Acromioclavicular dislocation and clavicle fractures: treatment options
Treatment of acromioclavicular dislocation and clavicle fracture: surgical or conservative?
Gabriele February
4 min. Feb 6, 2025
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Acromioclavicular Dislocation: A Treatment Guide
The challenge of treating acromioclavicular injuries
Acromioclavicular (AC) joint injuries, particularly dislocations, pose a significant challenge for orthopedic surgeons. These injuries, which affect the joint between the clavicle and the acromion of the scapula, can range in severity from a simple sprain to a complete dislocation. The widely used Rockwood classification divides dislocations into six levels of severity, based on the extent of ligament damage. The choice between a surgical or conservative approach depends on several factors, including the degree of dislocation, the patient's age, level of physical activity, and individual preferences.
Clavicle fractures: a complex landscape
Clavicle fractures are another common shoulder injury, often caused by high-energy trauma. Clavicle fractures are classified based on their location (medial, midshaft, lateral) and the degree of displacement of the bone fragments. Again, the choice between surgical and conservative treatment is a matter of debate.
Level of evidence and scientific journals
The results presented are based on a review of several studies published in high-level scientific journals, such as JBJS Reviews, BMC Musculoskeletal Disorders, The American Journal of Sports Medicine, and others. Most of the studies cited are meta-analyses or systematic reviews, which represent a high level of scientific evidence (Level I or II). However, some studies present a lower level of evidence (Level III or IV) due to the methodological quality of the included studies or the limited sample size. The publication year of the studies varies, with some more recent studies providing updated information on best clinical practices.
Clinical significance and implications for the patient
Understanding the various treatment options for acromioclavicular dislocations and clavicle fractures is essential for optimal patient management. Treatment choices must be tailored to the specific characteristics of each case, taking into account the patient's individual needs and the potential complications of each approach. An experienced shoulder surgeon will be able to carefully evaluate the patient's situation, considering all relevant factors to formulate an appropriate treatment plan and achieve the best possible outcome. This includes a thorough understanding of the latest research findings and the ability to apply this knowledge to clinical practice.
Useful Resources
Bibliography
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