Injury of the acromioclavicular (AC) joint can occur as the result of direct or indirect trauma. The treatment of these injuries has remained controversial. The first reported surgical procedure for internal fixation of AC dislocation was performed by Cooper in 1861 using silver wire to secure the AC joint. Since then, a wide variety of techniques have been used. In 1972, Weaver and Dunn descri...

OBJECTIVE To determine whether training on shoulder and elbow surgery influences the orthopedist surgeons' preferred technique to address acute acromioclavicular joint dislocation (ACD). METHODS A survey was conducted with shoulder and elbow specialists and general orthopedists on their preferred technique to address acute ACD. RESULTS Thirty specialists and forty-five general orthopedists ...

The optimal treatment of grade III acromioclavicular (AC) dislocation is still controversial. Recent studies recommend surgery at that stage whereas meta-analysis favours conservative management. The objective of the present investigation was to analyse a clinical series of non-operated grade III AC dislocations and to determine their functional status. Thirty-five patients treated conservative...

OBJECTIVE The posterosuperior shoulder access used in surgical treatment for acromioclavicular dislocation was constructed through dissection of 20 shoulders from 10 recently chilled adult cadavers, and the distances from this route to the nearby neurovascular structures were analyzed. METHODS A Kirschner wire was introduced into the top of the base of the coracoid process through the postero...

BACKGROUND 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. METHODS The cervical spine of 34 patients with chronic type III AC dislocation was radiographically evaluated. Osteophytosis presence was registered and the narrowing of the interver...