Retrospective analysis of patients with acromioclavicular joint dislocation treated with a specialized plate
DOI:
https://doi.org/10.14739/2310-1210.2020.2.200623Keywords:
joint, dislocation, hook plateAbstract
The purpose of the work – to determine disadvantages of hook plates fixation in acromioclavicular joint dislocations based on a retrospective analysis of patients treated for this pathology.
Materials and methods. A total of 112 patients treated for acromioclavicular joint dislocation in the SI “Institute of Traumatology and Orthopedics of the NAMS of Ukraine” between 2011 and 2018 were retrospectively analyzed. Acromioclavicular joint dislocation was fixed with a hook plate in 74 patients (66.1 %). All the patients were divided into 3 clinical groups: Group I – the hook plate was removed up to 4 months, Group II – the hook plate was removed between 4 and 6 months, Group III – the hook plate was removed after 6 months.
Results. The results of the treatment were evaluated by Constant–Murley Score before the hardware removal in patients. The following indicators were obtained: in Group I, 6.7 % of patients had good results and 4 % – satisfactory and unsatisfactory results, in Group II, 43.2 % of individuals had excellent and good results and 9.5 % – satisfactory results, in Group III, 19 % had excellent and good results and 17.6 % – satisfactory and unsatisfactory treatment results. 6 months after the hardware removal, in Group I, 8.2 % of patients showed excellent and good results and 2.7 % – satisfactory results, in Group II, 52.6 % of individuals had good and excellent results, in Group III, 20.3 % of persons had excellent and good results and 16.2 % – satisfactory and unsatisfactory treatment outcomes. Failures and complications of hook plates fixation in acromioclavicular joint were observed in 36 patients, among them 18 patients were with type III dislocation and 14 patients had type V dislocation by Rockwood.
Conclusions. The best results assessed by the Constant–Murley and Visual analogue scale scores were achieved in the group with the hook plate removal from the acromioclavicular joint after an interval of 4 to 6 months. When the hook plate was removed after a period of more than 6 months, complications such as irreversible changes in the acromioclavicular joint (posttraumatic osteoarthritis, bone tissue defect in the acromion etc.) were observed.References
Ma, R., Smith, P. A., Smith, M. J., Sherman, S. L., Flood, D., & Li, X. (2015). Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction. Current Reviews in Musculoskeletal Medicine, 8(1), 75-82. https://doi.org/10.1007/s12178-014-9255-6
Markel, J., Schwarting, T., Malcherczyk, D., Peterlein, C.-D., Ruchholtz, S., & El-Zayat, B. F. (2017). Concomitant glenohumeral pathologies in high-grade acromioclavicular separation (type III – V). BMC Musculoskeletal Disorders, 18, 439. https://doi.org/10.1186/s12891-017-1803-y
van Bergen, C. J. A., van Bemmel, A. F., Alta, T. D. W., & van Noort, A. (2017). New insights in the treatment of acromioclavicular separation. World Journal of Orthopedics, 8(12), 861-873. https://doi.org/10.5312/wjo.v8.i12.861
Lee, S., & Bedi, A. (2016). Shoulder acromioclavicular joint reconstruction options and outcomes. Current Reviews in Musculoskeletal Medicine, 9(4), 368-377. https://doi.org/10.1007/s12178-016-9361-8
Chen, C. H., Dong, Q. R., Zhou, R. K., Zhen, H. Q., & Jiao, Y. J. (2014). Effects of hook plate on shoulder function after treatment of acromioclavicular joint dislocation. International journal of clinical and experimental medicine, 7(9), 2564-2570.
Li, X., Ma, R., Bedi, A., Dines, D. M., Altchek, D. W., & Dines, J. S. (2014). Management of Acromioclavicular Joint Injuries. The Journal of Bone & Joint Surgery, 96(1), Article e3. https://doi.org/10.2106/jbjs.l.00734
Vrotsou, K., Ávila, M., Machón, M., Mateo-Abad, M., Pardo, Y., Garin, O., Zaror, C., González, N., Escobar, A., & Cuéllar, R. (2018). Constant–Murley Score: systematic review and standardized evaluation in different shoulder pathologies. Quality of Life Research, 27(9), 2217-2226. https://doi.org/10.1007/s11136-018-1875-7
Hawker, G. A., Mian, S., Kendzerska, T., & French, M. (2011). Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short‐Form McGill Pain Questionnaire (SF‐MPQ), Chronic Pain Grade Scale (CPGS), Short Form‐36 Bodily Pain Scale (SF‐36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care & Research, 63(S11), S240-S252. https://doi.org/10.1002/acr.20543
Kumar, N., & Sharma, V. (2015). Hook plate fixation for acute acromioclavicular dislocations without coracoclavicular ligament reconstruction: a functional outcome study in military personnel. Strategies in Trauma and Limb Reconstruction, 10(2), 79-85. https://doi.org/10.1007/s11751-015-0228-0
DeFroda, S. F., Nacca, C., Waryasz, G. R., & Owens, B. D. (2017). Diagnosis and Management of Distal Clavicle Osteolysis. Orthopedics, 40(2), 119-124. https://doi.org/10.3928/01477447-20161128-03
Petrie, A., & Sabin, C. (2015). Naglyadnaya meditsinskaya statistika [Medical Statistics at a Glance] (3rd ed.). (V. P. Leonov, Ed.). GEOTAR-Media.
Loganathan, S., Thanikaimalai, S., Nageshwaran, J., & Chittaranjan, S. (2017). Clavicle Hook Depth and Impingement Syndrome A Cause-Effect Relationship. Open Journal of Orthopedics, 7, 1-6. https://doi.org/10.4236/ojo.2017.71001
Li, G., Liu, T., Shao, X., Liu, Z., Duan, J., Akileh, R., Cao, S., & Jin, D. (2018). Fifteen-degree clavicular hook plate achieves better clinical outcomes in the treatment of acromioclavicular joint dislocation. Journal of International Medical Research, 46(11), 4547-4559. https://doi.org/10.1177/0300060518786910
Xu, D., Luo, P., Chen, J., Ji, L., Yin, L., Wang, W., & Zhu, J. (2017). Outcomes of surgery for acromioclavicular joint dislocation using different angled hook plates: a prospective study. International Orthopaedics, 41(12), 2605-2611. https://doi.org/10.1007/s00264-017-3611-2
Sun, S., Gan, M., Sun, H., Wu, G., Yang, H., & Zhou, F. (2016). Does Subacromial Osteolysis Affect Shoulder Function after Clavicle Hook Plating? BioMed Research International, 2016, Article 4085305. https://doi.org/10.1155/2016/4085305
Kang, S., Lee, H. M., & Back, I. H. (2016). Acromion Fracture after Hook Plate Fixation for Distal Clavicle Injury: A Report of 2 Cases. Clinics in Shoulder and Elbow, 19(3), 168-171. https://doi.org/10.5397/cise.2016.19.3.168
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