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Published on: February 10, 2015
Injuries to the acromioclavicular joint
J A Fraser-Moodie1, N L Shortt, C M Robinson
1Edinburgh Shoulder Clinic, The Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, UK.
Acromioclavicular joint injuries are common and often missed. This review examines current treatment concepts for acromioclavicular joint dislocations and combined injuries, highlighting the need for better data.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Acromioclavicular (AC) joint injuries are prevalent but frequently underdiagnosed.
- Conservative management is suitable for sprains and minor subluxations.
- Significant debate exists regarding the optimal treatment for complete AC joint dislocations and complex combined injuries involving the shoulder girdle.
Purpose of the Study:
- To review current concepts in the management of acromioclavicular joint injuries.
- To address the confusion arising from varied classification systems and surgical techniques.
- To highlight the need for high-quality clinical trials on treatment outcomes, especially with recent arthroscopic advancements.
Main Methods:
- Literature review of current concepts and treatment strategies for AC joint injuries.
- Analysis of existing classification systems and surgical interventions.
- Discussion of the impact of recent arthroscopic surgical advancements.
Main Results:
- Existing classification systems for AC joint injuries are often confusing.
- A wide array of operative techniques are available, but high-quality outcome data is lacking.
- Recent arthroscopic techniques offer new options, but objective outcome data is scarce.
Conclusions:
- Optimal management strategies for AC joint dislocations and combined injuries require further investigation.
- Well-designed clinical trials are essential to compare different management methods.
- Evidence-based guidelines are needed to navigate the complexities of AC joint injury treatment.
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