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Clinical and anatomical outcomes of isolated coracoclavicular fixation after acromioclavicular joint injury: is it stable enough or is additional horizontal fixation necessary?

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dc.contributor.authorŞahin, Koray
dc.contributor.authorErtogrul, Rodi
dc.contributor.authorKapıcıoğlu, Mehmet
dc.contributor.authorErşen, Ali
dc.contributor.authorBilsel, Kerem
dc.date.accessioned2023-05-18T22:49:23Z
dc.date.available2023-05-18T22:49:23Z
dc.date.issued2022-12-31T21:00:00Z
dc.description.abstractRecently, an emphasis has been put on anatomical reduction of acromioclavicular (AC) joint both in vertical and hortizontal planes for management of AC joint injuries due to persisting horizontal instability. Therefore, an additional AC fixation in horizontal plane has been recommended. However, relation between horizontal AC joint instability and clinical outcomes is still controversial. This study aims to evaluate outcomes of isolated coraco-clavicular fixation using arthroscopic assisted single coraco-clavicular tunnel technique in grade III and V AC joint injuries and to investigate the correlation between anatomical and clinical outcomes.
dc.description.abstractThis study was conducted with 19 patients with grade III or V AC joint injury. Clinical outcomes included postoperative pain intensity and functional outcomes (Constant Score, American Shoulder and Elbow Surgeons, and Subjective Shoulder Value). Radiological evaluations were performed using radiographs and postoperative computed tomography scans. Degree of initial injury and postoperative stability both on axial and coronal planes were evaluated after radiological assessment. Correlations between anatomical and clinical outcomes were investigated using Pearson's correlation test.
dc.description.abstractAt the final follow-up assessment, the mean pain score was 1.8 ± 1.8, mean American Shoulder and Elbow Surgeons score was 81.0 ± 15.4, mean Subjective Shoulder Value was 81.3 ± 19.6, and mean Constant Score was 86.3 ± 14.8. The mean loosening ratio and AC distance were 43.5 ± 30.6% and 4.3 ± 12.4 mm, respectively. No correlation was observed between postoperative anatomical and clinical outcomes ( > .05).
dc.description.abstractAdditional AC fixation on horizontal plane is not a prerequisite for all injuries, there is no significant association between horizontal instability and clinical outcomes and indications of an additional AC fixation needs to be determined.
dc.identifier.pubmed36820409
dc.identifier.urihttps://hdl.handle.net/20.500.12645/38338
dc.language.isoen
dc.subjectAcromioclavicular joint fixation
dc.subjectAcromioclavicular joint injury
dc.subjectCoracoclavicular fixation
dc.subjectHorizontal instability
dc.subjectSingle coracoclavicular tunnel
dc.subjectVertical instability
dc.titleClinical and anatomical outcomes of isolated coracoclavicular fixation after acromioclavicular joint injury: is it stable enough or is additional horizontal fixation necessary?
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