AI Article Synopsis
- Various surgical options exist for repairing the coracoclavicular ligament in acromioclavicular joint dislocations, but there is no definitive gold standard; arthroscopic approaches are gaining popularity.
- A systematic review analyzed 52 studies focusing on the clinical outcomes of arthroscopic surgeries, specifically examining factors such as function, pain scores, complications, and revision rates.
- The findings indicate that arthroscopic surgery shows promising results with high postoperative function scores, low failure rates, and more complications in chronic cases compared to acute ones, making it a viable option for treating AC joint dislocations.
Article Abstract
Introduction: Various surgical procedures for coracoclavicular (CC) ligament repair have been described for symptomatic acromioclavicular joint dislocations, with none emerging as a clear gold standard. There has been increased interest in arthroscopic approaches. This systematic review evaluates clinical outcomes after arthroscopic surgeries used to treat chronic and acute AC joint dislocations.
Methods: We searched three databases (PubMed, EMBASE, and OVID [MEDLINE]) from database inception to December 20, 2022. Studies were included if they met the following criteria: studies evaluating humans, English language studies, level of evidence I to IV, and studies investigating clinical outcomes in patients following arthroscopic surgery for coracoclavicular ligament reconstruction. Studies on open reconstruction techniques only were excluded. Primary outcomes included function/pain scores, coracoclavicular distances, complications, and revision rates.
Results: Fifty-two studies were included. In 33 studies, postoperative Constant-Murley scores ranged from 82.8 to 99 points. Postoperative VAS scores ranged from 0.3 to 4.1 in 16 studies. In 46 studies, revision rates ranged from 0 % to 44.4 %. We did not observe a difference in revision rates between chronic and acute cases (P = 0.268). Complications were more common in chronic than acute cases (25.5 % vs. 16.4 %; P < 0.001).
Conclusions: Arthroscopic surgery for chronic and acute CC ligament injuries exceeds the MCID and PASS for several outcomes, with low failure rates. Arthroscopic CC reconstruction is a safe and effective alternative for chronic AC joint dislocations.
Level Of Evidence: IV (Systematic Review of Level I-IV Studies).
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11439535 | PMC |
| http://dx.doi.org/10.1016/j.jor.2024.07.015 | DOI Listing |
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