Clinical Outcomes of the Cadenat Procedure in the Treatment of Acromioclavicular Joint Dislocations

Moriyama, Hiroaki; Gotoh, Masafumi; Mitsui, Yasuhiro; Yoshikawa, Eiichirou; Uryu, Takuya; Okawa, Takahiro; Higuchi, Fujio; Shirahama, Masahiro; Shiba, Naoto

doi:10.2739/kurumemedj.ms64001

Cited by 3 publications

(9 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After screening and eligibility assessment (Fig. 1), 44 studies [1, 2, 5, 6, 8, 10, 11, 14–16, 18, 19, 22, 24, 25, 27–34, 36, 37, 39, 40, 43, 44, 46, 47, 50, 51, 54, 58, 59, 62–65, 67–70] were finally included in the review.…”

Section: Resultsmentioning

confidence: 99%

“…The methodological quality of the included studies was low. Only one non‐comparative study was considered at low risk of bias [22]; while the other 31 studies [1, 2, 5, 6, 8, 11, 14–16, 18, 25, 27–30, 33, 36, 39, 40, 43, 44, 47, 50, 51, 54, 59, 64, 67–70] were considered at high risk of bias. Two comparative studies [37, 62] resulted at low risk of bias, while 12 studies [10, 19, 24, 31, 32, 34, 46, 58, 63, 65] resulted at high risk of bias.…”

Section: Resultsmentioning

confidence: 99%

“…The present review did not set any cut-off, since a clear definition has not been yet provided by the literature. Therefore, AC joint dislocations were considered chronic by some included studies if the trauma occurred more than 2 weeks before surgery [14][15][16]70], as well as more than 6 months [10,18,24,25,34,43,44,47,62,63,67]. These differences may be explained by the fact that most of the time chronic surgery becomes the main treatment option only after failure of conservative treatment, which can variably last from 3 weeks up to 3 months.…”

Section: Discussionmentioning

confidence: 99%

“…Studies reporting results of these techniques with synthetic augmentation were not included in the comparison. [27,31,32,47,63] Artificial ligaments augmented with temporary k-wire [19,65] Hook plate and Weaver Dunn [10,25,40] Allograft [29,39,44,58] Double button [59] Tension band and Weaver Dunn [1] Allograft with synthetic augmentation [46,58] Bosworth screw and Weaver Dunn [51] Weaver-Dunn [10,24,33,34,58,62,68] Hook plate and Cadenat [43] Weaver-Dunn augmented with buttons [2,8,31] Hook plate and Dewar -Barrington [67] Weaver-Dunn augmented with artificial ligament [69] Cadenat [5,16] Cadenat augmented with buttons [15] Conjoined tendon and coracoacromial ligament transfer [30,36] Main characteristics are summarised in Table 7 and clinical outcomes are reported in Table 8. No differences could be demonstrated in clinical outcomes among different groups except for VAS pain, in favour of autograft reconstruction (p < 0.0001) and ASES score in favour of allograft (p < 0.0001).…”

Section: Comparison Between Biologic Reconstruction Techniquesmentioning

confidence: 99%

“…According to the Rockwood classiication, 351 type III, 41 type IV, 229 type V and one type VI AC joint dislocations were included. Time from injury to surgery was more than 2 weeks in four studies [14][15][16]70], more than 1 month in six studies [19,22,39,58,59,68], more than 6 weeks in 10 studies [5,11,27,29,30,37,46,50,51,54], more than 3 months in 11 studies [1,2,6,8,10,28,33,[63][64][65], more than 6 months in 11 studies [10,18,24,25,34,43,44,47,62,63,67], and not reported in one study [31].…”

Section: Includedmentioning

confidence: 99%

See 4 more Smart Citations

Anatomic reconstruction of the acromioclavicular joint provides the best functional outcomes in the treatment of chronic instability

Sircana

Saccomanno

Mocini

et al. 2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose To systematically review the outcomes of surgical treatments of chronic acromioclavicular joint dislocation. Methods Studies were identified by electronic databases (Ovid, PubMed). All studies reporting functional and radiological outcomes of surgical treatments of chronic acromioclavicular joint dislocations were included. Following data were extracted: authors and year, study design, level of evidence, number of patients, age, classification of acromioclavicular joint dislocation, time to surgery, surgical technique, follow-up, clinical and imaging outcomes, complications and failures. Descriptive statistics was used, when a data pooling was not possible. Comparable outcomes were pooled to generate summary outcomes reported as frequency-weighted values. Quality appraisal was assessed through the MINORS checklist. Results Fourty-four studies were included for a total of 1020 shoulders. Mean age of participants was 38 years. Mean followup was 32.9 months. Arthroscopic techniques showed better results than open approach (p < 0.0001). Synthetic reconstructions demonstrated better functional outcomes compared to internal fixation and biologic techniques (p < 0.0001). Among biologic techniques, combined coracoclavicular and acromioclavicular ligaments reconstruction showed better Constant (p = 0.0270) and ASES (p = 0.0113) scores compared to isolated coracoclavicular ligaments reconstruction; anatomic biologic non-augmented graft reconstruction showed better Constant (p < 0.0001), VAS (p < 0.0001) and SSV (p = 0.0177) results compared to augmented techniques. No differences in functional outcomes could be found between anatomic biologic nonaugmented graft versus synthetic reconstructions. Overall, methodological quality of the included studies was low. Conclusion Anatomic reconstructions, both synthetic and biologic, showed the best functional results. Level of evidence IV.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Comparison Between Biologic Reconstruction Techniquesmentioning

confidence: 99%

Section: Includedmentioning

confidence: 99%

See 3 more Smart Citations

Anatomic reconstruction of the acromioclavicular joint provides the best functional outcomes in the treatment of chronic instability

Sircana

Saccomanno

Mocini

et al. 2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

Disorders of the Acromioclavicular Joint

Collins¹

2017

Rockwood and Matsen's the Shoulder

View full text Add to dashboard Cite

Shoulder Joint Range of Motion Related to Dementia

Honjo,

Nagai,

Yuri

et al. 2024

Dement Geriatr Cogn Disord

View full text Add to dashboard Cite

Introduction: Dementia is caused by various diseases, including Alzheimer’s disease dementia (ADD) and Dementia with Lewy bodies (DLB). We often encounter patients with dementia who have limited shoulder joint range of motion (ROM), especially those with behavioral and psychological symptoms of dementia (BPSD). But the relationship between the diseases of dementia and restricted shoulder joint ROM is currently unclear. Methods: We examined cognitive function and shoulder joint ROM in 234 new outpatients at 7 memory clinics in Japan. We assessed cognitive function using the Mini-Mental State Examination (MMSE) and Revised Hasegawa Dementia Scale (HDS-R), and BPSD using the Neuropsychiatric Inventory Questionnaire (NPI-Q). Patients were categorized by dementia diagnosis (ADD, DLB, other dementia, and control). Right, left, and total shoulder joint ROM was assessed using validated the Japanese Orthopaedic Association (JOA) score. Results: We found significant associations of lower right, left, and total shoulder joint ROM scores with male sex, advanced age, higher NPI-Q score, lower HDS-R and MMSE scores. Little difference was found between right and left shoulder joint ROM scores. Restricted shoulder joint ROM was related to serial 7, verbal frequency domain scores on the HDS-R and repeat score on the MMSE. It was also related to the hallucinations, irritability/lability and nighttime disturbances scores on the NPI-Q. Furthermore, the dementia groups, especially the DLB group, showed worse shoulder joint ROM than the control group. Conclusions: Dementia was significantly related to restricted shoulder joint ROM. Maintaining communication and social interaction may help to maintain shoulder joint ROM.

show abstract

Clinical Outcomes of the Cadenat Procedure in the Treatment of Acromioclavicular Joint Dislocations

Cited by 3 publications

References 3 publications

Anatomic reconstruction of the acromioclavicular joint provides the best functional outcomes in the treatment of chronic instability

Anatomic reconstruction of the acromioclavicular joint provides the best functional outcomes in the treatment of chronic instability

Disorders of the Acromioclavicular Joint

Shoulder Joint Range of Motion Related to Dementia

Contact Info

Product

Resources

About