Document Detail


Conservative treatment of Grade III acromioclavicular dislocations.
MedLine Citation:
PMID:  2060198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty-two patients with Grade III acromioclavicular (AC) joint dislocations were treated nonoperatively and evaluated by questionnaire, physical exam, and isokinetic strength and endurance testing. The mean follow-up time was 2.6 years (range, six months to 7.7 years). Patients returned to work an average of 2.1 weeks after injury. All of the patients were right-handed; 14 injured their dominant right AC joint whereas eight injured their nondominant left side. Isokinetic muscle testing was used to evaluate the strength and endurance of both shoulders in all 22 patients. Strength was measured as peak torque for shoulder flexion, extension, internal and external rotation, abduction, and adduction at 400 degrees per second. Internal and external rotation testing was also evaluated at 60 degrees per second. Endurance was measured at 400 degrees per second for flexion, extension, and internal and external rotation. The strength and endurance levels of the injured shoulders were comparable to the noninjured side. Although discomfort levels were low, long range follow-up reports reveal discomfort appearing with increased intensity of activity.
Authors:
E M Wojtys; G Nelson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-08-08     Completed Date:  1991-08-08     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  112-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of Michigan, Ann Arbor 48106-0363.
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MeSH Terms
Descriptor/Qualifier:
Acromioclavicular Joint / injuries*
Activities of Daily Living
Adolescent
Adult
Dislocations / therapy*
Female
Humans
Male
Muscle Contraction
Orthotic Devices
Physical Endurance
Questionnaires
Range of Motion, Articular
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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