Acromioclavicular Joint Dislocation
Conditions
Keywords
Arthroscopic assisted CC-stabilization, AC joint injury
Brief summary
This RCT study is designed for comparing functional outcomes and radioligic outcomes between intervention group (Arthroscopic assisted CC-stabilzation with additional K-wire fixation) and control group (Arthroscopic assisted CC-stabilzation alone) for acute ACJI. The main question it aims to answer is: \- Does Arthroscopic assisted CC-stabilization with additional K-wire fixation provide different outcomes in functional outcomes, CC-distance and GACA difference compare with arthroscopic assisted CC-stabilization alone in acute acromioclavicular joint injury?
Detailed description
Acromioclavicular joint injury (ACJI) is one of the most common injury of shoulder joint. Most common mechanism of injury is from direct force apply to the affected shoulder, in adduction position, in acromion process area. Most of the intervention that have been used for treat ACJI are focused on pain control, maintain the strength of the joint, no limitation in daily life activity and full range of motion of affected shoulder. Operative treatment is indicated in ACJI Rockwood classification grade III, IV, V, and VI. Nowadays there are over 60 surgical techniques without gold standard. Arthroscopic assisted CC-stabilzation is one of the most popular technique that has been used for ACJI. This RCT study is designed for comparing functional outcomes (ACJI score, VAS, Constant score and DASH score) and radioligic outcomes (CC-distance difference, GACA difference) between intervention group (Arthroscopic assisted CC-stabilzation with additional K-wire fixation) and control group (Arthroscopic assisted CC-stabilzation alone) for acute ACJI. The main question it aims to answer is: \- Does Arthroscopic assisted CC-stabilization with additional K-wire fixation provide different outcomes in functional outcomes, CC-distance and GACA difference compare with arthroscopic assisted CC-stabilization alone in acute acromioclavicular joint injury?
Interventions
DEVICEK-wire
K-wire No. 2.0 insertion was done additionally from arthroscopic assisted CC-stabilization by inserting K-wire from acromion process to distal clavicle.
Sponsors
Queen Savang Vadhana Memorial Hospital, Thailand
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-45 years old * Acute AC joint injury rockwood classification III, IV and V
Exclusion criteria
* History of underwent previous ipsilateral shoulder surgery * Specific active associated ipsilateral injury (Rib fractures, clavicel fractures, scapula fractures and base of coracoid fractures) * Onset of injury more than 3 weeks * Cannot underwent arthroscopic assisted CC-stabilization surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acromioclavicular Joint Instability (ACJI) score | 1 year post-operative | Functional outcome, Rated from 0-100, higher score means better function of the shoulder |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Coracoclavicular (CC) distance diference | Postoperative day 1, 2weeks postop, 6weeks postop, 3months postop, 6 months postop, 1 year postop | Radiologic outcome |
| Gleno-acromio-clavicular angle (GACA) difference | 3months postop, 6 months postop, 1 year postop | Radiologic outcome |
| Constant score | 3months postop, 6 months postop, 1 year postop | Functional outcome, Score from 0-100, Higher score means better shoulder function |
| DASH score | 3months postop, 6 months postop, 1 year postop | Functional outcome, Score from 0-100, 0 means no disabillity, 100 means most severe disabillity |
| VAS | 3months postop, 6 months postop, 1 year postop | Functional outcome, Scale from 0-10, Lower score means better outcome |
Countries
Thailand
Contacts
Primary ContactNachapong Sithiwichankit, M.D
Backup ContactSurasak Srimongkolpitak, M.D
Outcome results
None listed