Short term pain experience Functional shoulder movement Open surgery / arthroscopic surgery Distal clavicle excision
Conditions
Interventions
Arthrocopic surgery and open surgery in distal clavicle excision
Sponsors
Flevoziekenhuis Almere
Eligibility
Inclusion criteria
Inclusion criteria: All participants must have an indication for distal clavicle excision based on AC osteolysis, post-traumatic injury or arthrosis/arthritis confirmed by ultrasound, x-ray and physical examination. Indication is determined by the orthopaedic surgeon when conservative treatment (physical therapy, rest, corticosteroid injections) fails to improve the shoulder function and pain. Age: at least 18 years old
Exclusion criteria
Exclusion criteria: -Not able to read and speak Dutch language sufficiently to complete the questionnaires -Distal clavicle excision in the past -Glenohumeral arthrosis, rotator cuff/biceps tears, labrum tears confirmed by ultrasound, MRI or x-ray. -Frozen shoulder or local infection at the time of physical examination -AC instability Rockwood >1
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective is to examine the difference in daily pain experience between open and arthroscopic surgery in distal clavicle excision for patients with acromioclavicular pathology measured with the NRS (in rest and movement) in the first 6 weeks after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| • Daily shoulder function measured with the DASH (pre-operatively, 6 weeks, 3 months, 6 months, 12 months) • Pain measured with the NRS (pre-operatively, 6 weeks, 3 months, 6 months, 12 months) • Adverse events (frozen shoulder) diagnosed by physical examination • Number of wound infections • Time until return to work • Total costs of surgery • Total costs of the revalidation process | — |
Outcome results
None listed