Scapular dyskinesis and SICK scapula syndrome following surgical treatment of type III acute acromioclavicular dislocations

Murena, Luigi; Canton, Gianluca; Vulcano, Ettore; Cherubino, Paolo

doi:10.1007/s00167-012-1959-9

Cited by 68 publications

(42 citation statements)

References 18 publications

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“…Alguns estudos recentes demonstraram que o tratamento conservador das lesões grau III altera a cinemática da escápula. 9 No tratamento do atleta, consideraç ões individuais devem ser levadas em conta, como tipo de esporte, período do campeonato de ocorrência da lesão, nível de atividade, posição do jogador e tipo de arremesso. Na nossa opinião, um paciente não atleta com uma lesão do tipo III deve ser inicialmente conduzido de forma não cirúrgica, com foco em uma reabilitação adequada.…”

Section: Discussionunclassified

Luxação acromioclavicular: tratamento e reabilitação. Perspectivas e tendências atuais do ortopedista brasileiro

Arliani

Utino

Nishimura

et al. 2015

Revista Brasileira de Ortopedia

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Como citar este artigo: Arliani GG, et al. Luxação acromioclavicular: tratamento e reabilitação. Perspectivas e tendências atuais do ortopedista brasileiro. Rev Bras Ortop. 2015. http://dx.doi.org/10.1016/j.rbo.2014.09.013 ARTICLE IN PRESS RBO-932; No. of Pages 8 r e v b r a s o r t o p . 2 0 1 5;x x x(x x):xxx-xxx w w w . r b o . o r g . b r Artigo original Luxação acromioclavicular: tratamento e reabilitação. Perspectivas e tendências atuais do ortopedista brasileiro ଝ informações sobre o artigo Histórico do artigo: Recebido em 29 de julho de 2014 Aceito em 15 de setembro de 2014 On-line em xxx Palavras-chave: Articulação acromioclavicular Luxação do ombro Reabilitação r e s u m o Objetivo: Avaliar as condutas e os procedimentos feitos pelos cirurgiões ortopédicos do Brasil no tratamento e na reabilitação das luxaç ões acromioclaviculares do ombro. Métodos: Foi aplicado um questionário de oito questões fechadas que abordavam tópicos relacionados ao tratamento e à reabilitação das luxaç ões acromioclaviculares aos cirurgiões ortopédicos brasileiros nos três dias do 45 • Congresso Brasileiro de Ortopedia e Traumatologia de 2013. Resultados: Preencheram completamente o questionário e fizeram parte da amostra analisada 122 cirurgiões. A maior parte era proveniente da Região Sudeste. Na amostra, 67% dos participantes optariam pelo tratamento cirúrgico em pacientes com luxação acromioclavicular grau 3. Em relação à técnica preferida para tratamento cirúrgico das luxaç ões acromioclaviculares agudas, a maioria dos cirurgiões usa amarrilho subcoracoide com fixação acromioclavicular e transferência do ligamento coracoacromial (25,4%). Quando perguntados sobre complicaç ões encontradas após a cirurgia, 43,4% e 32,8% dos participantes, respectivamente, responderam que deformidade residual na articulação operada e dor foram as complicaç ões mais vistas no período pós-operatório. Conclusões: Apesar de não haver consenso no tratamento e na reabilitação das luxaç ões acromioclaviculares, há evolução em alguns tópicos analisados no questionário aplicado para os ortopedistas nacionais. No entanto, mais estudos prospectivos controlados são necessários para avaliar o benefício clínico e científico dessas tendências. Como citar este artigo: Arliani GG, et al. Luxação acromioclavicular: tratamento e reabilitação. Perspectivas e tendências atuais do ortopedista brasileiro. Rev Bras Ortop. 2015. http://dx.doi.org/10.1016/j.rbo.2014.09.013 ARTICLE IN PRESS RBO-932; No. of Pages 8 2 r e v b r a s o r t o p . 2 0 1 5;x x x(x x):xxx-xxx Acromioclavicular dislocation: treatment and rehabilitation. Current perspectives and trends among Brazilian orthopedists Keywords: Acromioclavicular joint Shoulder dislocation Rehabilitation a b s t r a c t Objective: To evaluate the approaches and procedures used by Brazilian orthopedic surgeons in treatment and rehabilitation of acromioclavicular dislocation of the shoulder. Methods: A questionnaire comprising eight closed questions that addressed topics relating to treatment and rehabilitation of acro...

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Section: Discussionunclassified

Luxação acromioclavicular: tratamento e reabilitação. Perspectivas e tendências atuais do ortopedista brasileiro

Arliani

Utino

Nishimura

et al. 2015

Revista Brasileira de Ortopedia

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“…In a similar study 7 on asymptomatic overhead athletes, it was found that conscious patient's control of the scapula orientation significantly increases the activation of the three parts of the trapezius without changing the UT/ MT and UT/LT ratios in two of the four exercises described by Cools et al 25 , namely the prone extension and sidelying external rotation of the arm. dyskinesis and one patient (2.9%) was affected by SICK syndrome 14 . Surgical treatment of Type III AC dislocation would, thus, be highly effective in preventing scapular dyskinesis and SICK syndrome.…”

Section: All Authors Contributed To Conception and Design Manuscriptmentioning

confidence: 99%

“…Scapular dyskinesis is not necessarily a pathologic term. In fact, it may be found either in asymptomatic subjects or in patients with pain in the shoulder girdle [3][4][5][6] , and, in both cases, in subjects playing no overhead sports or in athletes involved in several types of overhead sports, such as baseball, rugby, waterpolo, tennis, volleyball, swimming and badminton, as reported in the literature, 5,[7][8][9][10][11][12] and in patients with sequelae of clavicle fractures or AC joint injuries 13,14 . Burkhart et al 1 who recognised the importance of scapular dyskinesis in overhead athletes complaining of shoulder pain introduced the acronym SICK (Scapular malposition, Inferior medial border prominence, Coracoid pain and malposition and dysKynesis of scapular motion) to indicate the clinical findings that are present in the dyskinetic syndrome.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2013

OA Musculoskeletal Medicine

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Introduction Scapular dyskinesis is a condition responsible for alteration of the normal position and kinematics of the scapula rather than a disease. It can thus be found in healthy individuals or be responsible for a syndrome characterised by several symptoms and objective findings, called SICK, which indicates the main features of the disease. Our purpose is to describe the anatomical, pathogenetic and clinical characteristics of the condition, and to highlight the appropriate management. DiscussionThe vast majority of patients with scapular dyskinesis were overhead athletes, particularly baseball, rugby, tennis and volleyball players. Treatment is based on rehabilitation, using numerous exercises for activating scapulothoracic muscles. However, few studies report the results of the rehabilitative therapy. Conclusion Scapular dyskinesis is a well-recognised condition that needs early diagnosis with appropriate clinical examination, including specific tests, and adequate treatment to avoid the instauration of a SICK syndrome. The latter requires aggressive and prolonged treatment to be effectively cured. However, the results of rehabilitation are poorly known.

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“…[1,2]. In III grade cases, medical opinions begin to diverge as conservative treatment may result in scapular dyskinesis, SICK scapula syndrome, which causes discomfort in the shoulder girdle, weakness, and inability to take part in sporting activities [3]. If there is any doubt as to whether a patient would definitely benefit from surgery, it is reasonable to treat the patient expectantly, and if he has persistent symptoms, then a later stabilization operation may be done [4].…”

Section: Introductionmentioning

confidence: 99%

Kirschner wire migration from the clavicle to the cervical spine

Liberski¹,

Ficek²

2013

IJCRI

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Introduction: Kirschner wires (Kwires) are often used to treat injury to the shoulder girdle. Often found in such as literature are cases of migration of Kwires to the thoracic organs lungs, esophagus, aorta. This is a potentially a very serious complication that could lead to death. Case Report: A 31yearold male patient who was surgically treated for acromioclavicular joint separation on the right side. Six years later, the patient was admitted to the orthopedic department due to severe pain around the right acromioclavicular joint and septic inflammation in the surrounding area. The plain Xray showed that Weber's cerclage was broken and one of the Kirschner wires had migrated towards the central axis of the body, perpendicular to the spine at the level of (the 7th) cervical vertebra (C7). The angio computed tomography test, using multihelical amplified contrast, showed that the displaced 6.5 cm long Kwire segment had migrated to the spinal cord canal at the C7 vertebra. The wire passed through the two transverse foramen of C7 and adhered to the posterior surface of the trunk vertebra. The study did not show any pathological symptoms of the nervous system resulting from Kwire migration. The patient did not consent to the removal of the displaced K wire, due to alcoholism. Conclusion: Patients

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Scapular dyskinesis and SICK scapula syndrome following surgical treatment of type III acute acromioclavicular dislocations

Abstract: Retrospective study, Level IV.

Cited by 68 publications

References 18 publications

Luxação acromioclavicular: tratamento e reabilitação. Perspectivas e tendências atuais do ortopedista brasileiro

Luxação acromioclavicular: tratamento e reabilitação. Perspectivas e tendências atuais do ortopedista brasileiro

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Kirschner wire migration from the clavicle to the cervical spine

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