Evidence map›Paper›PMID 36805298›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

No correlation exists between coracoid tunnel widening and loss of reduction after arthroscopic acromioclavicular fixation using tightrope system.

Ahmed Samir Elkalyoby, Mohamed Refaat Waly, Begad Hesham Mostafa Zaky Abdelrazek, Ahmed Rizk Mohamed, Khaled Shohayeb, Ahmed Fouad Seifeldin

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ahmed Samir ElkalyobyTrauma and Orthopedics Faculty of Medicine, Cairo University, Mathaf El-Manial Street, Manial Cairo, 11553, Egypt. a.s.elkalyoby@kasralainy.edu.eg.ORCID http://orcid.org/0000-0002-3184-7402
Mohamed Refaat WalyTrauma and Orthopedics Faculty of Medicine, Cairo University, Mathaf El-Manial Street, Manial Cairo, 11553, Egypt.
Begad Hesham Mostafa Zaky AbdelrazekTrauma and Orthopedics Faculty of Medicine, Cairo University, Mathaf El-Manial Street, Manial Cairo, 11553, Egypt.
Ahmed Rizk MohamedTrauma and Orthopedics Faculty of Medicine, Cairo University, Mathaf El-Manial Street, Manial Cairo, 11553, Egypt.
Khaled ShohayebTrauma and Orthopedics Faculty of Medicine, Cairo University, Mathaf El-Manial Street, Manial Cairo, 11553, Egypt.
Ahmed Fouad SeifeldinTrauma and Orthopedics Faculty of Medicine, Cairo University, Mathaf El-Manial Street, Manial Cairo, 11553, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo detect the widening of the tunnel of the coracoid process after arthroscopic fixation of acute acromioclavicular joint (ACJ) dislocation using the TightRope system and its correlation with loss of reduction and functional scores.

methodsFrom 2016 to 2018, a prospective study was performed on twenty-three patients with acute grade III-V ACJ dislocation. Arthroscopic TightRope repair of the ACJ was performed. Coracoid tunnel widening was measured by CT, and the coracoclavicular distance was measured on the radiographs immediately postoperatively and at 12 months. The Constant Shoulder Score, Oxford Shoulder Score, Nottingham Clavicle Score and Visual analog scale were used as outcome measures at 12 months.

resultsThe coracoid tunnel diameter to horizontal coracoid diameter ratio increased from 22.8 ± 3.7% immediately postoperatively to 38.5 ± 5.5% at 12 months (p < 0.001). The coracoclavicular (CC) distance showed an increase from a mean of 10.8 ± 1.7 mm to a mean of 11.8 ± 2.5 at 12 months (p < 0.001). There was no correlation between the increase in the coracoclavicular distance and the patients' functional clinical scores or coracoid tunnel widening.

conclusionCoracoid tunnel widening and radiological loss of reduction occur after arthroscopic fixation of acute ACJ dislocation with the TightRope system. However, they do not correlate with each other or with the functional scores of the patient. LEVEL OF EVIDENCE: Level IV.

Indexed as

Acromioclavicular JointJoint DislocationsShoulder DislocationArthroscopyHumansProspective StudiesShoulderTreatment OutcomeAcute acromioclavicular joint injuryCoracoid tunnel wideningLoss of reductionTightRope

Identifiers

PMID36805298
PMCPMC10276113

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