Cargando…
New insights in the treatment of acromioclavicular separation
A direct force on the superior aspect of the shoulder may cause acromioclavicular (AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types I and II are trea...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745428/ https://www.ncbi.nlm.nih.gov/pubmed/29312844 http://dx.doi.org/10.5312/wjo.v8.i12.861 |
_version_ | 1783288899955589120 |
---|---|
author | van Bergen, Christiaan J A van Bemmel, Annelies F Alta, Tjarco D W van Noort, Arthur |
author_facet | van Bergen, Christiaan J A van Bemmel, Annelies F Alta, Tjarco D W van Noort, Arthur |
author_sort | van Bergen, Christiaan J A |
collection | PubMed |
description | A direct force on the superior aspect of the shoulder may cause acromioclavicular (AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types I and II are treated nonoperatively, while types IV, V and VI are generally treated operatively. Controversy exists regarding the optimal treatment of type III dislocations in the high-demand patient. Recent evidence suggests that these should be treated nonoperatively initially. Classic surgical techniques were associated with high complication rates, including recurrent dislocations and hardware breakage. In recent years, many new techniques have been introduced in order to improve the outcomes. Arthroscopic reconstruction or repair techniques have promising short-term results. This article aims to provide a current concepts review on the treatment of AC dislocations with emphasis on recent developments. |
format | Online Article Text |
id | pubmed-5745428 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-57454282018-01-08 New insights in the treatment of acromioclavicular separation van Bergen, Christiaan J A van Bemmel, Annelies F Alta, Tjarco D W van Noort, Arthur World J Orthop Minireviews A direct force on the superior aspect of the shoulder may cause acromioclavicular (AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types I and II are treated nonoperatively, while types IV, V and VI are generally treated operatively. Controversy exists regarding the optimal treatment of type III dislocations in the high-demand patient. Recent evidence suggests that these should be treated nonoperatively initially. Classic surgical techniques were associated with high complication rates, including recurrent dislocations and hardware breakage. In recent years, many new techniques have been introduced in order to improve the outcomes. Arthroscopic reconstruction or repair techniques have promising short-term results. This article aims to provide a current concepts review on the treatment of AC dislocations with emphasis on recent developments. Baishideng Publishing Group Inc 2017-12-18 /pmc/articles/PMC5745428/ /pubmed/29312844 http://dx.doi.org/10.5312/wjo.v8.i12.861 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Minireviews van Bergen, Christiaan J A van Bemmel, Annelies F Alta, Tjarco D W van Noort, Arthur New insights in the treatment of acromioclavicular separation |
title | New insights in the treatment of acromioclavicular separation |
title_full | New insights in the treatment of acromioclavicular separation |
title_fullStr | New insights in the treatment of acromioclavicular separation |
title_full_unstemmed | New insights in the treatment of acromioclavicular separation |
title_short | New insights in the treatment of acromioclavicular separation |
title_sort | new insights in the treatment of acromioclavicular separation |
topic | Minireviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745428/ https://www.ncbi.nlm.nih.gov/pubmed/29312844 http://dx.doi.org/10.5312/wjo.v8.i12.861 |
work_keys_str_mv | AT vanbergenchristiaanja newinsightsinthetreatmentofacromioclavicularseparation AT vanbemmelanneliesf newinsightsinthetreatmentofacromioclavicularseparation AT altatjarcodw newinsightsinthetreatmentofacromioclavicularseparation AT vannoortarthur newinsightsinthetreatmentofacromioclavicularseparation |