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Faculty of Medical Sciences

“Lange Termijn Resultaten Van Volledig Conservatief Behandelde Acromioclaviculaire Luxatie, Rockwood Type 3”

Bielderman, R. (Rogier) (2012) “Lange Termijn Resultaten Van Volledig Conservatief Behandelde Acromioclaviculaire Luxatie, Rockwood Type 3”. thesis, Medicine.

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Abstract

An acromioclavicular (AC) dislocation Rockwood type 3 is defined as an elevation of the clavicle after breaking both the acromioclavicular joint and the coracoclavicular ligaments. In the Isala Clinics in Zwolle, patients with this type of injury are consistently treated conservatively. Goal: To objectify the long-term functional outcome in patients who obtained a Rockwood type 3 AC dislocations over more than a year ago. Relevant are the possible factors of influence. In particular pain and degree of duty. As an addition we look to what extent cosmetic concerns exist because of the obvious elevation of the clavicle. Material and methods: function is examined with the DASH score, pain with the NRS-11 score and level of taxation with the Tegner activity score. Via a self-designed questionnaire we made an attempt to objectify the cosmetic aspects. Results: In our population, with a mean follow up of 42 months and an average age of 48 years and 3 months, there was a deterioration of function found 38,9% of the cases, in the context of sport. When the severity of deterioration is taken into account, we find a significant deterioration of function with a p of 0.018. This is connected to the presence of pain but is irrespective of the degree of effort. Conclusion: The long-term functional outcome of conservatively treated acromioclavicular dislocation Rockwood type 3 is disturbed in the context of sport. There is a correlation with pain.

Item Type: Thesis (Thesis)
Supervisor name: Begeleiding: and Zuurmond, R.G. and Locatie: Orthopedie, Isala Klinieken te Zwolle
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:53
Last Modified: 25 Jun 2020 10:53
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/1407

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