Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ?
<b>Background:</b> Concomitant glenohumeral pathologies may be present in patients with acromioclavicular joint (ACJ) dislocations. This study aims to record and compare the prevalence and treatment of CGP in cases with acute and chronic ACJ dislocations. <b>Methods:</b> This...
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| Format: | Article |
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MDPI AG
2024-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/6/1723 |
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| author | Philipp Vetter Manije Massih Frederik Bellmann Larissa Eckl Philipp Moroder Asimina Lazaridou Markus Scheibel |
| author_facet | Philipp Vetter Manije Massih Frederik Bellmann Larissa Eckl Philipp Moroder Asimina Lazaridou Markus Scheibel |
| author_sort | Philipp Vetter |
| collection | DOAJ |
| description | <b>Background:</b> Concomitant glenohumeral pathologies may be present in patients with acromioclavicular joint (ACJ) dislocations. This study aims to record and compare the prevalence and treatment of CGP in cases with acute and chronic ACJ dislocations. <b>Methods:</b> This retrospective cross-sectional binational, bicentric study included patients that underwent arthroscopically assisted stabilization for acute (group A) and chronic (group C) ACJ dislocations. Intraoperatively, CGPs and eventual treatments (debridement and reconstructive measures) were recorded. <b>Results:</b> The study included 540 patients (87% men; mean age 39.4 years), with 410 (75.9%) patients in group A and 130 (24.1%) in group C. Patients in group C were older (<i>p</i> < 0.001). The CGP prevalence was 30.7%, without a difference between groups A and C (<i>p</i> = 0.19). Supraspinatus tendon (SSP) and labral lesions were most common. Within group C, CGPs were more prevalent in surgery-naïve patients (<i>p</i> = 0.002). Among 49 patients with previous surgical treatment, CGPs tended to be more common in patients with prior open surgery than arthroscopically assisted surgery (<i>p</i> = 0.392). Increased CGP prevalence was associated with higher age (r = 0.97; <i>p</i> = 0.004) (up to 63% in the oldest age group, but also 17% for youngest age group) and higher in cases with Rockwood type-IIIB injuries compared to type-V injuries (<i>p</i> = 0.028), but type-IIIB injuries included more group C cases (<i>p</i> < 0.001). The most frequently found CGPs were treated by debridement rather than reconstructive interventions (SSP and labrum: <i>p</i> < 0.001, respectively). <b>Conclusions:</b> This study shows that one in three patients with ACJ instabilities has a CGP, especially elderly patients. Most of the CGPs were treated by debridement rather than constructive interventions. |
| first_indexed | 2024-04-24T18:08:44Z |
| format | Article |
| id | doaj.art-02c720819498480898b99897c6eb9b0d |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T18:08:44Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-02c720819498480898b99897c6eb9b0d2024-03-27T13:48:08ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01136172310.3390/jcm13061723Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ?Philipp Vetter0Manije Massih1Frederik Bellmann2Larissa Eckl3Philipp Moroder4Asimina Lazaridou5Markus Scheibel6Department of Traumatology, University Hospital Zurich, Rämistrasse 100, 8091 Zurich, SwitzerlandDepartment of Locomotive Surgery, Vivantes Clinic, Neue Bergstrasse 6, 13585 Berlin, GermanyDepartment of Shoulder and Elbow Surgery, Schulthess Clinic, Lengghalde 2, 8008 Zurich, SwitzerlandDepartment of Shoulder and Elbow Surgery, Schulthess Clinic, Lengghalde 2, 8008 Zurich, SwitzerlandDepartment of Shoulder and Elbow Surgery, Schulthess Clinic, Lengghalde 2, 8008 Zurich, SwitzerlandDepartment of Shoulder and Elbow Surgery, Schulthess Clinic, Lengghalde 2, 8008 Zurich, SwitzerlandDepartment of Shoulder and Elbow Surgery, Schulthess Clinic, Lengghalde 2, 8008 Zurich, Switzerland<b>Background:</b> Concomitant glenohumeral pathologies may be present in patients with acromioclavicular joint (ACJ) dislocations. This study aims to record and compare the prevalence and treatment of CGP in cases with acute and chronic ACJ dislocations. <b>Methods:</b> This retrospective cross-sectional binational, bicentric study included patients that underwent arthroscopically assisted stabilization for acute (group A) and chronic (group C) ACJ dislocations. Intraoperatively, CGPs and eventual treatments (debridement and reconstructive measures) were recorded. <b>Results:</b> The study included 540 patients (87% men; mean age 39.4 years), with 410 (75.9%) patients in group A and 130 (24.1%) in group C. Patients in group C were older (<i>p</i> < 0.001). The CGP prevalence was 30.7%, without a difference between groups A and C (<i>p</i> = 0.19). Supraspinatus tendon (SSP) and labral lesions were most common. Within group C, CGPs were more prevalent in surgery-naïve patients (<i>p</i> = 0.002). Among 49 patients with previous surgical treatment, CGPs tended to be more common in patients with prior open surgery than arthroscopically assisted surgery (<i>p</i> = 0.392). Increased CGP prevalence was associated with higher age (r = 0.97; <i>p</i> = 0.004) (up to 63% in the oldest age group, but also 17% for youngest age group) and higher in cases with Rockwood type-IIIB injuries compared to type-V injuries (<i>p</i> = 0.028), but type-IIIB injuries included more group C cases (<i>p</i> < 0.001). The most frequently found CGPs were treated by debridement rather than reconstructive interventions (SSP and labrum: <i>p</i> < 0.001, respectively). <b>Conclusions:</b> This study shows that one in three patients with ACJ instabilities has a CGP, especially elderly patients. Most of the CGPs were treated by debridement rather than constructive interventions.https://www.mdpi.com/2077-0383/13/6/1723acromioclavicular joint instabilityconcomitant glenohumeral pathologiesarthroscopically assisted surgery |
| spellingShingle | Philipp Vetter Manije Massih Frederik Bellmann Larissa Eckl Philipp Moroder Asimina Lazaridou Markus Scheibel Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ? Journal of Clinical Medicine acromioclavicular joint instability concomitant glenohumeral pathologies arthroscopically assisted surgery |
| title | Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ? |
| title_full | Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ? |
| title_fullStr | Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ? |
| title_full_unstemmed | Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ? |
| title_short | Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ? |
| title_sort | concomitant glenohumeral pathologies in patients with acromioclavicular joint dislocations how do acute and chronic instabilities differ |
| topic | acromioclavicular joint instability concomitant glenohumeral pathologies arthroscopically assisted surgery |
| url | https://www.mdpi.com/2077-0383/13/6/1723 |
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