Item type: | Article | ||||
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Journal or Publication Title: | Knee Surgery, Sports Traumatology, Arthroscopy | ||||
Publisher: | Springer | ||||
Place of Publication: | NEW YORK | ||||
Volume: | 29 | ||||
Number of Issue or Book Chapter: | 7 | ||||
Page Range: | pp. 2325-2332 | ||||
Date: | 2021 | ||||
Institutions: | Medicine > Lehrstuhl für Unfallchirurgie | ||||
Identification Number: |
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Keywords: | CORACOCLAVICULAR LIGAMENT RECONSTRUCTION; INTRAOBSERVER RELIABILITY; CLASSIFICATION; DISLOCATION; STABILIZATION; COMPLICATIONS; STABILITY; INJURIES; REPAIR; Acromioclavicular joint; Ac joint instability; Instability; Ac joint; Treatment; Diagnosis; Consensus; Delphi; European shoulder associates | ||||
Dewey Decimal Classification: | 600 Technology > 610 Medical sciences Medicine | ||||
Status: | Published | ||||
Refereed: | Yes, this version has been refereed | ||||
Created at the University of Regensburg: | Yes | ||||
Item ID: | 50563 |
Abstract
Purpose To develop a consensus on diagnosis and treatment of acromioclavicular joint instability. Methods A consensus process following the modified Delphi technique was conducted. Panel members were selected among the European Shoulder Associates of ESSKA. Five rounds were performed between October 2018 and November 2019. The first round consisted of gathering questions which were then divided ...
Abstract
Purpose To develop a consensus on diagnosis and treatment of acromioclavicular joint instability. Methods A consensus process following the modified Delphi technique was conducted. Panel members were selected among the European Shoulder Associates of ESSKA. Five rounds were performed between October 2018 and November 2019. The first round consisted of gathering questions which were then divided into blocks referring to imaging, classifications, surgical approach for acute and chronic cases, conservative treatment. Subsequent rounds consisted of condensation by means of an online questionnaire. Consensus was achieved when >= 66.7% of the participants agreed on one answer. Descriptive statistic was used to summarize the data. Results A consensus was reached on the following topics. Imaging: a true anteroposterior or a bilateral Zanca view are sufficient for diagnosis. 93% of the panel agreed on clinical override testing during body cross test to identify horizontal instability. The Rockwood classification, as modified by the ISAKOS statement, was deemed valid. The separation line between acute and chronic cases was set at 3 weeks. The panel agreed on arthroscopically assisted anatomic reconstruction using a suspensory device (86.2%), with no need of a biological augmentation (82.8%) in acute injuries, whereas biological reconstruction of coracoclavicular and acromioclavicular ligaments with tendon graft was suggested in chronic cases. Conservative approach and postoperative care were found similar Conclusion A consensus was found on the main topics of controversy in the management of acromioclavicular joint dislocation. Each step of the diagnostic treatment algorithm was fully investigated and clarified.
Metadata last modified: 23 Mar 2022 13:36