Standardized ultrasound examination for evaluation of instability of the acromioclavicular joint View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1996-04

AUTHORS

H. -J. Kock, C. Jürgens, H. Hirche, J. Hanke, K. P. Schmit-Neuerburg

ABSTRACT

Anteroposterior X-ray views of both acromioclavicular (AC) joints with 10-kg weights held in each hand are the generally accepted procedure for diagnosis of Tossy I–III grades of AC joint separation. An analogous diagnosis can be made by standardized ultrasound examination. Ten individuals with Tossy-I, 11 with Tossy-II and 8 with Tossy-III instability were examined both radiographically and by B-mode ultrasound. The degree of AC joint separation was uniformly determined on the basis of a calculated index (AC Index = AC joint width of uninjured side/AC joint width of injured side). The mean AC Index for Tossy-I instability determined by ultrasound was 1.0; mean indices of 0.49 and 0.5 were determined for Tossy-II injury by ultrasound and X-ray, respectively, and of 0.21 and 0.2, respectively, for Tossy-III instability. Statistical analysis showed significant differences between the mean AC indices of all three groups (P < 0.0001). We conclude that the reliability of ultrasound examination of AC joint instability is equal to that of radiographic measurement. Standard X-rays of the shoulder remain mandatory only to exclude fracture. The indication for operative stabilization of the AC joint can be established on the basis of the grade of AC joint instability measured by the side-effect-free and cost-effective method of ultrasound examination (AC Index < 0.3 equivalent to Tossy-III instability). More... »

PAGES

136-140

References to SciGraph publications

  • 1993. Langzeitergebnisse nach Schultereckgelenkstabilisierung mit der Balser-Platte in UNFALL- UND WIEDERHERSTELLUNGSCHIRURGIE DES SCHULTERGÜRTELS
  • 1994-03. Standardisierte sonographische Untersuchung zur Klassifizierung der Instabilität des Schultereckgelenkes in EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf00434540

    DOI

    http://dx.doi.org/10.1007/bf00434540

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1008157963

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/8861577


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    182 grid-institutes:grid.5718.b schema:alternateName Abteilung für Unfallchirurgie, Universitätsklinikum GHS Essen, Hufelandstrasse 55, D-45122, Essen, Germany
    183 schema:name Abteilung für Unfallchirurgie, Universitätsklinikum GHS Essen, Hufelandstrasse 55, D-45122, Essen, Germany
    184 rdf:type schema:Organization
     




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