Indicação do tratamento da luxação acromioclavicular de acordo com a classificação de Rockwood
Tipo
TCC
Data de publicação
2024-06-06
Periódico
Citações (Scopus)
Autores
Dias, Leonardo Moreira
Orientador
Zini, Cassio
Título da Revista
ISSN da Revista
Título de Volume
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Introdução: A luxação acromioclavicular (LAC) é uma lesão frequente em jovens, atletas e na população ativa. O tratamento da luxação acromioclavicular é baseado na classificação de Rockwood, que descreve 6 tipos de luxação acromioclavicular de acordo com a distância coracoclavicular observada em radiografia em chapa única de ambas as articulações acromioclaviculares. Nessa classificação, os tipos I e II são tratados de forma conservadora, enquanto os tipos IV, V e VI são tratados de forma cirúrgica. O tratamento do tipo III é controverso. Objetivo: Analisar a taxa de tratamento conservador e/ou cirúrgico realizado em pacientes com luxação acromioclavicular e relacionar com a classificação de Rockwood. Metodologia: Estudo individuado transversal observacional, descritivo e analítico, por meio da revisão de prontuários de pacientes com luxação acromioclavicular, admitidos no serviço de ortopedia do pronto-socorro do Hospital Universitário Evangélico Mackenzie, entre o período de janeiro de 2017 a janeiro de 2023. Resultados: Foram estudados 79 pacientes, porém 8 deles foram excluídos do trabalho. A idade média dos pacientes foi de 37 anos (20-73 anos). Dos 71 pacientes, 65 eram do sexo masculino, enquanto 6 eram do sexo feminino. Classificação de Rockwood: 8/71 tipo 1 (11,3%), 7/71 tipo 2 (9,9%), 27/71 tipo 3 (38%), 2/71 tipo 4 (2,8%), 27/71 tipo 5 (28%) e 0/71 tipo 6 (0%). Lateralidade da lesão: 37/71 no lado direito (52,1%) e 34/71 no lado esquerdo (47,9%). Energia do trauma: 33/71 com alta energia (46,5%), 19/71 com baixa energia (26,7%) e 19/71 com média energia (26,7%). Tratamento: 20/71 tratados de forma conservadora (28,2%) e 51/71 tratados de forma cirúrgica (71,8%). Conclusão: A maioria dos pacientes com LAC apresentaram tratamento cirúrgico (51/71 - 71,8%), enquanto a minoria apresentou tratamento conservador (20/71 - 28,2%). Sendo que todos os pacientes com LAC tipos 1 e 2 foram tratados de forma conservadora (14/71 - 19,7%), enquanto os todos os pacientes com LAC tipos 4 e 5 foram tratados de forma cirúrgica (29/71 - 40,8%). Entretanto, dentre os 28 pacientes classificados com LAC tipo 3 (28/71 - 39,4%), 22 pacientes (22/28 - 78%) foram tratados de forma cirúrgica (22/28 - 78%), enquanto apenas 6 pacientes foram tratados de forma conservadora (6/28 - 22%).
Introduction: Acromioclavicular dislocation (ACL) is a frequent injury in young people, athletes and the active population. The treatment of acromioclavicular dislocation is based on the Rockwood classification, which describes 6 types of acromioclavicular dislocation according to the coracoclavicular distance observed on a single-plate radiograph of both acromioclavicular joints. In this classification, types I and II are treated conservatively, while types IV, V and VI are treated surgically. The treatment of type III is controversial. Objective: To analyze the rate of conservative and/or surgical treatment performed in patients with acromioclavicular dislocation and relate it to the Rockwood classification. Methodology: Individual, observational, descriptive and analytical cross-sectional study, through the review of medical records of patients with acromioclavicular dislocation, admitted to the orthopedics service of the emergency room of Hospital Universitário Evangélico Mackenzie, between the period from January 2017 to January 2023. Results: 79 patients were studied, however 8 of them were excluded from the study. The mean age of the patients was 37 years (20-73 years). Of the 71 patients, 65 were male while 6 were female. Rockwood classification: 8/71 type 1 (11.3%), 7/71 type 2 (9.9%), 27/71 type 3 (38%), 2/71 type 4 (2.8%), 27/71 type 5 (28%) and 0/71 type 6 (0%). Lesion laterality: 37/71 on the right side (52.1%) and 34/71 on the left side (47.9%). Trauma energy: 33/71 with high energy (46.5%), 19/71 with low energy (26.7%) and 19/71 with medium energy (26.7%). Treatment: 20/71 treated conservatively (28.2%) and 51/71 treated surgically (71.8%). Conclusion: The majority of patients with LAC underwent surgical treatment (51/71 - 71.8%), while the minority underwent conservative treatment (20/71 - 28.2%). All patients with ACL types 1 and 2 were treated conservatively (14/71 - 19.7%), while all patients with ACL types 4 and 5 were treated surgically (29/71 - 40. 8%). However, among the 28 patients classified as type 3 LAC (28/71 - 39.4%), 22 patients (22/28 - 78%) were treated surgically (22/28 - 78%), while only 6 patients were treated conservatively (6/28 - 22%).
Introduction: Acromioclavicular dislocation (ACL) is a frequent injury in young people, athletes and the active population. The treatment of acromioclavicular dislocation is based on the Rockwood classification, which describes 6 types of acromioclavicular dislocation according to the coracoclavicular distance observed on a single-plate radiograph of both acromioclavicular joints. In this classification, types I and II are treated conservatively, while types IV, V and VI are treated surgically. The treatment of type III is controversial. Objective: To analyze the rate of conservative and/or surgical treatment performed in patients with acromioclavicular dislocation and relate it to the Rockwood classification. Methodology: Individual, observational, descriptive and analytical cross-sectional study, through the review of medical records of patients with acromioclavicular dislocation, admitted to the orthopedics service of the emergency room of Hospital Universitário Evangélico Mackenzie, between the period from January 2017 to January 2023. Results: 79 patients were studied, however 8 of them were excluded from the study. The mean age of the patients was 37 years (20-73 years). Of the 71 patients, 65 were male while 6 were female. Rockwood classification: 8/71 type 1 (11.3%), 7/71 type 2 (9.9%), 27/71 type 3 (38%), 2/71 type 4 (2.8%), 27/71 type 5 (28%) and 0/71 type 6 (0%). Lesion laterality: 37/71 on the right side (52.1%) and 34/71 on the left side (47.9%). Trauma energy: 33/71 with high energy (46.5%), 19/71 with low energy (26.7%) and 19/71 with medium energy (26.7%). Treatment: 20/71 treated conservatively (28.2%) and 51/71 treated surgically (71.8%). Conclusion: The majority of patients with LAC underwent surgical treatment (51/71 - 71.8%), while the minority underwent conservative treatment (20/71 - 28.2%). All patients with ACL types 1 and 2 were treated conservatively (14/71 - 19.7%), while all patients with ACL types 4 and 5 were treated surgically (29/71 - 40. 8%). However, among the 28 patients classified as type 3 LAC (28/71 - 39.4%), 22 patients (22/28 - 78%) were treated surgically (22/28 - 78%), while only 6 patients were treated conservatively (6/28 - 22%).
Descrição
Palavras-chave
luxação , acromioclavicular , tratamento , luxation , acromioclavicular , treatment