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Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review

Injuries of the acromioclavicular joint (ACJ) occur frequently in young and active people. The best management of acute grade III injuries has been a source of controversy and extensive debate. When surgery is indicated, there is still no gold standard surgical technique for treating acute grade III...

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Detalles Bibliográficos
Autores principales: Okereke, Isaac, Abdelfatah, Elsenosy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9525049/
https://www.ncbi.nlm.nih.gov/pubmed/36196289
http://dx.doi.org/10.7759/cureus.28657
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author Okereke, Isaac
Abdelfatah, Elsenosy
author_facet Okereke, Isaac
Abdelfatah, Elsenosy
author_sort Okereke, Isaac
collection PubMed
description Injuries of the acromioclavicular joint (ACJ) occur frequently in young and active people. The best management of acute grade III injuries has been a source of controversy and extensive debate. When surgery is indicated, there is still no gold standard surgical technique for treating acute grade III ACJ injuries. The methodology of this review was a comprehensive search of PubMed, Medline, Cochrane, and EMBASE databases using various combinations of the keywords “Rockwood,” “type III,” “grade III,” “treatment,” “surgery,” “acromioclavicular joint,” and “dislocation,” since the inception of the databases to December 2020. Surgical techniques were divided into two groups. In group 1 were ACJ fixation techniques using hardware such as the hook plate, Kirschner wires, and wire cerclage; group 2 included coracoclavicular (CC) ligament fixation/reconstruction techniques using double buttons, TightRope®, suture anchors, Endobuttons, the Infinity-Lock(TM) Button System, etc. Fourteen studies were selected for the final review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This review showed better outcome scores in group 2. Overall, complication rates were higher in group 1 compared to group 2. The results of this review show that CC fixation, using suspensory or loop devices, of Rockwood grade III injuries, has better outcomes and fewer complications than fixation of the ACJ with hardware.
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spelling pubmed-95250492022-10-03 Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review Okereke, Isaac Abdelfatah, Elsenosy Cureus Physical Medicine & Rehabilitation Injuries of the acromioclavicular joint (ACJ) occur frequently in young and active people. The best management of acute grade III injuries has been a source of controversy and extensive debate. When surgery is indicated, there is still no gold standard surgical technique for treating acute grade III ACJ injuries. The methodology of this review was a comprehensive search of PubMed, Medline, Cochrane, and EMBASE databases using various combinations of the keywords “Rockwood,” “type III,” “grade III,” “treatment,” “surgery,” “acromioclavicular joint,” and “dislocation,” since the inception of the databases to December 2020. Surgical techniques were divided into two groups. In group 1 were ACJ fixation techniques using hardware such as the hook plate, Kirschner wires, and wire cerclage; group 2 included coracoclavicular (CC) ligament fixation/reconstruction techniques using double buttons, TightRope®, suture anchors, Endobuttons, the Infinity-Lock(TM) Button System, etc. Fourteen studies were selected for the final review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This review showed better outcome scores in group 2. Overall, complication rates were higher in group 1 compared to group 2. The results of this review show that CC fixation, using suspensory or loop devices, of Rockwood grade III injuries, has better outcomes and fewer complications than fixation of the ACJ with hardware. Cureus 2022-09-01 /pmc/articles/PMC9525049/ /pubmed/36196289 http://dx.doi.org/10.7759/cureus.28657 Text en Copyright © 2022, Okereke et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Physical Medicine & Rehabilitation
Okereke, Isaac
Abdelfatah, Elsenosy
Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review
title Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review
title_full Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review
title_fullStr Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review
title_full_unstemmed Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review
title_short Surgical Management of Acute Rockwood Grade III Acromioclavicular Joint Dislocations: A Systematic Review
title_sort surgical management of acute rockwood grade iii acromioclavicular joint dislocations: a systematic review
topic Physical Medicine & Rehabilitation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9525049/
https://www.ncbi.nlm.nih.gov/pubmed/36196289
http://dx.doi.org/10.7759/cureus.28657
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