Title |
Return-to-activity after anatomical reconstruction of acute high-grade acromioclavicular separation
|
---|---|
Published in |
BMC Musculoskeletal Disorders, April 2016
|
DOI | 10.1186/s12891-016-0989-8 |
Pubmed ID | |
Authors |
T. Saier, J. E. Plath, K. Beitzel, P. Minzlaff, J. M. Feucht, S. Reuter, F. Martetschläger, Andreas B. Imhoff, M. Aboalata, S. Braun |
Abstract |
To evaluate return-to-activity (RtA) after anatomical reconstruction of acute high-grade acromioclavicular joint (ACJ) separation. A total of 42 patients with anatomical reconstruction of acute high-grade ACJ-separation (Rockwood Type V) were surveyed to determine RtA at a mean 31 months follow-up (f-u). Sports disciplines, intensity, level of competition, participation in overhead and/or contact sports, as well as activity scales (DASH-Sport-Module, Tegner Activity Scale) were evaluated. Functional outcome evaluation included Constant score and QuickDASH. All patients (42/42) participated in sporting activities at f-u. Neither participation in overhead/contact sports, nor level of activity declined significantly (n.s.). 62 % (n = 26) of patients reported subjective sports specific ACJ integrity to be at least the same as prior to the trauma. Sporting intensity (hours/week: 7.3 h to 5.4 h, p = .004) and level of competition (p = .02) were reduced. If activity changed, in 50 % other reasons but clinical symptoms/impairment were named for modified behavior. QuickDASH (mean 6, range 0-54, SD 11) and DASH-Sport-Module (mean 6, range 0-56, SD 13) revealed only minor disabilities at f-u. Over time Constant score improved significant to an excellent score (mean 94, range 86-100, SD 4; p < .001). Functional outcome was not correlated with RtA (n.s.). All patients participated in sporting activities after anatomical reconstruction of high-grade (Rockwood Type V) ACJ-separation. With a high functional outcome there was no significant change in activity level (Tegner) and participation in overhead and/or contact sports observed. There was no correlation between functional outcome and RtA. Limiting, there were alterations in time spent for sporting activities and level of competition observed. But in 50 % those were not related to ACJ symptoms/impairment. Unrelated to successful re-established integrity and function of the ACJ it should be considered that patients decided not return-to-activity but are very content with the procedure. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 2% |
Unknown | 61 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 9 | 15% |
Student > Doctoral Student | 8 | 13% |
Student > Master | 7 | 11% |
Student > Bachelor | 4 | 6% |
Student > Ph. D. Student | 4 | 6% |
Other | 11 | 18% |
Unknown | 19 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 23 | 37% |
Nursing and Health Professions | 4 | 6% |
Agricultural and Biological Sciences | 3 | 5% |
Psychology | 2 | 3% |
Sports and Recreations | 2 | 3% |
Other | 5 | 8% |
Unknown | 23 | 37% |