当前位置： SCI文献检索 > ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY期刊下所有文献 > The relationship of the acromion to the distal clavicle in normal and symptomatic degenerated acromioclavicular joints.

The relationship of the acromion to the distal clavicle in normal and symptomatic degenerated acromioclavicular joints.

Abstract：

INTRODUCTION:Although degenerative osteoarthritis of the acromioclavicular joint is a common finding on technical investigations, not every patient experiences pain or function loss. The difference between symptomatic and asymptomatic patients is currently not elucidated. Therefore, we want to investigate the acromioclavicular relationship in normal, asymptomatic, and symptomatic degenerated ACJ. MATERIALS AND METHODS:84 normal ACJ, 39 asymptomatic degenerated ACJ, and 30 symptomatic degenerated ACJ were 3D reconstructed. The morphological dimensions and the relationship of the acromion and distal clavicle were measured using computational software. The reproducibility of this technique was evaluated using inter- and intra-observer reliability. RESULTS:The mean anteroposterior and superoinferior distance of both the clavicle and acromion was significantly larger in asymptomatic and symptomatic degenerative ACJ compared to the normal ACJ (p < 0.001). In symptomatic osteoarthritic ACJ, both the anterior and posterior borders of the acromion were significantly more anterior to the borders of the clavicle than in the normal group and asymptomatic group (p < 0.001). Subsequent ROC curve analysis resulted in a sensitivity of 86.7% and a specificity of 88.6% for anterior subluxation of the ACJ. This technique showed an excellent inter- and intra-observer reliability. CONCLUSIONS:In patients with degenerative ACJ, both the distal clavicle and acromion are enlarged. In asymptomatic patients, the AC relationship is the same as in normal patients, in contrast, in patients with symptomatic degenerative ACJ, the acromion is subluxated anteriorly compared to the clavicle.

journal_name

Arch Orthop Trauma Surg

journal_title

Archives of orthopaedic and trauma surgery

authors

Bulkmans K,Peeters I,De Wilde L,Van Tongel A

doi

10.1007/s00402-019-03258-9

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

465-472

issue

4

eissn

0936-8051

issn

1434-3916

pii

10.1007/s00402-019-03258-9

journal_volume

140

pub_type

杂志文章,评审

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