Surgical treatment of sternoclavicular joint osteoarthritis: A Systematic Review.

IF 2.9 2区 医学 Q1 ORTHOPEDICS Journal of Shoulder and Elbow Surgery Pub Date : 2025-02-12 DOI:10.1016/j.jse.2024.12.044
Anna Hn Rasmussen, Michael R Krogsgaard
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Abstract

Background: Sternoclavicular joint (SCJ) osteoarthritis is rarely treated surgically, and the available published manuscripts are limited to small patient series. The aims of this systematic review were to identify the surgical treatment options for osteoarthritis of the SCJ, describe the quality of the available literature, analyze the outcome and complications and compare open versus arthroscopic surgery.

Methods: Literature was searched in PubMed, MEDLINE and Embase. Single case reports and studies that did not include surgical management were excluded. Data of interest included study year, sample size, diagnosis, sex, age, demographics, clinical data, type of surgical management, follow-up periods, outcomes and complications related to the surgical treatment.

Results: Eight articles on series of patients met the inclusion criteria and included 107 patients. Mean patient age was 48.2 years (range 17-72). 68% of patients were female and 32% male. The most commonly described treatment option was arthroscopic resection of the medial clavicle end (56%). Revision surgery was performed in 3 cases; 2 following trauma and 1 for persistent pain. The mean follow-up period was 45.4 months (range 28-80). Scores from patient reported outcome measures (Rockwood-, Constant- and DASH-questionnaires) and VAS pain scores all improved significantly from pre- to postoperatively. Four studies with 32 patients reported the overall subjective patient outcome with 84 % reaching excellent or good. There were no randomized controlled trials and no comparative cohorts. Arthroscopic surgery was only reported by one center, and this may induce risk of bias. It was not possible to compare outcomes following open and arthroscopic surgery.

Conclusion: Based on this systematic review, surgical treatment of SCJ osteoarthritis is a safe procedure which offers good pain reduction and a high rate of satisfaction. It is not possible from literature to conclude whether open or arthroscopic surgery is preferable.

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背景:胸锁关节(SCJ)骨关节炎很少采用手术治疗,现有发表的手稿也仅限于小型患者系列。本系统性综述旨在确定喙锁关节骨关节炎的手术治疗方案,描述现有文献的质量,分析结果和并发症,并比较开放手术和关节镜手术:方法:在 PubMed、MEDLINE 和 Embase 中检索文献。排除了单一病例报告和不包括手术治疗的研究。相关数据包括研究年份、样本量、诊断、性别、年龄、人口统计学、临床数据、手术治疗类型、随访时间、结果以及与手术治疗相关的并发症:符合纳入标准的有8篇系列文章,共纳入107名患者。患者平均年龄为 48.2 岁(17-72 岁不等)。68%的患者为女性,32%为男性。最常见的治疗方法是在关节镜下切除锁骨内侧端(56%)。3例患者接受了翻修手术,其中2例因外伤,1例因持续疼痛。平均随访时间为45.4个月(28-80个月)。患者报告的疗效评分(Rockwood、Constant和DASH问卷)和VAS疼痛评分从术前到术后均有明显改善。有四项研究报告了 32 名患者的总体主观疗效,其中 84% 达到优或良。没有随机对照试验,也没有比较性队列。只有一个中心报告了关节镜手术,这可能会导致偏倚风险。无法比较开放手术和关节镜手术的结果:根据本系统性综述,SCJ 骨关节炎的手术治疗是一种安全的治疗方法,能很好地减轻疼痛,满意度也很高。从文献中无法得出结论,到底是开放式手术好还是关节镜手术好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.50
自引率
23.30%
发文量
604
审稿时长
11.2 weeks
期刊介绍: The official publication for eight leading specialty organizations, this authoritative journal is the only publication to focus exclusively on medical, surgical, and physical techniques for treating injury/disease of the upper extremity, including the shoulder girdle, arm, and elbow. Clinically oriented and peer-reviewed, the Journal provides an international forum for the exchange of information on new techniques, instruments, and materials. Journal of Shoulder and Elbow Surgery features vivid photos, professional illustrations, and explicit diagrams that demonstrate surgical approaches and depict implant devices. Topics covered include fractures, dislocations, diseases and injuries of the rotator cuff, imaging techniques, arthritis, arthroscopy, arthroplasty, and rehabilitation.
期刊最新文献
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