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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 6, 697-707.
doi: 10.1302/0301-620X.90B6.20704  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Injuries to the acromioclavicular joint

J. A. Fraser-Moodie, MRCSEd, Clinical Research Fellow1; N. L. Shortt, FRCSEd(Orth), Orthopaedic Registrar1; and C. M. Robinson, BMedSci, FRCSEd(Orth), Consultant Orthopaedic Surgeon1

1 Edinburgh Shoulder Clinic The Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, UK.

Correspondence should be sent to Mr C. M. Robinson; e-mail: c.mike.robinson{at}ed.ac.uk

Injuries to the acromioclavicular joint are common but underdiagnosed. Sprains and minor subluxations are best managed conservatively, but there is debate concerning the treatment of complete dislocations and the more complex combined injuries in which other elements of the shoulder girdle are damaged. Confusion has been caused by existing systems for classification of these injuries, the plethora of available operative techniques and the lack of well-designed clinical trials comparing alternative methods of management. Recent advances in arthroscopic surgery have produced an even greater variety of surgical options for which, as yet, there are no objective data on outcome of high quality. We review the current concepts of the treatment of these injuries.




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Missed Grade IV AC Joint Dislocation
Ziad Harb, et al.
J Bone Joint Surg Br Online, 30 Jul 2008 [Full text]
Authors' reply:
James A Fraser-Moodie, et al.
J Bone Joint Surg Br Online, 7 Aug 2008 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General