Results of Operative and Nonoperative Treatment of Rockwood Types III and V Acromioclavicular Joint Dislocation: A Prospective, Randomized Trial With an 18- to 20-Year Follow-up.

ABSTRACT:

Background

The optimal treatment of acute, complete dislocation of the acromioclavicular joint (ACJ) is still unresolved.

Purpose

To determine the difference between operative and nonoperative treatment in acute Rockwood types III and V ACJ dislocation.

Study design

Randomized controlled trial; Level of evidence, 2.

Methods

In the operative treatment group, the ACJ was reduced and fixed with 2 transarticular Kirschner wires and ACJ ligament suturing. The Kirschner wires were extracted after 6 weeks. Nonoperatively treated patients received a reduction splint for 4 weeks. At the 18- to 20-year follow-up, the Constant, University of California at Los Angeles Shoulder Rating Scale (UCLA), Larsen, and Simple Shoulder Test (SST) scores were obtained, and clinical an

SUBMITTER: Joukainen A 

PROVIDER: S-EPMC4555529 | biostudies-literature | 2014 Dec

REPOSITORIES: biostudies-literature