Acromioclavicular Joint Dislocation
Conditions
Keywords
acromioclavicular joint dislocation, ac joint dislocation, acromioclavicular joint separation, hook plate, Rockwood
Brief summary
The study aims to answer if surgery with hook plate for acute dislocation of the acromioclavicular joint (AC joint) grade III and V according to Rockwood is superior to conservative treatment.
Interventions
PROCEDUREhook plate
Surgery with hook plate followed by physiotherapy
OTHERPhysiotherapy
Patients will be following a program specific for AC joint dislocations
Sponsors
St Goran's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* AC joint dislocation grade III according to Rockwood with at least half a clavicular bone width above the acromion or grade V according to Rockwood * men and women 18-65 years and able to work * understand spoken and/or written Swedish or English language * be able to start treatment within 3 weeks from trauma * consent form signed
Exclusion criteria
* earlier injury to, or surgery of either of the shoulders * simultaneous fracture of the clavicle or acromion * associates neurovascular injury * severe osteoporosis * open dislocation * open growth plate of the acromion * local skin damage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Constant Score | change from Baseline in Constant Score at 24 months |
Secondary
| Measure | Time frame |
|---|---|
| Disabilities of Arm, Shoulder and Hand function (QuickDASH) | change from Baseline in QuickDASH at 24 months |
Other
| Measure | Time frame | Description |
|---|---|---|
| European Quality of Life - 5 dimensions (EQ5D) | Change from baseline in EQ-5D at 24 months | — |
| Shoulder Pain and Disability Index (SPADI) | Change from baseline in SPADI at 24 months | — |
| Computed Tomography | Change in the position of the AC-joint from baseline to at 24 months | Position of the AC-joint |
| Pain rated with Visual Analogue Scale (VAS) | Change from baseline in VAS at 24 months | — |
| Radiographs with and without weight | Change in the position of the AC-joint from baseline to at 24 months | Position of the AC-joint will be measured at standard radiographs and weighted radiographs |
Countries
Sweden
Outcome results
None listed