ArticleJSES international2025
Evolution and trends in the management of acromioclavicular joint dislocations: an epidemiological analysis from Germany between 2013 and 2023.
Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study aims to analyze nationwide trends in the management of hospitalized patients with acromioclavicular joint dislocations (ACJDs) in Germany over the past decade, focusing on surgical procedures and demographic patient data. The investigation examines the shift from conventional open stabilization techniques to mini-open and arthroscopically assisted approaches. Materials and methods: Hospital billing data from the Federal Statistical Office of Germany (2013-2023) were analyzed, including patients diagnosed with ACJD (International Classification of Diseases-10: primary diagnosis International Classification of Diseases S43.1) who underwent surgical reconstruction of the ACJD (German Operation and Procedure Classification System codes: 5-814b, 5-807.4, 5-807.5, 5-807.6, 5-930.0, 5-852.f, and 5-852.f8). Data included year of diagnosis, patient sex, surgical codes, and age (grouped in 5-year intervals). Data processing used R software for transformation and Tableau Desktop for subgroup analyses, stratified by type of procedure type, sex, and age. Statistical analyses, including linear regression and chi-squared tests, were conducted using GraphPad Prism (GraphPad Software, Inc., San Diego, CA, USA). Statistical significance was set at Results: From 2013 to 2023, 82,254 patients were hospitalized and surgically treated for ACJD in Germany, indicating a decline in inpatient surgical management ( Conclusions: Over the past decade, the management of ACJD s in Germany has shifted toward arthroscopically assisted stabilization, particularly in younger patients, while traditional open techniques have declined. Numbers of hospitalized treated cases have decreased, with a strong male predominance and age-related preferences influencing surgical approaches.
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