The purpose of this study was to review the long-term outcomes of a previously reported prospective series of 46 type III acromioclavicular dislocations. These were treated surgically with temporary fixation of the acromioclavicular joint with wires, repair of the acromioclavicular ligaments, and overlapped suture of the deltoid and trapezius muscles. Of the 46 patients, one had died, four coul...

PURPOSE assessment of the clinical efficacy of isolated arthroscopic mini-Mumford surgery, associated with shoulder surgery in patients with degenerative disease of the acromioclavicular joint. MATERIALS AND METHODS 52 patients (group A) underwent isolated arthroscopic mini-Mumford and 84 (group B) additional arthroscopic surgery of rotator cuff and/or long head of biceps. They were evaluated...

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...

Injuries to the acromioclavicular joint occur commonly in athletes, especially those involved in contact sports. The majority of these injuries are type I and II acromioclavicular joint separations and are treated nonoperatively with rehabilitation. A rapid and full return to play is expected. Acute types IV, V, and VI are less common and operative intervention is recommended. The type III inju...

Acromioclavicular joint separations are common shoulder injuries in the active patient population. Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis. A multitude of surgical reconstruct...

Acromioclavicular (AC) joint injuries are common and often seen in contact athletes, resulting from a fall on the shouldertip with adducted arm. This joint is stabilized by both static and dynamic structures including the coracoclavicular (CC)ligament. Most reconstruction techniques focus on CC ligament augmentation as the primary stabilizer of the AC joint.The best surgical technique for some ...

Fractures of the clavicle and acromioclavicular dislocations are very common injuries when they occur separately. The combination of an acromioclavicular dislocation and a fracture of the lateral third of the clavicle is not rare. However, there are very few reported cases of acromioclavicular dislocations associated with fractures of the middle third of the clavicle; those associated with frac...