Ergebnisse einer prospektiven Multicenterstudie zur Behandlung der Schultereckgelenksprengung

Sehmisch, S; Ek, Stürmer; Zabka, K; Lösch, Andreas; Brunner, U; Km, Stürmer; Bauer, G

doi:10.1055/s-2008-1027541

Cited by 6 publications

(8 citation statements)

References 8 publications

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“…As in previous reviews [32,33], the studies were not consistent regarding the rehabilitation time. Cardone et al [26] and Gstettner et al [12] presented a better rehabilitation time in the surgically treated patients, especially in the young and physically active adults [26].…”

Section: Discussioncontrasting

confidence: 52%

Operative or conservative treatment in patients with Rockwood type III acromioclavicular dislocation: a systematic review and update of current literature

Korsten

Gunning

Leenen

2013

International Orthopaedics (SICOT)

103

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Purpose Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and present an overview of the outcome of conservative versus operative treatment of Rockwood type III dislocations. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was used to conduct this review. A systematic search was performed in the Pubmed, Cochrane library, Embase, Scopus and Cumulative Index to Nursing and Allied Health Literature databases. Titles and abstracts were screened using predefined criteria and articles were critically appraised on relevance and validity. Results After critical appraisal eight articles were included in the study. The objective and subjective shoulder function outcome was better in the operative group, especially in young adults, though the rate of complications and radiographic abnormalities were higher. The rehabilitation time was shorter in the conservative group, however the cosmetic outcome was worse. Conclusions This review showed no conclusive evidence for the treatment of Rockwood type III AC dislocations. Overall, physically active young adults seem to have a slight advantage in outcome when treated operatively.

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Section: Discussioncontrasting

confidence: 52%

Operative or conservative treatment in patients with Rockwood type III acromioclavicular dislocation: a systematic review and update of current literature

Korsten

Gunning

Leenen

2013

International Orthopaedics (SICOT)

103

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“…Bei Typ I und II gilt die konservative Versorgung als standardisiertes Behandlungsverfahren, die Versorgung von Typ III ist weiterhin kontrovers diskutiert [1,3,5,6,7,12,13,18,29,30,35]. Verletzungen des Typ IV-VI werden fast ausschließlich operativ versorgt [6,18].…”

Section: Aktueller Wissensstandunclassified

“…In den recherchierten Artikeln wurden für die Follow-up-Untersuchungen verschiedene Bewertungsverfahren genutzt. Die Spanne reicht von standardisierten, klinisch geprüften, wie statistisch orientierten Auswertungen und Datenerhebungen bis hin zu individuell entwickelten, nicht weiter erörterten subjektiven Messungen und Fragebögen [3,5,6,7,12,13,16,23,29,30]. Anwendung fanden der Imatani-Score, der Constant-Shoulder-oder auch Constant-Murley-Score (CSS) genannt, sowie der Simple-Shoulder-Test (SST) nach Matsen, der Oxford-Shoulder-Score (OSS) nach Dawson…”

Section: ▼ Erläuterung Der Testmittelunclassified

“…Im Bezug auf die in unserer Arbeit untersuchten Schwerpunkte Kraft, Funktionalität und Schmerz, konnten im Vergleich zwischen den ausgewerteten Studien keine signifi kanten Unterschiede zwischen der konservativen und operativen Versorgung einer Typ-III-Verletzung festgestellt werden [3,5,6,7,12,13,16,23,29,30]. gelten die Ergebnisse als defi nierte Größe und müssen als fungierendes Entscheidungsfi ndungskriterium tiefer erörtert werden.…”

Section: Schmerzunclassified

“…Die stark variierenden Zeitangaben wiederum stellen erneut ein Defi zit der nicht explizit defi nierten Versorgungen untereinander dar, was die Schwierigkeit die Therapie der Wahl im Bezug auf ihre Funktionalität erkennen zu können, hervorhebt [3,5,6,12,23,29].…”

Section: Schmerzunclassified

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Schultereckgelenkverletzung Typ III – eine Herausforderung auch für die Physiotherapie!

Rucker

Clijsen²,

Cabri

2011

Sportverletz Sportschaden

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Bürgi, N., Clijsen, R., Taeymans, J., Cabri, J. (2010 [1,4,6,11,12,13,24,29,33,59,62,67]. Purpose of this literature research was to evaluate the anastasis of a type III injury after conservative versus operative treatment concerning strength, function and pain of the shoulder. The authors tried to prove the possible superiority of either operative or conservative treatment and determine the reasons for the remaining unclarity.Method: Relevant studies were collected by conducting a literature search using the online databases; the selection criteria were randomized trials, clinical trials, review articles, and meta-analyses. A total of ten papers published 1998-2009 were selected and compromised six reviews and four clinically controlled studies. The analysis and comparison followed the criteria of evidence based medicine. Results:The research showed no significant superiority of neither operative nor conservative treatment although the majority of the paper's authors seem to recommend conservative intervention [6,11,12,13,33,62]. Minimal differences in outcomes concerning strength, function and pain of the shoulder justify this decision. Several reasons such as the common risks of surgery, a bigger effort and explicitly higher costs only to name some seem to be unacceptable for the possible case of minimally better outcome.The analysis and interpretation of the given studies launched a discussion about the comparability of over 150 different surgical techniques, insufficiently defined approaches of conservative treatment, differences in gender concerning anastasis, validity of measuring equipment, long term and short term results of the particular method [6,11,12,13,24,29,33,47,59,62].Discussion: At the current state of knowledge there is no gold standard for the treatment of type III acromioclavicular dislocations. To reach a consensus on which intervention should initially be chosen medicine has to respect the factors mentioned above while creating new clinically controlled studies. Furthermore the lack of guidelines for a conservative approach constitutes a challenge for future findings regarding physical therapy. Schultereckgelenkverletzung Typ III -eine Herausforderung auch für die Physiotherapie!

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Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults

Tamaoki

Belloti

Lenza

et al. 2010

Cochrane Database of Systematic Reviews

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Ergebnisse einer prospektiven Multicenterstudie zur Behandlung der Schultereckgelenksprengung

Cited by 6 publications

References 8 publications

Operative or conservative treatment in patients with Rockwood type III acromioclavicular dislocation: a systematic review and update of current literature

Operative or conservative treatment in patients with Rockwood type III acromioclavicular dislocation: a systematic review and update of current literature

Schultereckgelenkverletzung Typ III – eine Herausforderung auch für die Physiotherapie!

Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults

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