skip to Main Content

Dislocation of the Acromioclavicular Joint (JBJS 1987)

Screenshot-2015-05-20-00.12.34-e1432095302195-73x98 Dislocation of the Acromioclavicular Joint (JBJS 1987) Journal Club Shoulder | JC Sports Medicine | JC Upper Extremity | JC
Taft, T. N., Wilson, F. C., & Oglesby, J. W. (1987). Dislocation of the acromioclavicular joint. An end-result study. The Journal of Bone & Joint Surgery, 69(7), 1045. https://doi.org/3654696


In this classic article from JBJS, Taft et al. retrospectively analyzed 127 patients who had been treated both operatively and nonoperatively for acute dislocation of the acromioclavicular joint. Average follow-up was approximately 10 years. Fifty-two of the patients were managed with surgery and 75 were management without surgery.

Screenshot-2015-05-20-00.12.34-e1432095302195-73x98 Dislocation of the Acromioclavicular Joint (JBJS 1987) Journal Club Shoulder | JC Sports Medicine | JC Upper Extremity | JC   DC-Joint-Classification-300x238 Dislocation of the Acromioclavicular Joint (JBJS 1987) Journal Club Shoulder | JC Sports Medicine | JC Upper Extremity | JC

 

Classification system for acromioclavicular injury.

Key findings of operative versus nonoperative management of dislocation of the acromioclavicular joint
  • reduction of the AC joint was not necessary for good results
  • Operative management resulted in more complications than nonoperative management
  • 4 weeks of sling use led to good results (after gradual exercises)
  • In patients with persistent pain and symptoms, distal clavice resection was usually successful
Read More

Long-Term Outcomes of Isolated Stable Radial Head Fractures (JBJS 2014)

Background Concern for long term results of non-op Mason type I and II fx’s, good short and mid-term results but no good long term data Design Inclusion: Skeletally mature, >15yo, isolated Mason I or II radial head fx, non-op management Exclusion: Mason type III, concomitant ipsilateral elbow fx, elbow fx/dislocation, associated elbow/forearm instability, lost to f/u Same tx protocol Immobilization…

Read More

Distal radius fractures in children: Risk factors for redisplacement following closed reduction

Background 21-39% of pediatric distal radius fractures are reported to re-displace after closed reduction Few prospective studies have examined risk factors for redisplacement Purpose of study: Determine rate of redisplacement and identify those risk factors Methods Prospective study from 2/2011-10/2012. Inclusion criteria- CR of displaced distal radius fx under sedation. Exclusion criteria- previous fx at same site or pathologic fx.…

Read More

Long-Term Outcomes Following a Single Corticosteroid Injection for Trigger Finger (JBJS 2015) Wojahn et al.

Wojahn RD, Foeger NC, Gelberman RH, Calfee RP. Long-term outcomes following a single corticosteroid injection for trigger finger. J Bone Joint Surg Am. 2014 Nov 19;96(22):1849-54. doi: 10.2106/JBJS.N.00004. PubMed PMID: 25410501; PubMed Central PMCID: PMC4238395. Background:  Corticosteroid injection (CSI) mainstay of nonoperative treatment of trigger finger. 61%-84% success in short term followup. One prior study demonstrated linear failure in the…

Read More

Assessment of Instability Factors in Adult Distal Radius Fractures – Nesbitt et al (J Hand Surg 2004)

PMID 15576227 Lafontaine factors of instability initial dorsal angulation of greater than 20 degrees dorsal comminution radiocarpal intraarticular involvement associated ulna fractures age greater than 60 This study looked at 50 patients with radiographs at 1 week, 2 weeks, and 4 weeks after reduction Age was found to be a statistically significant predictor of secondary displacement Age was the only…

Read More

Prediction of Instability in Distal Radius Fractures – Mackenney et al (JBJS 2006)

http://www.ncbi.nlm.nih.gov/pubmed/16951109 Prospective collection of data on 4000 distal radial fractures collected at the Edinburgh Orthopaedic Trauma Unit Outcome measures included radiographic measurements at 1 week and 6 weeks Results: Predictors of early and late instability were patient age, metaphyseal comminution, and ulnar variance. Minimally displaced fractures only had a 10% chance of later instability Displaced fractures had 43% chance of…

Read More

Functional Outcomes for Unstable Distal Radial Fractures Treated with Open Reduction and Internal Fixation or Closed Reduction and Percutaneous Fixation – Rozental et al (JBJS 2009)

PubMed extraarticular or simple split intraarticular distal radius fractures ORIF (open reduction and internal fixation) has better functional (DASH) outcomes at 6, 9, and 12 weeks. outcomes were the same at a year  

Read More
Back To Top