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Background <p>This study aimed to compare the clinical outcomes and complications of operative versus non-operative approaches in treating patients with high-grade acromioclavicular (AC) joint injuries.</p> Methods <p>A search was conducted in PubMed, Scopus, and Cochrane databases for studies published between 2007 and 2024. The search focused on studies directly comparing postoperative patient-reported outcomes, radiographic findings, and complications associated with surgical and non-surgical techniques for high-grade AC joint injuries. For dichotomous outcomes, odds ratios (ORs) were calculated, while mean differences (MDs) were computed for continuous outcomes.</p> Results <p>A total of eight studies, encompassing 473 AC joints, were analyzed. The results indicated no statistically significant differences in postoperative clinical outcomes at final follow-up between the operative and non-operative approaches. Specifically, among the seven studies reporting the Constant Score, MD was −&#xa0;1.38 (95% confidence interval [CI] −&#xa0;3.14 to 0.38, p = 0.12). For the Disabilities of the Arm, Shoulder, and Hand score, the MD was 1.92 (95% CI −&#xa0;0.34 to 4.17, p = 0.10), indicating no statistically significant differences. Additional radiographic findings also suggested similar outcomes between the two treatment modalities.</p> Conclusion <p>The analysis revealed comparable clinical outcomes between the two approaches, demonstrating that both strategies can be considered viable options for patient management.</p>

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No Differences in Outcomes Between Operative and Non-Operative Approaches for High-Grade Acromioclavicular Joint Injuries: A Systematic Review and Meta-analysis

  • 期刊论文

  • 发表日期：

    2025年9月20日

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  • Noppanat Poovarodom,
  • Natabhorn Kashemsri Na Ayudhaya,
  • Thanong Sanitwaja,
  • Thun Itthipanichpong,
  • Danaithep Limskul,
  • Thanathep Tanpowpong,
  • Somsak Kuptniratsaikul,
  • Napatpong Thamrongskulsiri

摘要

Background

This study aimed to compare the clinical outcomes and complications of operative versus non-operative approaches in treating patients with high-grade acromioclavicular (AC) joint injuries.

Methods

A search was conducted in PubMed, Scopus, and Cochrane databases for studies published between 2007 and 2024. The search focused on studies directly comparing postoperative patient-reported outcomes, radiographic findings, and complications associated with surgical and non-surgical techniques for high-grade AC joint injuries. For dichotomous outcomes, odds ratios (ORs) were calculated, while mean differences (MDs) were computed for continuous outcomes.

Results

A total of eight studies, encompassing 473 AC joints, were analyzed. The results indicated no statistically significant differences in postoperative clinical outcomes at final follow-up between the operative and non-operative approaches. Specifically, among the seven studies reporting the Constant Score, MD was − 1.38 (95% confidence interval [CI] − 3.14 to 0.38, p = 0.12). For the Disabilities of the Arm, Shoulder, and Hand score, the MD was 1.92 (95% CI − 0.34 to 4.17, p = 0.10), indicating no statistically significant differences. Additional radiographic findings also suggested similar outcomes between the two treatment modalities.

Conclusion

The analysis revealed comparable clinical outcomes between the two approaches, demonstrating that both strategies can be considered viable options for patient management.