Both Arthroscopically Assisted Suture Button and Hook Plate Are Effective in Treating Acute High‐grade Acromioclavicular Joint Dislocation: A Systematic Review

作者：Junbo Liang, Dawei Han, Xiaofang Ying, Cong Chen, Hua Luo · 发表于：Arthroscopy The Journal of Arthroscopic and Related Surgery · 年份：2025 · DOI：10.1016/j.arthro.2025.03.035 · 被引用次数：3 · 研究领域：Shoulder and Clavicle Injuries、Shoulder Injury and Treatment、Elbow and Forearm Trauma Treatment

PURPOSE: To conduct a systematic review of clinical studies comparing the clinical outcomes of arthroscopically assisted suture button (AASB) and hook plate (HP) in the treatment of acute high-grade acromioclavicular joint (ACJ) dislocation to determine which technique provides superior clinical benefits. METHODS: Two independent researchers conducted literature searches on the basis of Preferred Reporting Items from Systematic Reviews and Meta-analyses guidelines. PubMed, EMBASE, and the Cochrane Library were searched for studies that compared AASB and HP in treating acute high-grade (grade Ⅲ and greater) ACJ dislocation. Inclusion criteria included clinical studies that compared AASB and HP for acute Rockwood type III or greater dislocations with evaluations of functional outcomes (Constant score [CS], pain score, American Shoulder and Elbow Surgeons score, Disabilities of the Arm, Shoulder and Hand). Studies were excluded if they were case reports, reviews, or had missing data, revision procedures, or had loss to follow-up >20%. The methodologic quality of the included studies was assessed on the basis of Newcastle-Ottawa scale. RESULTS: In this systematic review, 14 studies with 782 participants were included, all of which were classified as Level III-IV evidence. The analysis of 12 studies showed that the AASB group (81.9-95.31) had only slightly greater postoperative CS compared with the HP group (77.5-92.38), with 9 studies reporting significant improvements, whereas 3...