caa a22 4500 605459746 CHVBK 20210128100235.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00167-014-2844-5 doi (NATIONALLICENCE)springer-10.1007/s00167-014-2844-5 Scapular dyskinesis and SICK syndrome in patients with a chronic type III acromioclavicular dislocation. Results of rehabilitation [Elektronische Daten] [Stefano Carbone, Roberto Postacchini, Stefano Gumina] Purpose: Scapular dyskinesis has been related to acromioclavicular injuries. A rehabilitation protocol has been studied in order to treat scapular dyskinesis, but it has not yet been evaluated. This rehabilitation programme was adopted to improve the shoulder function, thereby improving the scapular dyskinesis in patients with chronic acromioclavicular dislocation. Method: Twenty-four patients diagnosed with chronic type III acromioclavicular dislocation and scapular dyskinesis that have already been conservatively treated were enrolled in the rehabilitation protocol and analysed. Fourteen of these patients had a Scapular Inferior Coracoid dysKinesis (SICK) Syndrome. The adopted rehabilitation protocol consisted of 12 strengthening and stretching exercises of the scapulae. The final follow-ups were performed after 6weeks, 6months and 12months using clinical measurements of scapular position and clinical evaluation of the scapular motion. In order to evaluate the SICK scapula syndrome, we used the SICK Scapula Rating Scale. The shoulder function was evaluated with a Constant Score and a Subjective Shoulder Value. Results: After 12months, the follow-up concluded that the scapular dyskinesis was no longer present in 18/23 patients (78.2%). SICK scapula syndrome was observed in 4/8 patients with a scapular malposition. The Scapula Rating Scale score in 4 patients with SICK scapula was 7.5points. After 12months of rehabilitation, the mean Constant Score and Subjective Shoulder Value grew up to 85 points. Conclusion: The scapular dyskinesis and SICK syndrome secondary to chronic type III AC dislocation can be treated with the proposed rehabilitation protocol resulting in positive improvements of the shoulder function within 6weeks; however, patients that do not respond to the rehabilitation programme will not improve with extended rehabilitation time. It is important to advise patients of the specific exercises for the prevention/treatment of scapular dyskinesis in the rehabilitation programme after AC joint dislocation. Level of evidence: IV. Springer-Verlag Berlin Heidelberg, 2014 Acromioclavicular joint dislocation nationallicence Scapular dyskinesis nationallicence Rehabilitation nationallicence SICK syndrome nationallicence Carbone Stefano Department of Orthopaedics and Traumatology, Sapienza University of Rome, Rome, Italy aut Postacchini Roberto Ospedale Israelitico, Upper Limb Unit, Rome, Italy aut Gumina Stefano Department of Orthopaedics and Traumatology, Sapienza University of Rome, Rome, Italy aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/5(2015-05-01), 1473-1480 0942-2056 23:5<1473 2015 23 167 https://doi.org/10.1007/s00167-014-2844-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2844-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Carbone Stefano Department of Orthopaedics and Traumatology, Sapienza University of Rome, Rome, Italy aut NATIONALLICENCE 700 1- Postacchini Roberto Ospedale Israelitico, Upper Limb Unit, Rome, Italy aut NATIONALLICENCE 700 1- Gumina Stefano Department of Orthopaedics and Traumatology, Sapienza University of Rome, Rome, Italy aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/5(2015-05-01), 1473-1480 0942-2056 23:5<1473 2015 23 167