Arthroscopic treatment of acute acromioclavicular dislocations using a double button device: Clinical and MRI results
| Autor: | Philippe Loriaut, L. Casabianca, Philippe Massin, E. Desportes, J. Alkhaili, Romain Rousseau, B. Dallaudiere, Patrick Boyer |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Shoulder Shoulder surgery Thoracic Injuries Visual analogue scale Acromioclavicular joint dislocation medicine.medical_treatment Joint Dislocations Pain Arthroscopy Young Adult Postoperative Complications Return to Work Recurrence medicine Acromioclavicular joint Humans Orthopedics and Sports Medicine Pain Measurement Wound Healing medicine.diagnostic_test business.industry Shoulder Dislocation Magnetic resonance imaging Middle Aged Clavicle Magnetic Resonance Imaging Surgery Return to Sport Radiography medicine.anatomical_structure Acromioclavicular Joint Coronal plane Ligaments Articular Ligament Female Ligament healing business MRI Follow-Up Studies |
| Zdroj: | Orthopaedicstraumatology, surgeryresearch : OTSR. 101(8) |
| ISSN: | 1877-0568 |
| Popis: | IntroductionArthroscopic treatment of acute grade 3 and 4 acromioclavicular dislocation is controversial, due to the risk of recurrence and of postoperative reduction defect. The purpose of the present study was to investigate whether the healing of the acromioclavicular (AC) and coracoclavicular (CC) ligaments and the accurate 3D positioning parameters of the AC joint using MRI were correlated with satisfactory functional outcome.MaterialThirty-nine patients were enrolled from 2009 to 2011 and managed arthroscopically by CC lacing using a double-button device.MethodsClinical assessment included the Shoulder and Hand (QuickDash) score, Constant-Murley score and visual analog scale (VAS) for residual pain. Time and rate to return to work and return to sport were assessed according to type of sport and work. Postoperative complications were recorded. Radiological examination consisted of anteroposterior clavicle and lateral axillary radiographs. AC ligament healing and 3D joint congruency were assessed on MRI and correlated to the clinical results.ResultsMean patient age was 35.7 years (range, 20–55). Mean follow-up was 42.3±10.6 months (range, 24–60). At final follow-up, mean QuickDash score, Constant score and VAS were respectively 1.7±4 (range, 0–11), 94.7±7.3 (range, 82–100) and 0.5±1.4 (range, 0–2). Thirty-five (90%) patients were able to resume work, including heavy manual labor, and sport. Radiology found accurate 3D joint congruency in 34 patients (87%) and CC and AC ligament healing in 36 (93%). Complications included reduction loss at 6 weeks in 3 patients, requiring surgical stabilization. Satisfactory functional results were associated with accurate AC joint congruency in the coronal and axial planes (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect