A systematic review of the treatment of primary acromioclavicular joint osteoarthritis.
In: Shoulder & Elbow, Jg. 16 (2024-04-01), Heft 2, S. 129-144
Online
academicJournal
Zugriff:
Background: This systematic review aims to comprehensively summarise and present the available evidence for the treatment of primary acromioclavicular joint (ACJ) osteoarthritis (OA). Methods: Five databases were searched for studies investigating the management of ACJ OA. Included were studies with participants with clinical/radiological signs of primary ACJ OA, an intervention and included a functional outcome measure. Results: Forty-eight studies were included. Treatments consisted of physiotherapy (n = 1 study), medical only (n = 11) and operative management (n = 36). Operative studies included five comparative trials – physiotherapy versus surgery (n = 1) and open versus arthroscopic resection (n = 4). A total of 1902 shoulders were treated for ACJ OA, mean age (51 years), 58% male and mean follow-up (28.5 months). Treatment with injection showed a mean improvement of 50% in pain levels at follow-up (mean = 7.5 months). The commonest surgical procedure was arthroscopic excision of the distal clavicle and operative studies averaged 6 months of conservative management and a mean functional outcome of 87.8%. Conclusion: Studies varied in indication, intervention and quality but it did not provide evidence that both non-operative and operative interventions are effective. There was no significant difference between open or arthroscopic distal clavicle excision (DCE). Participants having between 0.5 and 2 cm of clavicle excised had good outcomes and those requiring concomitant shoulder procedures had similarly good outcomes. [ABSTRACT FROM AUTHOR]
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Titel: |
A systematic review of the treatment of primary acromioclavicular joint osteoarthritis.
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Autor/in / Beteiligte Person: | Welch, Matthew ; Rankin, Sally ; How Saw Keng, Matthew ; Woods, David |
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Zeitschrift: | Shoulder & Elbow, Jg. 16 (2024-04-01), Heft 2, S. 129-144 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 1758-5732 (print) |
DOI: | 10.1177/17585732231157090 |
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