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Filename: controllers/Detail.php
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Filename: controllers/Detail.php
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Filename: controllers/Detail.php
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Filename: controllers/Detail.php
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Filename: controllers/Detail.php
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Filename: controllers/Detail.php
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Message: file_get_contents(https://...@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
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Objective: To determine if additional pathology is present in low-grade acromioclavicular (AC) joint injuries.
Design: Prospective case series.
Setting: Patients were assessed by primary care sports medicine physicians at a single institution between 2019 and 2023.
Patients: Patients aged 18 to 65 years diagnosed with a type I to III AC injury based on clinical and radiographic evaluation.
Intervention: Consenting patients underwent magnetic resonance imaging (MRI) evaluation within 21 days of injury. All injuries were treated nonoperatively.
Main Outcome Measures: Additional pathologies identified on MRI were reported in a standardized fashion by fellowship-trained musculoskeletal radiologists.
Results: Twenty-nine patients (26 men/3 women) were consented with a mean (±SD) age of 28.6 ± 9.5 years. The mean time from injury to MRI was 8.1 ± 5.9 days. Twenty-three injuries were sport related, and 6 were accidental traumas. Based on MRI, injury type was reclassified in 16 of 29 patients, and 13 remained unchanged. Additional pathologies identified included 14 muscle injuries, 5 rotator cuff tears, 5 labral tears, 1 nondisplaced fracture, and 1 intra-articular body.
Conclusion: MRI evidence suggests that most AC joint injuries are more severe than clinically diagnosed. Identifying additional pathology may alter diagnostic and treatment guidelines for type I to III AC joint injuries.
Download full-text PDF |
Source |
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http://dx.doi.org/10.1097/JSM.0000000000001231 | DOI Listing |
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