Evidence map›Paper›PMID 34093044›Full record

ReviewOpen access journal of sports medicine2021

Acromioclavicular Joint Injuries: Effective Rehabilitation.

Matthew R LeVasseur, Michael R Mancini, Daniel P Berthold, Antonio Cusano, Grace P McCann, Mark P Cote, Gregg Gomlinski, Augustus D Mazzocca

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Open access journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Management of Common Football-Related Injuries About the Shoulder.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023
    Article
  7. Review
  8. Article
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 1 institution in 2 countries.

Matthew R LeVasseurDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.ORCID 0000-0003-3366-3639
Michael R ManciniDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.ORCID 0000-0002-4883-6769
Daniel P BertholdDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Antonio CusanoDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Grace P McCannDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Mark P CoteDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Gregg GomlinskiDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Augustus D MazzoccaDepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
University of Connecticut · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo perform a review of the literature focusing on rehabilitation protocols in patients with acromioclavicular (AC) joint injuries treated operatively and nonoperatively and to provide an updated rehabilitation treatment algorithm.

methodsStudies were identified by searching the MEDLINE database from 01/1995 to 09/2020. Included studies contained detailed rehabilitation protocols with physiologic rationale for AC joint injuries. Biomechanical studies, technique articles, radiographic studies, systematic reviews, case studies, editorials, and studies that compared nonoperative versus operative treatment without focus on rehabilitation were excluded. Following identification of the literature, an updated treatment algorithm was created.

resultsThe search strategy yielded 1742 studies, of which 1654 studies were excluded based on title, 60 on the abstract, and 25 on the full manuscript. One study was manually identified using article reference lists, yielding four publications presenting detailed rehabilitation protocols based on physiologic rationale. No randomized controlled trials or comparative studies were identified or cited as a basis for these rehabilitation protocols.

conclusionFew detailed rehabilitation protocols in patients with AC joint injuries have been published. These protocols are limited by their standardization, arbitrary timelines, and provide minimal assessment of individual patient characteristics. The quality of patient care can be improved with more practical guidelines that are goal-oriented and allow for critical thinking among clinicians to address individual patient needs. Three common barriers preventing successful rehabilitation were identified and addressed: Pain, Apprehension, and (anterior chest wall) Stiffness to regain Scapular control, effectively termed "PASS" for AC joint rehabilitation. CLINICAL RELEVANCE: Rehabilitation protocols for AC joint injuries should be less formulaic and instead allow for critical thinking and effective communication among clinicians and therapists to address individual patient needs.

Indexed as

AC jointacromioclavicular jointphysical therapyrehabilitation

Identifiers

PMID34093044
PMCPMC8169819
OpenAlexW3165443131

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.