Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Acute acromioclavicular joint dislocation--operative or conservative therapy?].

R W Fremerey1, P Lobenhoffer, K Ramacker

  • 1Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625 Hannover. ReinhardFremerey@t-online.de

Der Unfallchirurg
|May 19, 2001
PubMed
Summary

Operative and non-operative treatments for complete acromioclavicular dislocation yield similar outcomes. Non-operative management is effective even for severe Rockwood V injuries, with deformity not impacting shoulder function or pain.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Medial closed wedge osteotomy of the distal femur in biplanar technique and a specific plate fixator].

Operative Orthopadie und Traumatologie·2017
Same author

Progress in the treatment of articular fractures and ligament injuries.

Der Orthopade·2017
Same author

New developments in surgical treatment of the traumatized spine.

Der Orthopade·2017
Same author

Possibilities of gene therapy in traumatic and degenerative lesions of the joints. Current experimental status and preliminary clinical applications.

Der Orthopade·2017
Same author

Der Orthopade·2017
Same author

Definition of complex trauma and general management principles.

Der Orthopade·2017

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Acromioclavicular (AC) joint dislocations are common shoulder injuries.
  • Rockwood classification categorizes AC joint injuries from I to V.
  • Optimal treatment for complete AC joint dislocations (Type III and V) remains debated.

Purpose of the Study:

  • To compare clinical outcomes of operative versus non-operative management for complete AC joint dislocations.
  • To evaluate the impact of residual deformity on patient-reported outcomes.

Main Methods:

  • Retrospective study of 80 patients (42 operative, 38 non-operative) with Rockwood Type III and V AC joint dislocations.
  • Operative group: ligament repair and PDS-banding stabilization.
  • Non-operative group: early physiotherapy with acceptance of deformity.

Related Experiment Videos

  • Mean follow-up: 6.3 years.
  • Outcome measures: UCLA score, Constant-Murley score, pain, function, and strength assessments.

    • Main Results:

    • Similar clinical results (pain, function, strength) were observed between operative and non-operative groups.
    • Non-operative treatment yielded comparable outcomes to operative treatment, even for severe Rockwood V injuries.
    • Post-traumatic osteoarthritis primarily developed in joints with partial dislocation healing.
    • Persistent deformity from non-operative treatment did not negatively affect shoulder outcomes.

    Conclusions:

    • Non-operative management is a viable and effective treatment option for complete acromioclavicular joint dislocations, including severe types.
    • Surgical intervention is not consistently superior to non-operative care for these injuries.
    • Accepting residual deformity in non-operative cases does not compromise long-term shoulder function or pain levels.