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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2016, Number 3

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Ortho-tips 2016; 12 (3)

Treatment of acromioclavicular dislocation in athletes

Rodríguez BFJ, Pérez MR

Language: Spanish
References: 20
Page: 168-176
PDF size: 866.83 Kb.


ABSTRACT

The acromioclavicular joint anatomy and its complex role in shoulder movement continue to be fundamental in the treatment of its injuries. The index of damage to this joint is approximately 12% of the injuries in the scapular girdle, with 8:1 male to female; it is common in athletes. The majority of acromioclavicular dislocations are caused by direct contusion with the arm adducted, which damages the acromioclavicular and coracoclavicular ligaments. The initial approach should be a clinical and x-ray evaluation. To assess the degree of the injury, shoulder surgeons use the Rockwood I-VI classification. The treatment of an acromioclavicular joint dislocation continues to be a debate because there is not a gold standard for the optimal handling of this injury. Type III injuries are the most controversial concerning their treatment, which can be surgical or not even in athletes with a high demand on the shoulder. There are more than 150 surgical techniques for the treatment of the acromioclavicular joint dislocation, using metallic implants, ligament reconstructions, the placement of biological and non-biological grafts, as well as open and arthroscopical repairs. Future research must continue to determine if the surgical treatment and anatomical repair have the best clinical outcomes and avoid acromioclavicular arthrosis compared with non-surgical and non-anatomical repairs.


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