Surgery improves the clinical and radiological outcome in Rockwood type IV dislocations, whereas Rockwood type III dislocations benefit from conservative treatment.

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Abstract

[Indexed for MEDLINE] 12. J Orthop Surg (Hong Kong). 2018 May-Aug;26(2):2309499018777886. doi: 10.1177/2309499018777886. The Rockwood classification in acute acromioclavicular joint injury does not correlate with symptoms. Granville-Chapman J(1), Torrance E(2), Rashid A(3), Funk L(2). Author information: (1)1 Frimley Health NHS Foundation Trust, Wexham Park Hospital, Slough, Berkshire, UK. (2)2 The Arm Clinic, The Wilmslow Hospital, Wilmslow, Cheshire, UK. (3)3 University College Hospital Medical School, London, UK. PURPOSE: Rockwood classified acromioclavicular (AC) joint injuries by displacement of the joint on radiographs. This classification has driven the management dogma of acute AC dislocation. The correlation between Rockwood grade and symptoms has not been described in acute injury. This study assesses that relationship. METHODS: This series included 77 patients with acute AC joint injury (