Open Access<p>Optimal Management of Acromioclavicular Dislocation: Current Perspectives</p>
Author(s) -
Philip-Christian Nolte,
Lucca Lacheta,
Travis J. Dekker,
Bryant P. Elrick,
Peter J. Millett
Publication year - 2020
Publication title -
orthopedic research and reviews
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 9
ISSN - 1179-1462
DOI - 10.2147/orr.s218991
Subject(s) - acromioclavicular joint , coracoclavicular ligament , medicine , dislocation , acromioclavicular dislocation , conservative treatment , ligament , joint dislocation , joint (building) , capsule , surgery , physical therapy , materials science , architectural engineering , botany , engineering , composite material , biology
Injuries to the acromioclavicular (AC) joint are common and mostly involve younger, male individuals. Whereas the majority of AC joint dislocations can be treated nonoperatively with a trial of immobilization, pain medication, cryotherapy, and physiotherapy, there are patients that do not respond well to conservative management and may require surgical treatment. Identifying and treating these patients according to the type and chronicity of AC joint dislocation is paramount. To date, a myriad of surgical techniques have been proposed to address unstable AC joint dislocations and are indicative of the uncertainty that exists in optimal management of these injuries. Historically research has focused on the restoration of the coracoclavicular ligament complex. However, recently the importance of the acromioclavicular capsule and ligaments has been emphasized. This review aims to provide the reader with an overview of current treatment strategies and research, as well as future perspectives.