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dc.contributor.authorRuiz Ibán, Miguel Ángel
dc.contributor.authorMoreno Romero, Miguel Santiago
dc.contributor.authorDíaz Heredia, Jorge
dc.contributor.authorRuiz Díaz, Raquel
dc.contributor.authorMuriel, Alfonso
dc.contributor.authorLópez Alcalde, Jesús 
dc.date.accessioned2022-01-25T13:51:56Z
dc.date.available2022-01-25T13:51:56Z
dc.date.issued2020
dc.identifier.issn0942-2056spa
dc.identifier.urihttp://hdl.handle.net/10641/2721
dc.description.abstractPurpose To synthesise the evidence on the prevalence of associated intraarticular lesions in subjects with acute acromioclavicular joint (ACJ) dislocations. Methods A search in two electronic databases (PUMBMED and EMBASE) was performed from 1985 to 2019. Two independent reviewers selected studies that complied with the following inclusion criteria: (1) the study included data on surgically treated ACJ dislocation grade III–V in the Rockwood classification, (2) the ACJ injuries were acute (the surgery was performed less than 6 weeks after injury), (3) an arthroscopic evaluation of the glenohumeral joint was performed during surgery. The quality of the studies included was assessed using the tool of the Joanna Briggs Institute. Results A total of 47 studies with acute ACJ injuries met the initial inclusion criteria. Of these, 21 studies (9 retrospective case series, 9 prospective case series and 3 retrospective cohort studies) presented data on associated intraarticular lesions amenable for use in the meta-analysis. The meta-analysed studies included a total of 860 subjects with acute ACJ dislocations with a male/female ratio of 6.5 and a mean age of 32 years. The meta-analysis showed a prevalence of associated intraarticular lesions in subjects with acute ACJ of 19.9% (95% confidence interval [CI] 14.0–26.4%; 21 studies, 860 analysed participants; P = 0.000; I2: 74.5% random-effects model; low risk of bias). Conclusion One in five subjects with surgically treated acute ACJ dislocations will have an associated intraarticular lesion that requires further intervention. The case for a customary arthroscopic evaluation of the joint, even when an open procedure is performed to deal with the ACJ dislocation, is strong.spa
dc.language.isoengspa
dc.publisherKnee Surgery, Sports Traumatology, Arthroscopyspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.titleThe prevalence of intraarticular associated lesions after acute acromioclavicular joint injuries is 20%. A systematic review and meta-analysis.spa
dc.typejournal articlespa
dc.type.hasVersionSMURspa
dc.rights.accessRightsopen accessspa
dc.description.extent798 KBspa
dc.identifier.doi10.1007/s00167-020-05917-6spa
dc.relation.publisherversionhttps://link.springer.com/article/10.1007%2Fs00167-020-05917-6spa


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