Journal of Shoulder and Elbow Surgery
Volume 17, Issue 2 , Pages 220-225 , March 2008

Rockwood type III acromioclavicular dislocation: Surgical versus conservative treatment

  • C. Gstettner, MD

      Affiliations

    • Department for Traumatology and Sports Injuries, Paracelsus Medical University, Salzburg, Austria
    • Corresponding Author InformationReprint requests: Clemens Gstettner, MD, Department for Traumatology and Sports Injuries, Paracelsus Medical University, Müllner Hauptstrasse 48, A-5020 Salzburg, Austria.
    • ,
  • M. Tauber, MD

      Affiliations

    • Department for Traumatology and Sports Injuries, Paracelsus Medical University, Salzburg, Austria
    • ,
  • W. Hitzl, PhD

      Affiliations

    • Research Office, Paracelsus Medical University, Salzburg, Austria
    • ,
  • H. Resch, MD

      Affiliations

    • Department for Traumatology and Sports Injuries, Paracelsus Medical University, Salzburg, Austria

References 

  1. Bannister GC, Wallace WA, Stableforth PG, Hutson MA. The management of acute acromioclavicular dislocation. A randomised prospective controlled trial. J Bone Joint Surg Br. 1989;71:848–850
  2. Bäthis H, Tingart M, Bouillon B, Tiling T. The status of therapy of acromioclavicular joint injury. Results of a survey of trauma surgery clinics in Germany. [in German] Unfallchirurg. 2001;104:955–960
  3. Bosch U, Fremerey RW. AC joint injuries. [in German] Zentralbl Chir. 2002;127:203–206
  4. Clarke HD, McCann PD. Acromioclavicular joint injuries. Orthop Clin North Am. 2000;31:177–187
  5. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;160–164
  6. Folwaczny EK, Yakisan D, Stürmer KM. The Balser plate with ligament suture. A dependable method of stabilizing the acromioclavicular joint. [in German] Unfallchirurg. 2000;103:731–740
  7. Hackenberger J, Schmidt J, Altmann T. The effects of hook plates on the subacromial space—a clinical and MRT study. [in German] Z Orthop Ihre Grenzgeb. 2004;142:603–610
  8. Huber W, Hofstaetter JG, Hanslik-Schnabel B, Posch M, Wurnig C. The German version of the Oxford Shoulder Score—cross-cultural adaptation and validation. Arch Orthop Trauma Surg. 2004;124:531–536
  9. Larsen E, Bjerg-Nielsen A, Christensen P. Conservative or surgical treatment of acromioclavicular dislocation. A prospective, controlled, randomized study. J Bone Joint Surg Am. 1986;68:552–555
  10. Lippit SB, Harreyman DT, Matsen FA. A practical tool for evaluating shoulder function. The Simple Shoulder Test. In:  Matsen FA,  Fu FH,  Hawkins RJ editor. The shoulder: a balance of mobility and stability. Rosemont (IL): American Academy of Orthopaedic Surgeons; 1993;p. 501–518
  11. Mayr E, Braun W, Eber W, Rüter A. Treatment of acromioclavicular joint separations. Central Kirschner-wire and PDS-augmentation. [in German] Unfallchirurg. 1999;102:278–286
  12. Phillips AM, Smart C, Groom AFG. Acromioclavicular dislocation. Conservative or surgical therapy. Clin Orthop Relat Res. 1998;10–17
  13. Rockwood CA. Injuries to the acromioclavicular joint. In:  Rockwood CA,  Green DP editor. Fractures in adults. Philadelphia: Lippincott; 1984;p. 860–910
  14. STATISTICA (data analysis software system), version 6. Tulsa (OK): StatSoft; 2004;
  15. Taft TN, Wilson FC, Oglesby JW. Dislocation of the acromioclavicular joint. An end-result study. J Bone Joint Surg Am. 1987;69:1045–1051
  16. Tossy JD, Mead NC, Sigmond HM. Acromioclavicular separations: useful and practical classification for treatment. Clin Orthop Relat Res. 1963;28:111–119
  17. Walsh M, Peterson DA, Shelton G, Neumann RD. Shoulder strength following acromioclavicular injury. Am J Sports Med. 1985;13:153–158
  18. Zanca P. Shoulder pain: involvement of the acromioclavicular joint. (Analysis of 1,000 cases). Am J Roentgenol Radium Ther Nucl Med. 1971;112:493–506

PII: S1058-2746(07)00623-4

doi: 10.1016/j.jse.2007.07.017

Journal of Shoulder and Elbow Surgery
Volume 17, Issue 2 , Pages 220-225 , March 2008

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