Acromioclavicular joint sprains: the post-injury recovery interval

Injury
Matthew B K ShawP Adrian Evans

Abstract

Acromioclavicular joint (ACJ) sprains occur after injuries to the shoulder girdle. Current practice is to treat such injuries conservatively. This study determines the recovery interval of ACJ sprains treated conservatively. Forty-seven patients with grades I or II ACJ sprains were evaluated in a shoulder clinic and treated conservatively. The average age was 37 years, with the injury being caused by a fall, contact sport or road-traffic accident. At an interval of 12 months or greater these patients were assessed by means of a questionnaire. Six months post-injury, pain was described as significant by 14 (40%) patients, decreasing to 5 patients (14%) at final follow-up. A restricted range of movement was reported by seven patients (20%) 6 months post-injury. There is a positive correlation between patients symptomatic at 6 months and those whose symptoms persist beyond 1 year (r=0.6, 95% CI=0.28-0.76, P<0.01). Three patients (9%) found that symptoms affected their ability to perform activities of daily living and two patients (6%) had to change sporting activities. Patients may continue to experience adverse symptoms beyond 6 months and should be advised accordingly on appropriate treatment should symptoms persist.

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Citations

May 2, 2013·Archives of Orthopaedic and Trauma Surgery·Mark Tauber
Aug 17, 2010·Sports Medicine and Arthroscopy Review·Eric J StraussNikhil N Verma
Jan 29, 2014·Der Orthopäde·M Tauber
Apr 23, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Rachel M FrankAnthony A Romeo
Jul 13, 2018·Journal of Orthopaedic Surgery and Research·Guheng WangShuguo Xing
Jan 14, 2021·The American Journal of Sports Medicine·Daniël E VerstiftMichel P J van den Bekerom
Jan 3, 2014·The Journal of Bone and Joint Surgery. American Volume·Xinning LiJoshua S Dines
Mar 21, 2019·Deutsches Ärzteblatt International·Frank MartetschlägerDirk Maier
Oct 29, 2020·Archives of Orthopaedic and Trauma Surgery·Tazio MaleitzkePhilipp Moroder

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