Limited distal clavicle excision of acromioclavicular joint osteoarthritis

Current evidence for nonpharmacological interventions and criteria for surgical management of persistent acromioclavicular joint osteoarthritis: A systematic review

“…Of the 10 included studies, two were randomized controlled trials, 15,21 one was a retrospective cohort study, 22 one was a prospective case series, 46 and six were retrospective case series. 16,17,20,43,45,47 The number of participants in each study ranged from 10 to 103, and the mean age of participants was 42 years (range 28-52.5). The average duration of ACJ pain until initial conservative treatment was reported in two studies, 16,17 whereas the duration of ACJ pain was implied from the minimum timeframe required to trial conservative management from the remaining eight studies.…”

“…The average duration of ACJ pain until initial conservative treatment was reported in two studies, 16,17 whereas the duration of ACJ pain was implied from the minimum timeframe required to trial conservative management from the remaining eight studies. 15,[20][21][22]43,[45][46][47] The percentage of participants with isolated ACJ osteoarthritis ranged from 32 to 100%. Participants were recruited from diverse populations including: athletic populations, 15 military populations, 21 and mixed populations (nonathletes, recreational athletes, overhead manual workers, desk job workers and manual laborers).…”

“…17,20,46 Five studies did not report the source of population. 16,22,[43][44][45] Interventions No studies investigated the outcomes of nonpharmacological interventions and all the included studies investigated the outcomes of surgical interventions. [15][16][17][20][21][22][43][44][45][46] The type of surgical interventions investigated has been presented in Table 2.…”

“…One surgeon performed most of the surgeries. [15][16][17]22,[43][44][45] In some studies, only the surgery location(s), setting(s), or date range(s) were stated. 20,46 However, in one study none of the above were reported.…”

Ultrasound‐Guided Prolotherapy for Acromial Enthesopathy and Acromioclavicular Joint Arthropathy: A Single‐Arm Prospective Study

“…The VAS score ranged from 0 to 10, with 0 for no pain and 10 for the most severe pain. In this study, the severity of symptoms was defined as mild (VAS score 0-3), moderate (4-7), and severe (8)(9)(10). The pretreatment score was recorded initially, and the posttreatment VAS scores were recorded in follow-up visits.…”