Evidence map›Paper›PMID 31410526›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

Arthroscopically assisted acromioclavicular joint stabilization leads to significant clavicular tunnel widening in the early post-operative period.

Siva Thangaraju, Serdar Cepni, Petra Magosch, Mark Tauber, Peter Habermeyer, Frank Martetschläger

Abstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 36 citations in OpenAlex.

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  10. Acromioclavicular joint suture button repair leads to coracoclavicular tunnel widening.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 5 countries.

Siva ThangarajuCentre for Shoulder and Elbow Surgery, ATOS Clinic Munich, Effnerstr 38, 81925, Munich, Germany.
Serdar CepniCentre for Shoulder and Elbow Surgery, ATOS Clinic Munich, Effnerstr 38, 81925, Munich, Germany.
Petra MagoschATOS Clinic, Bismarck Str 9-15, 69115, Heidelberg, Germany.
Mark TauberCentre for Shoulder and Elbow Surgery, ATOS Clinic Munich, Effnerstr 38, 81925, Munich, Germany.
Peter HabermeyerCentre for Shoulder and Elbow Surgery, ATOS Clinic Munich, Effnerstr 38, 81925, Munich, Germany.
Frank MartetschlägerCentre for Shoulder and Elbow Surgery, ATOS Clinic Munich, Effnerstr 38, 81925, Munich, Germany. frank.martetschlaeger@atos.de.ORCID http://orcid.org/0000-0003-1027-8893
Arçelik (Turkey) · TRAtos (France) · FRElectro Optical Systems (Germany) · DEHospital Kuala Lumpur · MYInstitute for Sports Medicine · DEParacelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeArthroscopically assisted acromioclavicular joint (ACJ) stabilization techniques use bone tunnels in the clavicle and coracoid process. The tunnel size has been shown to have an impact on the fracture risk of clavicle and coracoid. The aim of the present study was to radiographically evaluate the alterations of the clavicular tunnel size in the early post-operative period. It was hypothesized that there would be a significant increase of tunnel size.

methodsTwenty consecutive patients with acute high-grade ACJ (Rockwood type IV-V) injury underwent arthroscopic-assisted ACJ stabilization. The median age of the patients was 40 (26-66) years. For all patients, a single tunnel button-tape construct was used along with an additional ACJ tape cerclage. Radiologic measurements were undertaken on standardized Zanca films at two separate time points, immediate post-operative examination (IPO) and at late post-operative examination (> 4 months; LPO). The LPO radiographs were taken at a median follow-up period of 4.5 (3-6) months. Clavicular tunnel width (CT) and coracoclavicular distance (CCD) were measured using digital calipers by two independent examiners and the results are presented as median, range, and percentage.

resultsThe median CCD increased significantly from 9.5 (8-13) mm at IPO to 12 (7-20) mm at LPO (p < 0.05). Median tunnel size showed significant difference from 3 (3-4) mm at IPO to 5 (4-7) mm at LPO (p < 0.05). Despite a significant increase of 2 mm (66.6%) of the initial tunnel size, there was no correlation between tunnel widening and loss of reduction.

conclusionArthroscopic ACJ stabilization with the use of bone tunnels led to a significant increase of clavicular tunnel size in the early post-operative period. This phenomenon carries a higher fracture risk, especially in high-impact athletes, which needs to be considered preoperatively. LEVEL OF EVIDENCE: IV.

Indexed as

ArthroscopyAcromioclavicular JointAdultAgedClavicleFemaleHumansMaleMiddle AgedPostoperative PeriodRadiographyYoung AdultAcromioclavicular jointAcromioclavicular joint stabilizationAcute acromioclavicular joint dislocationArthroscopyClavicleClavicle tunnel wideningRadiography

Identifiers

PMID31410526
OpenAlexW2968383352

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.