| Autor: |
Johanna V. Leon, BMedSci (Dist), MBBS (Hons), Deborah Hermans, RN, RM, BN Specialty Orthopaedics, Venkatesha Venkatesha, PhD, MSc, BSc, David G. Duckworth, MBBS, FRACS (Orth) |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
JSES International, Vol 7, Iss 6, Pp 2400-2405 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2666-6383 |
| DOI: |
10.1016/j.jseint.2023.07.014 |
| Popis: |
Background: Distal clavicle excision for acromioclavicular joint (ACJ) pathology is currently the mainstay of surgical management in patients with symptoms refractory to nonoperative treatment. There have been few high quality studies outlining the efficacy of arthroscopic excision of the distal clavicle as a single procedure in patients with isolated disease. Aim: To characterize function and pain outcomes in patients undergoing arthroscopic distal clavicle excision by utilizing stringent inclusion criteria to isolate ACJ pathology. Methods: Prospective data collection was undertaken with a minimum two year follow-up of 59 patients undergoing arthroscopic distal clavicle excision for ACJ osteoarthritis or distal clavicle osteolysis. Stringent eligibility criteria were applied to each patient. Data collection consisted of demographic data, clinical assessment of range of motion, and patient-reported outcome measures (PROMs), utilizing the standardized Shoulder Pain and Disability Index (SPADI) and the Visual Analogue (VAS) score to characterize pain. Furthermore, time to return to work and sport and a subjective measure of how ‘normal’ the shoulder felt were assessed. Data was recorded preoperatively, and at six, 12, and 24 months postoperatively. Statistical analysis was conducted utilizing institutional support. Results: Statistically significant improvements in range of motion measurements (abduction, forward elevation and external rotation), and PROMs (SPADI and VAS scores) were reported. VAS scores reduced from an average of 8.20 preoperatively to 3.39 (P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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