Evidence map›Paper›PMID 32335695›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Radiographic alterations in clavicular bone tunnel width following anatomic coracoclavicular ligament reconstruction (ACCR) for chronic acromioclavicular joint injuries.

Daniel P Berthold, Lukas N Muench, Felix Dyrna, Colin L Uyeki, Mark P Cote, Andreas B Imhoff, Knut Beitzel, Augustus D Mazzocca

Abstract read
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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.3field-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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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  16. 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

8 authors at 4 institutions in 2 countries.

Daniel P BertholdDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA. daniel.berthold@mri.tum.de.
Lukas N MuenchDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Felix DyrnaDepartment of Trauma, Hand and Reconstructive, Surgery University Hospital Muenster, Muenster, Germany.
Colin L UyekiDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Mark P CoteDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Andreas B ImhoffDepartment of Orthopaedic Sports Medicine, Technical University of Munich, Munich, Germany.
Knut BeitzelDepartment of Orthopaedic Sports Medicine, Technical University of Munich, Munich, Germany.
Augustus D MazzoccaDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Technical University of Munich · DEUConn Health · USUniversity Hospital Münster · DEUniversity of Connecticut · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate tunnel widening and its relationship in loss of reduction and clinical outcomes in patients undergoing anatomic coracoclavicular ligament reconstruction (ACCR) using free tendon grafts for chronic acromioclavicular (AC) joint injuries.

methodsA retrospective chart review was performed on patients undergoing ACCR for type III-VI AC joint injuries between January 2003 and December 2017. For radiographic analysis, pre- and post-operative coracoclavicular distance (CCD) and tunnel width of the medial and lateral clavicular bone tunnel were measured at the earliest (EPO) and latest postoperative follow-up (LPO). To determine the clinical relevance of improvement in clinical outcome score (American Shoulder and Elbow Surgeons score) substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) thresholds were used.

resultsTwenty-four patients with a mean clinical follow-up of 37 ± 35 months (mean age 44.7 ± 13.4) were included in the study. Both the medial (5.6 ± 0.2 mm

conclusionPatients who underwent ACCR using a free tendon graft for the treatment of chronic type III-VI ACJ injuries showed significant clavicular bone tunnel widening during the postoperative course. No correlation between tunnel widening and loss of reduction was shown with radiographic findings having no influence on clinical benefit and satisfaction. STUDY

designCase Series; Level of evidence, IV.

Indexed as

Acromioclavicular JointAdultAgedArthroplastyClavicleFemaleHumansJoint DislocationsLigaments, ArticularMaleMiddle AgedOrthopedic ProceduresPlastic Surgery ProceduresPostoperative PeriodRadiographyRetrospective StudiesACCRAC jointAcromioclavicular joint injuryAnatomic coracoclavicular ligament reconstructionLoss of reductionTunnel widening

Identifiers

PMID32335695
OpenAlexW3018023624

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.