Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2021 Jul;29(7):2024-2038.
doi: 10.1007/s00167-020-05917-6. Epub 2020 Mar 16.

The prevalence of intraarticular associated lesions after acute acromioclavicular joint injuries is 20%. A systematic review and meta-analysis

Miguel Angel Ruiz Ibán  1 , Miguel Santiago Moreno Romero  2 , Jorge Diaz Heredia  2 , Raquel Ruiz Díaz  2 , Alfonso Muriel  3   4 , Jesus López-Alcalde  3   5   6
Affiliations
Meta-Analysis

The prevalence of intraarticular associated lesions after acute acromioclavicular joint injuries is 20%. A systematic review and meta-analysis

Miguel Angel Ruiz Ibán et al. Knee Surg Sports Traumatol Arthrosc. 2021 Jul.

Abstract

Purpose: To synthesise the evidence on the prevalence of associated intraarticular lesions in subjects with acute acromioclavicular joint (ACJ) dislocations.

Methods: A search in two electronic databases (PUMBMED and EMBASE) was performed from 1985 to 2019. Two independent reviewers selected studies that complied with the following inclusion criteria: (1) the study included data on surgically treated ACJ dislocation grade III-V in the Rockwood classification, (2) the ACJ injuries were acute (the surgery was performed less than 6 weeks after injury), (3) an arthroscopic evaluation of the glenohumeral joint was performed during surgery. The quality of the studies included was assessed using the tool of the Joanna Briggs Institute.

Results: A total of 47 studies with acute ACJ injuries met the initial inclusion criteria. Of these, 21 studies (9 retrospective case series, 9 prospective case series and 3 retrospective cohort studies) presented data on associated intraarticular lesions amenable for use in the meta-analysis. The meta-analysed studies included a total of 860 subjects with acute ACJ dislocations with a male/female ratio of 6.5 and a mean age of 32 years. The meta-analysis showed a prevalence of associated intraarticular lesions in subjects with acute ACJ of 19.9% (95% confidence interval [CI] 14.0-26.4%; 21 studies, 860 analysed participants; P = 0.000; I2: 74.5% random-effects model; low risk of bias).

Conclusion: One in five subjects with surgically treated acute ACJ dislocations will have an associated intraarticular lesion that requires further intervention. The case for a customary arthroscopic evaluation of the joint, even when an open procedure is performed to deal with the ACJ dislocation, is strong. Level of evidence IV Trial registry Systematic review registration number: PROSPERO CRD42018090609.

Keywords: Acromioclavicular joint injury; Acute acromioclavicular joint injury; Associated lesions; Shoulder arthroscopy.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Abat González F, Gelber PE, Sarasquete J (2012) Arthroscopic anatomic repair of acute acromioclavicular joint dislocations. Trauma 23:14–19
    1. Arrigoni P, Brady PC, Zottarelli L, Barth J, Narbona P, Huberty D et al (2014) Associated lesions requiring additional surgical treatment in grade 3 acromioclavicular joint dislocations. Arthroscopy 30:6–10 - PubMed
    1. Beitzel K, Mazzocca AD, Bak K, Itoi E, Kibler WB, Mirzayan R et al (2014) ISAKOS upper extremity committee consensus statement on the need for diversification of the Rockwood classification for acromioclavicular joint injuries. Arthroscopy 30:271–278 - PubMed
    1. Bin Abd Razak HR, Yeo EN, Yeo W, Lie TD (2018) Short-term outcomes of arthroscopic TightRope((R)) fixation are better than hook plate fixation in acute unstable acromioclavicular joint dislocations. Eur J Orthop Surg Traumatol 28:869–875 - PubMed
    1. Cavinatto LM, Iwashita RA, Neto AAF, Benegas E, Malavolta EA, Gracitelli MEC et al (2011) Arthroscopic treatment of acute acromioclavicular joint dislocation using suture anchors. Acta Ortop Bras 19:141–144