Acromioclavicular joint instability: anatomy, biomechanics and evaluation.

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Abstract

20. J Orthop Surg (Hong Kong). 2019 Jan-Apr;27(1):2309499018825222. doi: 10.1177/2309499018825222. Grade 3 AC joint injury: A survey of current practice in the United Kingdom. Mahajan RH(1), Kumar S(1), Mishra BP(1). Author information: (1)Department of Orthopaedics, George Eliot Hospital, College Street, Nuneaton, UK. Acromio-clavicular (AC) joint injuries are a common injury seen in athletes and represent 9% to 12% of all shoulder injuries. There is no clear consensus on treatment of grade 3 injuries. We conducted a survey among upper limb surgeons in the United Kingdom to review commonly accepted practise. We found that majority of surgeons never did stress view. Most surgeons favoured surgery only if needed but not first choice. There is no consensus on timing of surgery. There are many fixation options available for AC joint dislocation and we found that surgeon's preferences were quiet wide for choosing fixation method. That is also evident from this questionnaire as there is no consensus in orthopaedic surgeons for ideal treatment of type 3 AC joint dislocations. Authors recommend randomized controlled trial to formulate definite treatment plan. DOI: 10.1177/2309499018825222