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Dislocation of the Acromioclavicular Joint (JBJS 1987)

Screenshot-2015-05-20-00.12.34-e1432095302195-73x98 Dislocation of the Acromioclavicular Joint (JBJS 1987) Journal Club Shoulder | JC Sports Medicine | JC Upper Extremity | JC
Taft, T. N., Wilson, F. C., & Oglesby, J. W. (1987). Dislocation of the acromioclavicular joint. An end-result study. The Journal of Bone & Joint Surgery, 69(7), 1045. https://doi.org/3654696


In this classic article from JBJS, Taft et al. retrospectively analyzed 127 patients who had been treated both operatively and nonoperatively for acute dislocation of the acromioclavicular joint. Average follow-up was approximately 10 years. Fifty-two of the patients were managed with surgery and 75 were management without surgery.

Screenshot-2015-05-20-00.12.34-e1432095302195-73x98 Dislocation of the Acromioclavicular Joint (JBJS 1987) Journal Club Shoulder | JC Sports Medicine | JC Upper Extremity | JC   DC-Joint-Classification-300x238 Dislocation of the Acromioclavicular Joint (JBJS 1987) Journal Club Shoulder | JC Sports Medicine | JC Upper Extremity | JC

 

Classification system for acromioclavicular injury.

Key findings of operative versus nonoperative management of dislocation of the acromioclavicular joint
  • reduction of the AC joint was not necessary for good results
  • Operative management resulted in more complications than nonoperative management
  • 4 weeks of sling use led to good results (after gradual exercises)
  • In patients with persistent pain and symptoms, distal clavice resection was usually successful
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