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Arthroscopically assisted internal fixation of the symptomatic unstable os acromiale with absorbable screws

Ehud Atoun, ALEXANDER VAN TONGEL UGent, Ali Narvani, Ehud Rath, Giuseppe Sforza and Ofer Levy (2012) JOURNAL OF SHOULDER AND ELBOW SURGERY. 21(12). p.1740-1745
abstract
Background: Symptomatic meso-type os acromiale is a common pathology with inconsistent outcomes of treatment with various surgical techniques. We report the outcome of a new technique for arthroscopic fusion of symptomatic os acromiale with absorbable screws. Materials and methods: The study included 8 shoulders in 8 patients with symptomatic meso-type os acromiale who were treated with the use of a new technique for arthroscopic fusion with absorbable screws. The mean age was 54 years (range, 38-67 years), and the mean time from onset of symptoms to surgery was 18 months (range, 9-25 months). No patients reported a specific traumatic event before the onset of symptoms, and all noted the insidious onset of pain with no precipitating event. Results: The average length of follow-up was 22 months (range, 12-36 month). The average Constant score improved from 49 points (range, 35-57 points) to 81 points (range, 75-86 points). The average satisfaction score improved from 4.5 of 10 (range, 2-6) to 8.5 of 10 (range 7-9). All patients made a good clinical recovery at 3 to 6 months after surgery. At the last follow-up, full radiographic union was observed in 6 patients, partial union in 1 patient, and persistent radiologic nonunion in 1 patient. Anterior bulging of the absorbable screws was noted in 2 patients, and the screws were trimmed 6 months after the first procedure. Conclusions: We have found that this new arthroscopic technique of fixation of os acromiale with absorbable screws provides promising clinical, cosmetic, and radiologic results with high patient satisfaction.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
os acromiale, Shoulder, arthroscopic, fusion, absorbable screws, ROTATOR CUFF TEARS, IMPINGEMENT, DECOMPRESSION, SECONDARY, SHOULDER, ANATOMY
journal title
JOURNAL OF SHOULDER AND ELBOW SURGERY
J. Shoulder Elbow Surg.
volume
21
issue
12
pages
1740 - 1745
Web of Science type
Article
Web of Science id
000312953000024
JCR category
SPORT SCIENCES
JCR impact factor
2.319 (2012)
JCR rank
17/84 (2012)
JCR quartile
1 (2012)
ISSN
1058-2746
DOI
10.1016/j.jse.2011.12.011
language
English
UGent publication?
no
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2953463
handle
http://hdl.handle.net/1854/LU-2953463
date created
2012-07-03 23:39:36
date last changed
2013-07-08 16:07:10
@article{2953463,
  abstract     = {Background: Symptomatic meso-type os acromiale is a common pathology with inconsistent outcomes of treatment with various surgical techniques. We report the outcome of a new technique for arthroscopic fusion of symptomatic os acromiale with absorbable screws. 
Materials and methods: The study included 8 shoulders in 8 patients with symptomatic meso-type os acromiale who were treated with the use of a new technique for arthroscopic fusion with absorbable screws. The mean age was 54 years (range, 38-67 years), and the mean time from onset of symptoms to surgery was 18 months (range, 9-25 months). No patients reported a specific traumatic event before the onset of symptoms, and all noted the insidious onset of pain with no precipitating event. 
Results: The average length of follow-up was 22 months (range, 12-36 month). The average Constant score improved from 49 points (range, 35-57 points) to 81 points (range, 75-86 points). The average satisfaction score improved from 4.5 of 10 (range, 2-6) to 8.5 of 10 (range 7-9). All patients made a good clinical recovery at 3 to 6 months after surgery. At the last follow-up, full radiographic union was observed in 6 patients, partial union in 1 patient, and persistent radiologic nonunion in 1 patient. Anterior bulging of the absorbable screws was noted in 2 patients, and the screws were trimmed 6 months after the first procedure. 
Conclusions: We have found that this new arthroscopic technique of fixation of os acromiale with absorbable screws provides promising clinical, cosmetic, and radiologic results with high patient satisfaction.},
  author       = {Atoun, Ehud and VAN TONGEL, ALEXANDER and Narvani, Ali and Rath, Ehud and Sforza, Giuseppe and Levy, Ofer},
  issn         = {1058-2746},
  journal      = {JOURNAL OF SHOULDER AND ELBOW SURGERY},
  keyword      = {os acromiale,Shoulder,arthroscopic,fusion,absorbable screws,ROTATOR CUFF TEARS,IMPINGEMENT,DECOMPRESSION,SECONDARY,SHOULDER,ANATOMY},
  language     = {eng},
  number       = {12},
  pages        = {1740--1745},
  title        = {Arthroscopically assisted internal fixation of the symptomatic unstable os acromiale with absorbable screws},
  url          = {http://dx.doi.org/10.1016/j.jse.2011.12.011},
  volume       = {21},
  year         = {2012},
}

Chicago
Atoun, Ehud, Alexander Van Tongel, Ali Narvani, Ehud Rath, Giuseppe Sforza, and Ofer Levy. 2012. “Arthroscopically Assisted Internal Fixation of the Symptomatic Unstable Os Acromiale with Absorbable Screws.” Journal of Shoulder and Elbow Surgery 21 (12): 1740–1745.
APA
Atoun, E., Van Tongel, A., Narvani, A., Rath, E., Sforza, G., & Levy, O. (2012). Arthroscopically assisted internal fixation of the symptomatic unstable os acromiale with absorbable screws. JOURNAL OF SHOULDER AND ELBOW SURGERY, 21(12), 1740–1745.
Vancouver
1.
Atoun E, Van Tongel A, Narvani A, Rath E, Sforza G, Levy O. Arthroscopically assisted internal fixation of the symptomatic unstable os acromiale with absorbable screws. JOURNAL OF SHOULDER AND ELBOW SURGERY. 2012;21(12):1740–5.
MLA
Atoun, Ehud, Alexander Van Tongel, Ali Narvani, et al. “Arthroscopically Assisted Internal Fixation of the Symptomatic Unstable Os Acromiale with Absorbable Screws.” JOURNAL OF SHOULDER AND ELBOW SURGERY 21.12 (2012): 1740–1745. Print.