Sports Medicine
Surgery
Surgical techniques
Treatment Outcome
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose To systematically review the outcomes of surgical treatments of chronic acromioclavicular joint dislocation. Methods Studies were identified by electronic databases (Ovid, PubMed). All studies reporting functional and radiological outcomes of surgical treatments of chronic acromioclavicular joint dislocations were included. Following data were extracted: authors and year, study design, level of evidence, number of patients, age, classification of acromioclavicular joint dislocation, time to surgery, surgical technique, follow-up, clinical and imaging outcomes, complications and failures. Descriptive statistics was used, when a data pooling was not possible. Comparable outcomes were pooled to generate summary outcomes reported as frequency-weighted values. Quality appraisal was assessed through the MINORS checklist. Results Fourty-four studies were included for a total of 1020 shoulders. Mean age of participants was 38 years. Mean follow-up was 32.9 months. Arthroscopic techniques showed better results than open approach ( p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-020-06059-5