{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:11:37Z","timestamp":1787163097620,"version":"build-2736575974"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2023,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The standard radiographic view for diagnosing acromioclavicular joint (ACJ) dislocations is the Zanca view of both shoulders to assess superior displacement of the distal clavicle by measuring the coracoclavicular distance (CCD) and comparing it with the uninjured shoulder; however, there is no consensus on a gold standard for diagnostic measures to classify acute ACJ injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the CCD from an upright chest radiograph with a standard Zanca view of both shoulders in patients with an ACJ dislocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study (diagnosis); Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We reviewed the records of 70 patients with an ACJ dislocation between 2010 and 2021 who had both an upright chest radiograph and a Zanca view. An ACJ dislocation was classified as low grade (Rockwood types 1-3) or high grade (Rockwood type 5). The CCD was measured on the upright chest radiograph and the Zanca view by 2 independent reviewers, and the percentage of the CCD difference compared with the unaffected side (\u0394CCD) was calculated and compared between the upright chest radiograph and the Zanca view. Interrater and intrarater reliability were determined using the intraclass correlation coefficient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Included were 70 patients (55 male and 15 female; mean age, 46 years). There were 29 patients (41.43%) with a low-grade injury and 41 patients (58.57%) with a high-grade injury. In the overall analysis, the \u0394CCD on the upright chest radiograph and Zanca view was significantly different (130.25% \u00b1 88.42% vs 152.69% \u00b1 106.56%, respectively; mean difference, 22.44% [95% CI, 2.40% to 42.48%]; P = .029). The subgroup analysis revealed that the \u0394CCD on the upright chest radiograph and Zanca view was significantly different for patients with a low-grade injury (60.71% \u00b1 25.79% vs 91.46% \u00b1 68.54%, respectively; mean difference, 30.76% [95% CI, 7.18% to 54.33%]; P = .012) but not different for patients with a high-grade injury (179.45% \u00b1 83.87% vs 196.00% \u00b1 107.97%, respectively; mean difference, 16.56% [95% CI, \u201314.06% to 47.18%]; P = .281). The intraclass correlation coefficients for the \u0394CCD measurements indicated good to excellent interrater and intrarater reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The study findings indicated that upright chest radiography can be used as a diagnostic screening tool for high-grade ACJ dislocations, but not for low-grade ACJ injuries, compared with the Zanca view.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671221143767","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T11:48:51Z","timestamp":1673351331000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Reliability of Upright Chest Radiography as a Diagnostic Screening Tool for Acromioclavicular Joint Dislocations"],"prefix":"10.1177","volume":"11","author":[{"given":"Tanakorn","family":"Chaichana","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adinun","family":"Apivatgaroon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Possawat","family":"Rujiraphum","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prakasit","family":"Sanguanjit","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bancha","family":"Chernchujit","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"bibr1-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-78754-9"},{"key":"bibr2-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-020-01340-1"},{"key":"bibr3-23259671221143767","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-16-00776"},{"key":"bibr4-23259671221143767","unstructured":"Cory E. Acromioclavicular and sternoclavicular joint injuries. In: Tornetta PIII, Ricci WM, Ostrum RF, McQueen MM, McKee MD, Court-Brown CM, eds, Rockwood and Green's Fractures in Adults. Vol. 1. 9th ed. Philadelphia: Wolters Kluwer; 2020:917\u2013975."},{"issue":"10","key":"bibr5-23259671221143767","first-page":"526","volume":"33","author":"Dumonski M","year":"2004","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bibr6-23259671221143767","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00105"},{"key":"bibr7-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2018.09.009"},{"key":"bibr8-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2015.09.010"},{"key":"bibr9-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.06.028"},{"key":"bibr10-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"bibr11-23259671221143767","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20120919-16"},{"key":"bibr12-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506298022"},{"key":"bibr13-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B12.31802"},{"issue":"3","key":"bibr14-23259671221143767","first-page":"160","volume":"68","author":"Ngamjarus C","year":"2016","journal-title":"Siriraj Med J"},{"key":"bibr15-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2019.03.020"},{"key":"bibr16-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1864-y"},{"key":"bibr17-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0524-3"},{"key":"bibr18-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508322891"},{"key":"bibr19-23259671221143767","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i12.861"},{"key":"bibr20-23259671221143767","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270062001"},{"key":"bibr21-23259671221143767","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.112.3.493"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671221143767","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671221143767","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671221143767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:11:16Z","timestamp":1777594276000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671221143767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1,1]]}},"alternative-id":["10.1177\/23259671221143767"],"URL":"https:\/\/doi.org\/10.1177\/23259671221143767","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,1]]},"article-number":"23259671221143767"}}