Comparative analysis between functional and radiologicial outcome of Acromioclavicular joint dislocation managed operatively and non operatively

Dr.Swapnil Joshi; Dr. Kiran Saoji

Volume : VIII, Issue : II, February - 2019

Comparative analysis between functional and radiologicial outcome of Acromioclavicular joint dislocation managed operatively and non operatively

Dr. Swapnil Joshi, Dr. Kiran Saoji

Abstract :

Acromioclavicular joint injuries represent as a variety of soft tissue injuries that can cause mild and chronic pain and the results in long-term disability due to changes in biomechanics.1 It�s a common injury, which is approx 9% of all injuries of the shoulder girdle.2,3 Males are affected more commonly than females with a male:female ratio of approximately 5:1 and age group affected less than 30 years and commonly occurs in athletes and contact sport persons, in which direct injury to lateral part of shoulder is the most common mechanism of injury.4,5 In our study the mean constant score at 1 month of operated patients was 35.27 and non operated patients was 27 which was found to be statistically significant.Mean constant score at 3 months of operated patients was 72.09 and non operated patients was 67.33 which was found to be statistically significant.Most of the outcomes were excellent or good (70.0%) which was significantly higher than that of fair outcome (30.0%).The pain score (VAS) decreased significantly at different post-operative time intervals In our study we found that the UCLA score increased significantly at different post-operative time intervals (F3,76 =302.45;p<0.0001). The mean UCLA Score at 3 months of operated patients was 20.91 and non operated patients was 18.78 which was found to be statistically significant (p-value 0.013) Comp� the complications in the surgical group which was found to be higher as compared to the conservative group. Better radiological outcomes was found in the surgical group immediately following surgery.