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Management of Acromioclavicular Injuries – Current Concepts
INTRODUCTION: Treatment of a patient with acromioclavicular joint (ACJ) injury remains challenging for orthopedic surgeons. To date, there is debate over the optimal management of ACJ injuries. This review provides an overview of assessment, treatment, and future perspectives for the treatment of an...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940602/ https://www.ncbi.nlm.nih.gov/pubmed/36814992 http://dx.doi.org/10.2147/ORR.S340531 |
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author | de Groot, Charlotte Verstift, Daniel E Heisen, Jelle van Deurzen, Derek F P van den Bekerom, Michel P J |
author_facet | de Groot, Charlotte Verstift, Daniel E Heisen, Jelle van Deurzen, Derek F P van den Bekerom, Michel P J |
author_sort | de Groot, Charlotte |
collection | PubMed |
description | INTRODUCTION: Treatment of a patient with acromioclavicular joint (ACJ) injury remains challenging for orthopedic surgeons. To date, there is debate over the optimal management of ACJ injuries. This review provides an overview of assessment, treatment, and future perspectives for the treatment of and research into ACJ. MATERIAL AND METHODS: A scoping literature review was performed. The search was built including the following terms: acromioclavicular joint injuries or dislocation, and pathophysiology, etiology, anatomy, treatment, and trauma mechanism. The papers with evidence levels 1–3 were included in the current narrative review. RESULTS: A total of 2242 potential relevant studies were identified in the searches. After removal of duplicates, 432 studies were screened on their titles and abstracts, resulting in 35 studies being included in the review, based on the eligibility criteria. CONCLUSION: The management of acute and chronic ACJ injuries is not clarified in the current literature. However, there is currently insufficient high-level evidence for the overall treatment options for ACJ injuries. If surgical intervention is decided upon in consultation with the patient, the complications may not outweigh the benefits. The multitude of existing techniques is indicative of the uncertainty surrounding this issue, and no gold standard has yet been established for treatment methods. An ideal classification would include not only vertical and horizontal instability, but also the severity of kinematic alterations of the shoulder complex. This indicates the need for a new and improved diagnostic tool for the classification of ACJ injuries. |
format | Online Article Text |
id | pubmed-9940602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-99406022023-02-21 Management of Acromioclavicular Injuries – Current Concepts de Groot, Charlotte Verstift, Daniel E Heisen, Jelle van Deurzen, Derek F P van den Bekerom, Michel P J Orthop Res Rev Review INTRODUCTION: Treatment of a patient with acromioclavicular joint (ACJ) injury remains challenging for orthopedic surgeons. To date, there is debate over the optimal management of ACJ injuries. This review provides an overview of assessment, treatment, and future perspectives for the treatment of and research into ACJ. MATERIAL AND METHODS: A scoping literature review was performed. The search was built including the following terms: acromioclavicular joint injuries or dislocation, and pathophysiology, etiology, anatomy, treatment, and trauma mechanism. The papers with evidence levels 1–3 were included in the current narrative review. RESULTS: A total of 2242 potential relevant studies were identified in the searches. After removal of duplicates, 432 studies were screened on their titles and abstracts, resulting in 35 studies being included in the review, based on the eligibility criteria. CONCLUSION: The management of acute and chronic ACJ injuries is not clarified in the current literature. However, there is currently insufficient high-level evidence for the overall treatment options for ACJ injuries. If surgical intervention is decided upon in consultation with the patient, the complications may not outweigh the benefits. The multitude of existing techniques is indicative of the uncertainty surrounding this issue, and no gold standard has yet been established for treatment methods. An ideal classification would include not only vertical and horizontal instability, but also the severity of kinematic alterations of the shoulder complex. This indicates the need for a new and improved diagnostic tool for the classification of ACJ injuries. Dove 2023-02-16 /pmc/articles/PMC9940602/ /pubmed/36814992 http://dx.doi.org/10.2147/ORR.S340531 Text en © 2023 de Groot et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Review de Groot, Charlotte Verstift, Daniel E Heisen, Jelle van Deurzen, Derek F P van den Bekerom, Michel P J Management of Acromioclavicular Injuries – Current Concepts |
title | Management of Acromioclavicular Injuries – Current Concepts |
title_full | Management of Acromioclavicular Injuries – Current Concepts |
title_fullStr | Management of Acromioclavicular Injuries – Current Concepts |
title_full_unstemmed | Management of Acromioclavicular Injuries – Current Concepts |
title_short | Management of Acromioclavicular Injuries – Current Concepts |
title_sort | management of acromioclavicular injuries – current concepts |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940602/ https://www.ncbi.nlm.nih.gov/pubmed/36814992 http://dx.doi.org/10.2147/ORR.S340531 |
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