Associated lesions requiring additional surgical treatment in grade 3 acromioclavicular joint dislocations.

Autor:	Arrigoni P; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Brady PC; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Zottarelli L; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Barth J; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Narbona P; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Huberty D; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Koo SS; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Adams CR; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Parten P; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy., Denard PJ, Burkhart SS; The Burkhart's Research Association of Shoulder Specialists (BRASS) Group, San Antonio, Texas, U.S.A; and Università degli Studi di Milano (L.Z.), Milan, Italy. Electronic address: gruelas@tsaog.com.
Jazyk:	angličtina
Zdroj:	Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2014 Jan; Vol. 30 (1), pp. 6-10.
DOI:	10.1016/j.arthro.2013.10.006
Abstrakt:	Purpose: To evaluate the incidence of associated pathologic shoulder lesions that were addressed surgically in grade 3 acromioclavicular joint (ACJ) dislocations, as well as to compare this incidence between younger and older patients and between acute and chronic cases. Methods: In this multicenter nonrandomized retrospective study, 98 patients operated on for grade 3 ACJ dislocation underwent concomitant arthroscopic evaluation for the identification and treatment of any associated lesions. The type and treatment of associated lesions were collected in a central database and analyzed. We classified patients according to age (<45 years and ≥ 45 years) and according to the length of time between trauma and surgical treatment (≤ 30 days and ≥ 120 days), obtaining the following stratification: younger acute, older acute, younger chronic, and older chronic. Results: Of the patients, 42 (42.8%) were diagnosed with at least 1 additional pathologic lesion, and 29 (29.5%) required a dedicated additional treatment. Rates of treatment on associated lesions were analyzed: younger versus older groups presented a significant difference, as did younger acute versus older acute groups; SLAP and posterior rotator cuff tear treatments represented 24 of the 35 additional surgeries (68.5%). Conclusions: The overall rate of associated pathologic lesions requiring additional surgical treatment in patients with ACJ dislocation was 29.5%. Patients aged 45 years or older had a greater risk of presenting with associated lesions that needed to be surgically addressed (odds ratio, 3.01). The overall rates of associated surgical lesions in acute versus chronic cases were not shown to be significantly different. Level of Evidence: Level IV, prognostic case series. (Copyright © 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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