{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T15:39:56Z","timestamp":1760888396051},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2009,12,1]],"date-time":"2009-12-01T00:00:00Z","timestamp":1259625600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study was aimed at evaluating whether or not patients with chronic type III acromioclavicular dislocation develop cervical spine pain and degenerative changes more frequently than normal subjects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The cervical spine of 34 patients with chronic type III AC dislocation was radiographically evaluated. Osteophytosis presence was registered and the narrowing of the intervertebral disc and cervical lordosis were evaluated. Subjective cervical symptoms were investigated using the Northwick Park Neck Pain Questionnaire (NPQ). One-hundred healthy volunteers were recruited as a control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rate and distribution of osteophytosis and narrowed intervertebral disc were similar in both of the groups. Patients with chronic AC dislocation had a lower value of cervical lordosis. NPQ score was 17.3% in patients with AC separation (100% = the worst result) and 2.2% in the control group (p &lt; 0.05). An inverse significant nonparametric correlation was found between the NPQ value and the lordosis degree in the AC dislocation group (p = 0.001) wheras results were not correlated (p = 0.27) in the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study shows that chronic type III AC dislocation does not interfere with osteophytes formation or intervertebral disc narrowing, but that it may predispose cervical hypolordosis. The higher average NPQ values were observed in patients with chronic AC dislocation, especially in those that developed cervical hypolordosis.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1471-2474-10-157","type":"journal-article","created":{"date-parts":[[2009,12,17]],"date-time":"2009-12-17T11:28:46Z","timestamp":1261049326000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The relationship between chronic type III acromioclavicular joint dislocation and cervical spine pain"],"prefix":"10.1186","volume":"10","author":[{"given":"Stefano","family":"Gumina","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Carbone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerio","family":"Arceri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Rita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna R","family":"Vestri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Postacchini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2009,12,16]]},"reference":[{"key":"735_CR1","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1097\/00003086-199808000-00003","volume":"353","author":"AM Phillips","year":"1998","unstructured":"Phillips AM, Smart C, Groom AF: Acromioclavicular dislocation. Conservative or surgical therapy. Clin Orthop. 1998, 353: 10-17. 10.1097\/00003086-199808000-00003.","journal-title":"Clin Orthop"},{"key":"735_CR2","first-page":"10","volume":"39","author":"JM Hootman","year":"2004","unstructured":"Hootman JM: Acromioclavicular dislocation: Conservative versus surgical therapy. J Athl Train. 2004, 39: 10-11.","journal-title":"J Athl Train"},{"key":"735_CR3","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1097\/BLO.0b013e318030df83","volume":"455","author":"EE Spencer","year":"2007","unstructured":"Spencer EE: Treatmant of grade III acromioclavicular joint injuries: a systematic review. Clin Orthop. 2007, 455: 38-44. 10.1097\/BLO.0b013e318030df83.","journal-title":"Clin Orthop"},{"key":"735_CR4","doi-asserted-by":"publisher","first-page":"1082","DOI":"10.1007\/s001040051183","volume":"71","author":"H Bathis","year":"2000","unstructured":"Bathis H, Tingart M, Bouillon B, Tiling T: Conservative or surgical therapy of acromioclavicular joint injury - what is reliable? A systematic analysis of the literature using \"evidence-based medicine\" criteria. Chirurg. 2000, 71: 1082-1089. 10.1007\/s001040051183.","journal-title":"Chirurg"},{"key":"735_CR5","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/j.jse.2007.07.017","volume":"17","author":"C Gstettner","year":"2004","unstructured":"Gstettner C, Tauber M, Hitzl W, Resch H: Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg. 2004, 17: 220-225. 10.1016\/j.jse.2007.07.017.","journal-title":"J Shoulder Elbow Surg"},{"key":"735_CR6","first-page":"112","volume":"268","author":"EM Wojtys","year":"1991","unstructured":"Wojtys EM, Nelson G: Conservative treatment of grade III acromioclavicular dislocations. Clin Orthop. 1991, 268: 112-119.","journal-title":"Clin Orthop"},{"key":"735_CR7","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/00003086-198503000-00020","volume":"193","author":"RD Galpin","year":"1985","unstructured":"Galpin RD, Hawkins RJ, Grainger RW: A comparative analysis of operative versus nonoperative treatment of grade III acromioclavicular separations. Clin Orthop. 1985, 193: 150-155.","journal-title":"Clin Orthop"},{"key":"735_CR8","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1177\/036354659202000316","volume":"20","author":"J Tibone","year":"1992","unstructured":"Tibone J, Sellers R, Tonino P: Strength testing after third-degree acromioclavicular dislocations. Am J Sports Med. 1992, 20: 328-331. 10.1177\/036354659202000316.","journal-title":"Am J Sports Med"},{"key":"735_CR9","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1016\/j.berh.2007.02.015","volume":"21","author":"B Larsson","year":"2007","unstructured":"Larsson B, S\u00f8gaard K, Rosendal L: Work related neck-shoulder pain: a review on magnitude, risk factors, biochemical characteristics, clinical picture and preventive interventions. Best Pract Res Clin Rheumatol. 2007, 21: 447-463. 10.1016\/j.berh.2007.02.015.","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"735_CR10","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1097\/00003086-198701000-00029","volume":"214","author":"H Hayashi","year":"1987","unstructured":"Hayashi H, Okada K, Hamada M, Tada K, Ueno R: Etiologic factors of myelopathy. Clin Orthop. 1987, 214: 200-209.","journal-title":"Clin Orthop"},{"key":"735_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/00007632-198701000-00001","volume":"12","author":"DR Gore","year":"1987","unstructured":"Gore DR, Sepic SB, Gardner GM, Murray MP: Neck pain: a long term follow up of 205 patients. Spine. 1987, 12: 1-5. 10.1097\/00007632-198701000-00001.","journal-title":"Spine"},{"key":"735_CR12","first-page":"131","volume":"28","author":"JS Lawrence","year":"1969","unstructured":"Lawrence JS: Disc degeneration: itsfrequency and elationship to symptoms. Ann Rheum Dis. 1969, 28: 131-138.","journal-title":"Ann Rheum Dis"},{"key":"735_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/ard.25.1.1","volume":"25","author":"JS Lawrence","year":"1966","unstructured":"Lawrence JS, Bremner JM, Bier F: Osteoarthrosis: pevalence in the population and relationship between symptoms and x-ray chages. Ann Rheum Dis. 1966, 25: 1-24.","journal-title":"Ann Rheum Dis"},{"key":"735_CR14","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1136\/ard.48.4.271","volume":"48","author":"JLCM Van Saase","year":"1989","unstructured":"Van Saase JLCM, Van Romunde LKJ, Cats A, Vandenbroucke JP, Valkenburg HA: Epidemiology of osteoarthrtis: zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with tha in 10 other populations. Ann Rheum Dis. 1989, 48: 271-280. 10.1136\/ard.48.4.271.","journal-title":"Ann Rheum Dis"},{"key":"735_CR15","first-page":"1884","volume":"18","author":"J Van der Donk","year":"1991","unstructured":"Donk Van der J, Schoten JSAG, Passchier J, van Romnde LKJ, Valkenburg HA: The association f neck ain with radiological abnormalities of the cervical spine and personality traits in a general population. J Rheumatol. 1991, 18: 1884-1889.","journal-title":"J Rheumatol"},{"key":"735_CR16","volume-title":"Instructional course lectures. The American Academy of Orthopaedic Surgeons","author":"JR Cobb","year":"1948","unstructured":"Cobb JR: Outline for the study of scoliosis. Instructional course lectures. The American Academy of Orthopaedic Surgeons. 1948, Ann Arbor, MI: JW Edwards Co, 5:"},{"key":"735_CR17","first-page":"485","volume":"9","author":"DD Harrison","year":"2004","unstructured":"Harrison DD, Harrison DE, Janik TJ, Cailliet R, Ferrantelli JR, Haas JW, Holland B: Modelling of the sagittal cervical spine as a method to discriminate hypolordosis. Spine. 2004, 9: 485-492.","journal-title":"Spine"},{"key":"735_CR18","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1093\/rheumatology\/33.5.469","volume":"33","author":"AM Leak","year":"1994","unstructured":"Leak AM, Cooper J, Dyer S, Williams KA, Turner-Stokes L, Frank AO: The Northwick park neck pain questionnaire, devised to measure neck pain and disability. Rheumatology. 1994, 33: 469-474. 10.1093\/rheumatology\/33.5.469.","journal-title":"Rheumatology"},{"key":"735_CR19","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1111\/j.1526-4637.2007.00369.x","volume":"9","author":"W Yin","year":"2008","unstructured":"Yin W, Bogduk N: The nature of neck pain in a private pain clinic in the United States. Pain Med. 2008, 9: 196-203. 10.1111\/j.1526-4637.2007.00369.x.","journal-title":"Pain Med"},{"key":"735_CR20","first-page":"447","volume":"57","author":"RD Rao","year":"2008","unstructured":"Rao RD, Currier BL, Albert TJ, Bono CM, Marawar SV, Poelstra KA, Eck JC: Degenerative cervical spondylosis: clinical syndromes, pathogenesis, and management. Instr Course Lect. 2008, 57: 447-469.","journal-title":"Instr Course Lect"},{"key":"735_CR21","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1097\/00007632-199704150-00007","volume":"22","author":"P Cot\u00e9","year":"1997","unstructured":"Cot\u00e9 P, Cassidy JD, Yong-Hing K, Sibley J, Loewy J: Apophysial joint degeneration, disc degeneration, and sagittal curve of the cervical spine. Can they be measured reliably on radiographs?. Spine. 1997, 22: 859-864. 10.1097\/00007632-199704150-00007.","journal-title":"Spine"},{"key":"735_CR22","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/j.jmpt.2005.02.015","volume":"28","author":"J McAviney","year":"2005","unstructured":"McAviney J, Schulz D, Bock R, Harrison DE, Holland B: Determining the relationship between cervical lordosis and neck complaints. J Manipulative Physiol Ther. 2005, 28: 187-193. 10.1016\/j.jmpt.2005.02.015.","journal-title":"J Manipulative Physiol Ther"},{"key":"735_CR23","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1097\/00007632-198607000-00003","volume":"11","author":"D Gore","year":"1986","unstructured":"Gore D, Sepic S, Gardner G: Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986, 11: 521-524. 10.1097\/00007632-198607000-00003.","journal-title":"Spine"},{"key":"735_CR24","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1097\/BRS.0b013e3181657d0d","volume":"33","author":"V Johnston","year":"2008","unstructured":"Johnston V, Jull G, Souvlis T, Jimmieson NL: Neck movement and muscle activity characteristics in female office workers with neck pain. Spine. 2008, 33: 555-563. 10.1097\/BRS.0b013e3181657d0d.","journal-title":"Spine"},{"key":"735_CR25","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/S0161-4754(03)00068-X","volume":"26","author":"R Wiegand","year":"2003","unstructured":"Wiegand R, Kettner NW, Brahee D, Marquina N: Cervical spine geometry correlated to cervical degenerative disease in a symptomatic group. J Manipulative Physiol Ther. 2003, 26: 341-346. 10.1016\/S0161-4754(03)00068-X.","journal-title":"J Manipulative Physiol Ther"},{"key":"735_CR26","first-page":"498","volume":"13","author":"G Plaugher","year":"1990","unstructured":"Plaugher G, Cremata EE, Philips RB: A retrospective consecutive case analysis of pre-treatment and comparative static radiological parameters following chiropractic adjustements. J manipulative Physiol Ther. 1990, 13: 498-506.","journal-title":"J manipulative Physiol Ther"},{"key":"735_CR27","doi-asserted-by":"publisher","first-page":"E348","DOI":"10.1097\/00007632-200208010-00014","volume":"27","author":"T Takeshima","year":"2002","unstructured":"Takeshima T, Omokawa S, Takaoka T, Araki M, Ueda Y, Takakura Y: Sagittal alignment of cervical flexion and extension: lateral radiographic analysis. Spine. 2002, 27: E348-E355. 10.1097\/00007632-200208010-00014.","journal-title":"Spine"}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-10-157.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-2474-10-157\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-10-157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-10-157.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,27]],"date-time":"2023-05-27T22:48:49Z","timestamp":1685227729000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/1471-2474-10-157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["735"],"URL":"https:\/\/doi.org\/10.1186\/1471-2474-10-157","relation":{},"ISSN":["1471-2474"],"issn-type":[{"value":"1471-2474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12]]},"assertion":[{"value":"24 May 2009","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 December 2009","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 December 2009","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"157"}}