Results of treatment of acromioclavicular joint injuries

Abstract

Introduction. Acromioclavicular joint has an important role in the shoulder function. Loss of joint function due to injury or disease affects the biomechanics of the shoulder. The aim of this study was to evaluate the results of surgical treatment of acromioclavicular joint injuries, identify risk groups within the age groups, and to indicate the most common mechanisms of injury. Material and Methods. A retrospective study included 20 patients with acromioclavicular injury. We analyzed the results of surgical treatment in patients with acromioclavicular injury from January 2017 to January 2019. Patients were treated using Bosworth and Phemister surgical techniques. The Constant shoulder score was used to assess the results of surgeries. We compared the results of the operated and non-operated shoulders in each patient. Statistical analysis was performed using Student?s T-test and ?? test. Results. Functional assessment was done using the Constant shoulder score: 9 patients had excellent results, 7 had good results and 3 had satisfactory results; there were no patients with poor outcome. We compared the total Constant shoulder score of the operated shoulder with the results of the opposite healthy shoulder, as well as the range of motion of external rotation, and internal rotation range of motion of the operated and the opposite healthy shoulder. There was a statistically significant difference (p < 0.05) in all compared parameters. The total Constant shoulder score of the operated shoulder was by 14% lower in relation to the healthy shoulder. Conclusion. The basic precondition for positive treatment results is timely diagnosis and early surgical intervention. Shoulder function was surgically restored and 95% of patients can perform all activities of daily living.