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.
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