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Acromioclavicular and sternoclavicular joint injuries
1Cornell University Medical College, New York, New York, USA.
Clinics in Sports Medicine
|July 1, 1983
Summary
Treatment for acromioclavicular (AC) and sternoclavicular (SC) joint injuries varies. Most AC injuries are managed symptomatically, while severe SC dislocations require reduction.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Sports Medicine
Background:
- Acromioclavicular (AC) and sternoclavicular (SC) joints are crucial for shoulder girdle stability.
- Traumatic injuries to these joints can result in significant pain and functional impairment.
Purpose of the Study:
- To review the diagnostic and treatment principles for traumatic AC and SC joint injuries.
- To outline current management strategies based on injury severity and joint stability.
Main Methods:
- Literature review of traumatic AC and SC joint injuries.
- Discussion of classification systems and treatment algorithms.
Main Results:
- Acromioclavicular trauma management is primarily symptomatic.
- Type III AC injuries with clavicular prominence necessitate open reduction and internal fixation.
- Unstable sternoclavicular injuries require acute reduction; stable injuries are managed symptomatically.
Conclusions:
- Appropriate management of AC and SC joint injuries depends on specific injury characteristics.
- Surgical intervention is reserved for specific AC injury types and acute SC dislocations.