Return-to-activity after anatomical reconstruction of acute high-grade acromioclavicular separation
| Autor: | Saier, T., Plath, J. E., Beitzel, K., Minzlaff, P., Feucht, J. M., Reuter, S., Martetschläger, F., Imhoff, Andreas B., Aboalata, M., Braun, S. |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Competitive Behavior Time Factors Tight-rope Joint Dislocations suture button device Arthroscopy Disability Evaluation Young Adult Acromioclavicular separation Humans Orthopedics and Sports Medicine ddc:610 Return-to-activity Retrospective Studies Recovery of Function Rockwood V Biomechanical Phenomena Return to Sport Treatment Outcome Acromioclavicular Joint Athletic Injuries Female Reconstruction human activities Acromioclavicular Research Article Returnto-sports |
| Zdroj: | BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Background To evaluate return-to-activity (RtA) after anatomical reconstruction of acute high-grade acromioclavicular joint (ACJ) separation. Methods A total of 42 patients with anatomical reconstruction of acute high-grade ACJ-separation (Rockwood Type V) were surveyed to determine RtA at a mean 31 months follow-up (f-u). Sports disciplines, intensity, level of competition, participation in overhead and/or contact sports, as well as activity scales (DASH-Sport-Module, Tegner Activity Scale) were evaluated. Functional outcome evaluation included Constant score and QuickDASH. Results All patients (42/42) participated in sporting activities at f-u. Neither participation in overhead/contact sports, nor level of activity declined significantly (n.s.). 62 % (n = 26) of patients reported subjective sports specific ACJ integrity to be at least the same as prior to the trauma. Sporting intensity (hours/week: 7.3 h to 5.4 h, p = .004) and level of competition (p = .02) were reduced. If activity changed, in 50 % other reasons but clinical symptoms/impairment were named for modified behavior. QuickDASH (mean 6, range 0–54, SD 11) and DASH-Sport-Module (mean 6, range 0–56, SD 13) revealed only minor disabilities at f-u. Over time Constant score improved significant to an excellent score (mean 94, range 86–100, SD 4; p |
| Databáze: | OpenAIRE |
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