Abstract:
PURPOSE:Coracoclavicular joint (CCJ) is a rare anomalous joint occasionally found between the coracoid process of scapula and the conoid tubercle of clavicle. The articulation has been extensively studied by means of anatomical, osteological and radiological investigations. Most cases are discovered incidentally, with the symptomatic variety remaining an exceptional rarity. Our aim was to review all reported symptomatic CCJ to increase the level of evidence and formulate a treatment algorithm to aid clinicians in management planning. METHODS:A thorough literature search was performed, and data from 17 (n = 17) symptomatic cases of CCJ were analysed. RESULTS:CCJ is a rare finding and mostly an incidental discovery, which is rarely symptomatic. However, when symptomatic, the most common symptom is shoulder pain. The mean age at presentation is 42 years, with a male:female ratio of 1.4:1. Brachial plexus involvement was the most common pathophysiological explanation provided. First-line treatment was conservative, with a very low success rate of 5.9%. Surgical intervention in the form of excision of anomalous joint by osteotomy had success rate of 100%. CONCLUSIONS:Symptomatic CCJ is rare, and its rarity leads to lack of awareness in the general orthopaedic community. When symptomatic, CCJ may lead to delayed diagnosis or inappropriate management due to lack of evidence and poor description in most orthopaedic textbooks. Despite its low success rate, conservative treatment is advocated before embarking upon surgical intervention.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Singh VK,Singh PK,Trehan R,Thompson S,Pandit R,Patel Vdoi
10.1007/s00264-011-1309-4subject
Has Abstractpub_date
2011-12-01 00:00:00pages
1821-6issue
12eissn
0341-2695issn
1432-5195journal_volume
35pub_type
杂志文章,评审abstract::An appraisal of the clinical records of patients with malignant bone tumours enabled us to identify 61 whom we have treated by external fixation. There were 38 males and 23 females with ages ranging from 4 to 58 years, the mean being 14 years. The average period of follow-up was 6 years (1-12 years). For the purpose o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050223
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:Quality-of-life (QOL) assessments in patients with osteonecrosis of the femoral head (ONFH) have rarely been reported. This multicentre study aimed to elucidate the relationship between disease severity, including necrotic lesion type and radiological staging, and QOL, as well as between patients' characteristi...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-018-3897-8
更新日期:2018-07-01 00:00:00
abstract:PURPOSE:Prosthetic joint infections (PJI) are a serious and challenging complication after total joint arthroplasty. According to the literature, most PJI are monomicrobial infections caused by gram-positive cocci. The number of polymicrobial PJI might be underrepresented in the literature and only limited data are ava...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2871-y
更新日期:2016-07-01 00:00:00
abstract::The reliability and validity of the Hartofilakidis et al. classification system in adults with congenital hip disease (CHD) were examined. The radiographs of 102 adult patients (158 hips) with CHD were independently assessed by three senior surgeons. Interobserver variability was assessed by examining the agreement be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0472-0
更新日期:2009-04-01 00:00:00
abstract::We have reviewed 29 cases of very unstable diaphyseal fractures of the femur in children and adolescents treated by Kuntscher nailing. Follow up was for at least 5 years, and in most cases until after the end of growth. There were no postoperative complications, and the mean overgrowth of the femur was 7.06 mm. There ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00186377
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:Total hip arthroplasty (THA) is an effective procedure for developmental dysplasia of the hip (DDH); however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1622-6
更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION:The relapse rate after Ponseti method of correction has reduced in recent years which is attributable to the better appreciation of the need to achieve the correct degree of abduction. Ponseti recommended clinical 'overcorrection' of the foot to 700 of abduction. However, no scientific basis for this figur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3603-2
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:To investigate the clinical effect of modified Judet quadricepsplasty (MJ) combined with patella traction designed by ourselves in the treatment of knee joint rigidity after a femoral fracture. METHODS:We retrospectively reviewed the clinical data of 21 patients with stiff knee joint after a femoral fractur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04823-3
更新日期:2020-09-24 00:00:00
abstract::The patella clunk syndrome is not an uncommon complication, particularly after posterior-stabilized (PS) total knee arthroplasty. The present study was a consecutive unselected series comparing the incidence of the patella clunk syndrome amongst two comparable groups of elderly patients with knee arthritis implanted w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-001-0316-2
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:The study compared the impact of the Kirschner wires versus Herbert screw fixation on the rate of union, time to union, correction of deformity, and clinical outcome in adults with unstable scaphoid waist fracture nonunions without avascular necrosis. METHODS:We prospectively randomized 122 patients to undergo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04730-7
更新日期:2020-11-01 00:00:00
abstract::One of the major failure modes of cementless acetabular components is the loosening of the acetabular cup, which is mostly attributable to insufficient initial stability. A hemispherical cup with a porous coating which is inserted with press-fit fixation and secured with several screws is one of the most widely used a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0226-4
更新日期:2007-08-01 00:00:00
abstract::A tentative classification of Perthes' disease according to the extent of epiphyseal and metaphyseal involvement in lateral radiographs of the hip was applied to 61 hips in 55 patients. Forty-four hips were treated by containment (Tachjian's trilateral socket hip abduction orthosis) and 17 hips were treated surgically...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266603
更新日期:1980-01-01 00:00:00
abstract:PURPOSE:Hemiarthroplasty (HA) is generally considered to be the treatment of choice in the most elderly patients with a displaced fracture of the femoral neck. However, there is inadequate evidence to support the choice between unipolar HA or bipolar HA. The primary aim of this study was to analyse the outcome regardin...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-011-1213-y
更新日期:2011-11-01 00:00:00
abstract::Measurement of leg length discrepancy is an important part in planning a successful total hip arthroplasty (THA). Many clinical and radiological methods with variable degrees of accuracy have been advocated to carry out this measurement. We studied the accuracy of a commonly used clinical method by comparing it to a w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0633-9
更新日期:2009-10-01 00:00:00
abstract::We compared the incidence of anterior thigh pain retrospectively following primary uncemented total hip replacement in 70 patients (78 hips) with osteoarthritis. In one group (38 hips), an Endoplus porous-coated, canal-filling prosthesis was inserted through an anterolateral approach. In the other group (40 hips), a F...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0642-x
更新日期:2005-06-01 00:00:00
abstract::It is debatable whether high-flexion (HF) total knee arthroplasty (TKA) designs will improve postoperative flexion and function or will diminish the need for manipulation under anaesthesia (MUA). We retrospectively analysed range of motion (ROM), flexion, Knee Society Score (KSS), and rate of MUA in a consecutive grou...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0865-3
更新日期:2010-10-01 00:00:00
abstract::One hundred fractures of the tibial shaft were treated by early weight-bearing in a below knee patellar tendon bearing plaster cast. The rate of union, and the range of knee and ankle motion were assessed. Ninety-five per cent had good or excellent results. This method of treatment is particularly valuable in the thir...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268506
更新日期:1989-01-01 00:00:00
abstract:PURPOSE:Dual mobility (DM) socket has been associated with a low rate of dislocation following both primary and revision total hip arthroplasty (THA). However, little is known about the long-term efficiency of DM in the treatment of THA instability. The purpose of this retrospective study was to evaluate the outcome of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3343-8
更新日期:2017-03-01 00:00:00
abstract::Proliferating cell nuclear antigen (PCNA) is one of the cell cycle-related proteins directly involved in DNA synthesis. It is a marker of cellular proliferation and has been shown to correlate with ploidy and proliferative activity of cells. Its expression has been used to estimate the growth fraction of human cancer ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000147
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:Treatment of open fractures is complex and controversial. The purpose of the present study is to add evidence to the management of open tibial fractures, where tissue loss necessitates cover with a free flap. We identified factors that increase the risk of complications. We questioned whether early flap coverag...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2712-z
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:To compare the results of two groups of patients affected by osteochondritis dissecans (OCD) of the knee and treated with either osteochondral autologous transplantation (OAT) or bone-cartilage paste grafting (PG). METHODS:A total of 27 patients affected by OCD lesions of the femoral condyles were included: 15...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04804-6
更新日期:2021-02-01 00:00:00
abstract::The purpose of this study was to evaluate concentrated autologous bone marrow aspirate transplantation (CABMAT) treatment for corticosteroid-induced osteonecrosis of the femoral head (ONFH) in systemic lupus erythematosus (SLE). Bone marrow was aspirated from iliac crests, concentrated on a conventional manual blood b...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1048-y
更新日期:2011-06-01 00:00:00
abstract::Twenty children with grade IV supracondylar fractures of the humerus had an open reduction 11 to 17 days after injury. The delay was due to swelling and blisters. Most patients recovered a useful range of movement and there were no complications. A posterior approach with V-Y plasty of the triceps makes it easy to ali...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192291
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:Acetabular bone loss is a challenging problem in revision total hip arthroplasty (rTHA). Severe bone loss is not uncommon especially in periprosthetic joint infection. Surgical options, including revision shells, rings, and cages-with or without bone allograft-are affected by high complication rates and unsatis...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04623-9
更新日期:2020-10-01 00:00:00
abstract::Over a 4-year period, 55 consecutive knee arthroscopies were performed on 54 patients with symptomatic mild to moderate osteoarthritis. There were 30 female patients and the average patient age was 60.9 years. The average follow-up period was 29.6 months. All patients underwent diagnostic arthroscopy and washout. Furt...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000212
更新日期:2001-01-01 00:00:00
abstract::Periprosthetic fractures of the acetabulum represent a rare incident in primary and revision total hip arthroplasty. The management of these fractures can be challenging. At present, there are no reliable guidelines for the treatment of periprosthetic acetabular fractures. Periprosthetic acetabular fractures can occur...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2968-3
更新日期:2015-10-01 00:00:00
abstract::The aim of this prospective study was to determine the effect of screening for methicillin-resistant Staphylococcus aureus (MRSA), in patients undergoing total hip and knee replacements, on reducing hospital-acquired infections and the length of hospital stay. We included 395 patients admitted to the elective orthopae...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0649-3
更新日期:2005-06-01 00:00:00
abstract::In a prospective and randomised clinical study, acetabular cups were implanted free-hand (control group n=22) or with computer assistance using an image-free navigation system (study group n=23). The cup position was determined postoperatively on pelvic CT. An average inclination of 42.3 degrees (range: 30 degrees -53...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-005-0671-5
更新日期:2005-10-01 00:00:00
abstract:PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1645-z
更新日期:2012-11-01 00:00:00
abstract:PURPOSE:Traditionally and since Neer, the humeral side of shoulder arthroplasty consisted of a stemmed component but the real need for stem fixation in total shoulder arthroplasty (TSA) has barely been investigated. The current study evaluated the clinical and radiological outcomes with a stemless TSA. METHODS:Forty-s...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3371-4
更新日期:2017-05-01 00:00:00