Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2013

01-05-2013 | Shoulder

Scapular dyskinesis and SICK scapula syndrome following surgical treatment of type III acute acromioclavicular dislocations

Authors: Luigi Murena, Gianluca Canton, Ettore Vulcano, Paolo Cherubino

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2013

Login to get access

Abstract

Purpose

To evaluate the incidence of scapular dyskinesis and SICK scapula syndrome (defined as scapular malposition, infero-medial border prominence, coracoid pain and malposition, and dyskinesis of scapular movement) in patients treated surgically for acute type III AC dislocation.

Methods

Development of scapular dyskinesis and SICK scapula syndrome following conservative treatment has been described in the literature. In the present study, we evaluated 34 patients treated with different surgical techniques for acute type III AC dislocations. Functional outcome, radiographic evaluation of clavicular reduction and scapular kinematics were all evaluated.

Results

Scapular dyskinesis was observed in only 4 (11.7 %) patients, of which only 1 (2.9 % of the sample) was affected by SICK scapula syndrome. Scapular dyskinesis was classified as type I in 3 cases (75 %) and type III in 1 case (25 %). Constant shoulder scores (mean 95.7 points, SD ± 5.3) and Simple Shoulder Test results (mean 11.2 points, SD ± 0.8) were excellent. Recurrence of separation was observed in 4 patients.

Conclusions

Surgical treatment of type III acute AC joint dislocations is associated with a lower incidence of scapular dyskinesis and SICK scapula syndrome, if compared to data reported in the literature on conservative treatment.

Level of evidence

Retrospective study, Level IV.
Literature
1.
Bagg SD, Forrest WJ (1988) A biomechanical analysis of scapular rotation during arm abduction in the scapular plane. Am J Phys Med Rehabil 67:238–245PubMed
2.
Bradley JP, Elkousy H (2003) Decision making: operative versus non-operative treatment of acromioclavicular joint injuries. Clin J Sports Med 22:277–290CrossRef
3.
Burkhart SS, Morgan CD, Kibler WB (2003) The disabled throwing shoulder: spectrum of pathology. Part III: the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy 19:641–661PubMedCrossRef
4.
Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed
5.
Dumonski M, Mazzocca A, Rios C, Romeo A, Arciero R (2004) Evaluation and management of acromioclavicular joint injuries. Am J Orthop 33:526–532PubMed
6.
Gstettner C, Tauber M, Hitzl W, Resch H (2008) Rockwood type III AC dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg 17:220–225PubMedCrossRef
7.
Gumina S, Carbone S, Postacchini F (2009) Scapular dyskinesis and SICK scapula syndrome in patients with chronic type III acromioclavicular dislocation. Arthroscopy 25:40–45PubMedCrossRef
8.
Hootman JM (2004) Acromioclavicular dislocation: conservative or surgical therapy. J Athl Train 39:10–11PubMed
9.
10.
Kibler WB, McMullen J (2003) Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg 11:142–151PubMed
11.
Kibler WB, Uhl TL, Maddux JW, Brooks PW, Zeller B, McMullen J (2002) Qualitative clinical evaluation of scapular dysfunction: a reliability study. J Shoulder Elbow Surg 11:550–556PubMedCrossRef
12.
Kibler WB (2000) Evaluation and diagnosis of scapulothoracic problems in the athlete. Sports Med Arthrosc 8:192–202CrossRef
13.
Lippit SB, Harreyman DT, Matsen FA (1993) A practical tool for evaluating shoulder function. The Simple Shoulder Test. In: Matsen FA, Fu FH, Hawkins RJ (eds) The shoulder: a balance of mobility and stability. American Academy of Orthopaedic Surgeons, Rosemont, pp 501–518
14.
Lizaur A, Sanz-Reig J, Gonzalez-Parreño S (2011) Long-term results of the surgical treatment of type III acromioclavicular dislocations: an update of a previous report. J Bone Joint Surg Br 93(8):1088–1092PubMedCrossRef
15.
McClure PW, Minchener LA, Sennet BJ, Karduna AR (2001) Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg 10:269–277PubMedCrossRef
16.
McQuade KJ, Dawson J, Smidt GL (1998) Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation. J Orthop Sports Phys Ther 28:74–80PubMed
17.
Murena L, Vulcano E, Ratti C, Cecconello L, Rolla PR, Surace MF (2009) Arthroscopic treatment of acute acromioclavicular dislocation with double flip button. Knee Surg Sports Traumatol Arthrosc 12:1511–1515CrossRef
18.
Nissen CW, Chatterjee A (2007) Type III acromioclavicular separation: results on a recent survey on its management. Am J Orthop 36:89–93PubMed
19.
Rockwood CA Jr (1984) Injuries to the acromioclavicular joint. In: Rockwood CA Jr, Green DP (eds) Fractures in adults, 2nd edn. JB Lippincott, Philadelphia, pp 860–910
20.
Rockwood CA Jr, Williams GR Jr, Young DC (1988) Disorder of the acromioclavicular joint. In: Rockwood CA Jr, Matsen FAIII (eds) The shoulder, 2nd edn. WB Saunders, Philadelphia, pp 483–553
21.
Rolla PR, Surace MF, Murena L (2004) Arthroscopic treatment of acute acromioclavicular joint dislocation. Arthroscopy 20:662–668PubMedCrossRef
22.
Spancer EE (2007) Treatment of grade III acromioclavicular joint injuries. A systematic review. Clin Orthop Relat Res 455:38–44CrossRef
23.
Trainer G, Arciero RA, Mazzocca AD (2008) Practical management of grade III acromioclavicular separations. Clin J Sports Med 18:162–166CrossRef
24.
Uhl TL, Kibler WB, Gecewich B, Tripp BL (2009) Evaluation of clinical assessment methods for scapular dyskinesis. Arthroscopy 11:1240–1248
25.
Warner JP, Micheli LJ, Arslanian LE, Kennedy J, Kennedy R (1992) Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome: a study using Moirè topographic analysis. Clin Orthop Relat Res 285:191–199PubMed
Metadata
Title
Scapular dyskinesis and SICK scapula syndrome following surgical treatment of type III acute acromioclavicular dislocations
Authors
Luigi Murena
Gianluca Canton
Ettore Vulcano
Paolo Cherubino
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-1959-9

Other articles of this Issue 5/2013

Knee Surgery, Sports Traumatology, Arthroscopy 5/2013 Go to the issue

Editorial

Posterior cruciate ligament, exploring the unknown

Editorial

Volker Musahl, MD. New Associate Editor

Shoulder

Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis

Experimental Study

Cryopreservation with glycerol improves the in vitro biomechanical characteristics of human patellar tendon allografts

Knee

Reliability of the dial test using a handheld inclinometer

Experimental study

Effect of graft tensioning on mechanical restoration in a rat model of anterior cruciate ligament reconstruction using free tendon graft