studying coracoid tunnel widening after arthroscopic fixation of acute acromioclavicular joint (ACJ) dislocation using TightRope system and its correlation with loss of reduction and the functional scores.
Abstract Purpose: To detect coracoid tunnel widening after arthroscopic fixation of acute acromioclavicular joint (ACJ) dislocation using TightRope system and its correlation with loss of reduction and the functional scores. Methods: From July 2016 to Dec 2018, a prospective study was performed at our hospital. Twenty-three patients with acute grade III-V ACJ dislocation were included in the study. Arthroscopic double tight-rope repair of the ACJ was performed. Coracoid tunnel widening was measured by computed tomography (CT) and coraco-clavicular distance was measured on the x-ray immediately post-operative and at 12 months. Constant Shoulder Score, Oxford Shoulder Score, Nottingham Clavicle Score and Visual analogue scale were used as outcome measures at 12 months. Level of evidence IV Keywords Acute acromioclavicular joint injury . TightRope . Coracoid tunnel dilatation. Loss of reduction.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
23
arthroscopic fixation of Acute acromioclavicular joint injury using tight rope
Adjustable button device from Arthrex Naples USA
Coracoid tunnel diameter difference between immediate postoperative and final follow up
Radiological outcome using CT scans
Time frame: 1 year
Coraco-clavicular distance immediate postoperative and at final follow up
Radiological outcome using X-rays
Time frame: 1 year
Constant-Murley shoulder score. Ranges from 0 representing worst outcome to 100 representing best outcome
Clinical score using a questionnaire
Time frame: 1 year
Disability of arm shoulder and Hand score ( DASH score) highest is 100 which represents worst outcome while lowest is 0 representing best possible outcome
Clinical score using a questionnaire
Time frame: 1 year
Oxford Shoulder score, a questionnaire of 12 questions each scores from 1 to 5. 1 being the fewest symptoms, 5 being the worst. The total score is 60 marks, the higher the score the worse the outcomes
Clinical score using a questionnaire
Time frame: 1 year
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