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Clinical Focus: Orthopedics and Osteoporosis

Acromioclavicular Joint Injuries: Anatomy, Diagnosis, and Treatment

, MD, , MD & , MD, MSc
Pages 116-122 | Published online: 13 Mar 2015

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Philip C Nolte, Lucca Lacheta, Travis J Dekker, Bryant P Elrick & Peter J Millett. (2020) Optimal Management of Acromioclavicular Dislocation: Current Perspectives. Orthopedic Research and Reviews 12, pages 27-44.
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Articles from other publishers (38)

Jeffrey D. Hassebrock, Daniel J. Stokes, Tyler R. Cram & Rachel M. Frank. (2023) Arthroscopic Repair and Reconstruction of Coracoclavicular Ligament. Clinics in Sports Medicine 42:4, pages 599-611.
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Liam A. Peebles, Ramesses A. Akamefula, Matthew J. Kraeutler & Mary K. Mulcahey. (2023) Management of Acromioclavicular Joint Injuries. Clinics in Sports Medicine 42:4, pages 539-556.
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John M. Apostolakos, Christopher M. Brusalis, Tyler Uppstrom, Ryan R. Thacher, Michelle Kew & Samuel A. Taylor. (2023) Management of Common Football-Related Injuries About the Shoulder. HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery 19:3, pages 339-350.
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Yuan Yan, Mingxin Liao, Huahao Lai, Ziyang Xu, Haobin Chen, Wenhan Huang, Hui Yu & Yu Zhang. (2023) Comparison of Effectiveness and Safety in Treating Acute Acromioclavicular Joint Dislocation with Five Different Surgical Procedures: A Systematic Review and Network Meta‐Analysis. Orthopaedic Surgery 15:8, pages 1944-1958.
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Philipp Tuor, Michael Dietrich & Patrick Grüninger. (2023) Surgical management of multiple superior shoulder suspensory complex disruptions involving at least a coracoid fracture and an acromioclavicular dislocation: A report of five cases. SAGE Open Medical Case Reports 11, pages 2050313X2311667.
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Shaan S. Patel, Robert P. Piggott, Milos Spasojevic & Jeff S. Hughes. (2023) Ligament Reconstruction and Interposition Arthroplasty of the Acromioclavicular Joint. Techniques in Hand & Upper Extremity Surgery 27:1, pages 49-54.
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Kevin Taniguchi, John G. Lane & Anshuman Singh. 2023. The Art of the Musculoskeletal Physical Exam. The Art of the Musculoskeletal Physical Exam 3 8 .
Chih-Yao Lee, Po-Cheng Chen, Ying-Chun Liu, Yun-Che Tsai, Pei-Hsi Chou, Yin-Chih Fu, Wen-Chih Liu & Jesse Bernard Jupiter. (2022) Does coracoclavicular augmentation additional to hook plate fixation provide benefits in acute unstable acromioclavicular dislocation? A meta-analysis. BMC Musculoskeletal Disorders 23:1.
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Yu-Jui Chang, Wen-Yi Chou, Jih-Yang Ko, Hao-Chen Liu, Ya-Ju Yang & Ka-Kit Siu. (2022) Clinical and radiologic outcomes of the modified phemister procedure with coracoclavicular ligament augmentation using mersilene tape versus hook plate fixation for acute acromioclavicular joint dislocation. BMC Surgery 22:1.
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Amber R. Vocelle, Garrett Weidig & Tamara R. Bush. (2022) Shoulder structure and function: The impact of osteoarthritis and rehabilitation strategies. Journal of Hand Therapy 35:3, pages 377-387.
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Frederic Washburn, Britni Tran & Thomas Golden. (2022) Occult clavicle osteomyelitis caused by Cutibacterium acnes (C. acnes) after coracoclavicular ligament reconstruction: A case report and review of the literature. International Journal of Surgery Case Reports 94, pages 107114.
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Milad Farkhondeh Fal, Marius Junker, Konrad Mader, Karl Heinz Frosch & Jörn Kircher. (2022) Morphology of the acromioclavicular-joint score (MAC). Archives of Orthopaedic and Trauma Surgery 143:3, pages 1523-1529.
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Radhakrishnan Pattu, Girinivasan Chellamuthu, Kumar Sellappan & Chendrayan Kamalanathan. (2021) Anatomic reconstruction for acromioclavicular joint injuries: a pilot study of a cost-effective new technique. Clinics in Shoulder and Elbow 24:4, pages 209-214.
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Cort D. Lawton, Harry G. GreditzerIVIV, Ryan J. Lingor, Jim Ramsay, Anil S. Ranawat, Bryan T. Kelly & Robert G. Marx. 2021. Specific Sports-Related Injuries. Specific Sports-Related Injuries 97 115 .
Lawrence M. WhiteJonathan EhmannRobert R. BleakneyAnthony M. GriffinJohn Theodoropoulos. (2020) Acromioclavicular Joint Injuries in Professional Ice Hockey Players: Epidemiologic and MRI Findings and Association With Return to Play. Orthopaedic Journal of Sports Medicine 8:11, pages 232596712096447.
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Angus J. Lloyd, Eoghan T. Hurley, Martin S. Davey, Leo Pauzenberger & Hannan Mullet. (2020) Arthroscopic Suture-Button Versus Hook-Plate Fixation for Acromioclavicular Joint Injuries—A Systematic Review of Comparative Studies. Arthroscopy, Sports Medicine, and Rehabilitation 2:5, pages e671-e676.
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Eugene S. JangCaroline N. ParkWilliam N. LevineCharles A. Popkin. (2020) A Current Concepts Review of Clavicle Injuries in Ice Hockey From Sternoclavicular to Acromioclavicular Joint. Orthopaedic Journal of Sports Medicine 8:9, pages 232596712095141.
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Xin Pan, Rui‐yan Lv, Ming‐gang Lv & Da‐guang Zhang. (2020) TightRope vs Clavicular Hook Plate for Rockwood III–V Acromioclavicular Dislocations: A Meta‐Analysis . Orthopaedic Surgery 12:4, pages 1045-1052.
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Patrick Graham. (2020) Acromioclavicular Separation. Orthopaedic Nursing 39:3, pages 201-203.
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Ganan Radhakrishnan & Dan Henderson. (2019) Injuries of the acromioclavicular joint. Orthopaedics and Trauma 33:5, pages 276-282.
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Ying-Cheng Huang, Shan-Wei Yang, Chun-Yu Chen, Kai-Cheng Lin & Jenn-Huei Renn. (2018) Single coracoclavicular suture fixation with Mersilene tape versus hook plate in the treatment of acute type V acromioclavicular dislocation: a retrospective analysis. Journal of Orthopaedic Surgery and Research 13:1.
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Evrim Sirin, Nuri Aydin & Osman Mert Topkar. (2018) Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures. EFORT Open Reviews 3:7, pages 426-433.
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Hamid Rahmatullah Bin Abd Razak, Eng-Meng Nicholas Yeo, William Yeo & Tijauw-Tjoen Denny Lie. (2017) Short-term outcomes of arthroscopic TightRope® fixation are better than hook plate fixation in acute unstable acromioclavicular joint dislocations. European Journal of Orthopaedic Surgery & Traumatology 28:5, pages 869-875.
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K Lingaraju, Idris Kamran, HP Shobha & Syed Wahaj. (2018) Surgical fixation of Rookwood Type III–V acromioclavicular joint dislocation with acromioclavicular: Hook plate. Journal of Orthopedics, Traumatology and Rehabilitation 10:1, pages 44.
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Robert A. Arciero, Frank A. Cordasco & Matthew T. Provencher. 2018. Shoulder and Elbow Injuries in Athletes. Shoulder and Elbow Injuries in Athletes 294 323 .
Jochen Markel, Tim Schwarting, Dominik Malcherczyk, Christian-Dominik Peterlein, Steffen Ruchholtz & Bilal Farouk El-Zayat. (2017) Concomitant glenohumeral pathologies in high-grade acromioclavicular separation (type III – V). BMC Musculoskeletal Disorders 18:1.
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Ding Xu, Peng Luo, Jukun Chen, Liefeng Ji, Luxu Yin, WeiKang Wang & Jiang Zhu. (2017) Outcomes of surgery for acromioclavicular joint dislocation using different angled hook plates: a prospective study. International Orthopaedics 41:12, pages 2605-2611.
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C. Grim, M. Engelhardt & T. Hotfiel. (2017) Ausgewählte Aspekte zur Instabilität des Schultereckgelenkes. Sports Orthopaedics and Traumatology 33:1, pages 22-28.
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Jonas Pogorzelski & Peter J. Millett. (2017) Editorial Commentary: Is Posterior Distal Clavicle Beveling for Chronic Nonincarcerated Type IV Acromioclavicular Separation a Sufficient Treatment?. Arthroscopy: The Journal of Arthroscopic & Related Surgery 33:1, pages 90-91.
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E.F. Ibrahim, N.P. Forrest & A. Forester. (2015) Bilateral weighted radiographs are required for accurate classification of acromioclavicular separation: An observational study of 59 cases. Injury 46:10, pages 1900-1905.
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Ivan Viktorovich Borozda, Mikhail Anatolievich Danilov & Kirill Sergeevich Golokhvast. (2015) Treatment of patients with acromioclavicular joint injuries (Rockwood II–VI) with modeled Kirschner wire and cortical screw. Asian Pacific Journal of Tropical Biomedicine 5:7, pages 579-584.
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S. Braun, A.B. Imhoff & F. Martetschläger. (2015) Arthroskopisch gestützte Techniken zur Versorgung der akuten und chronischen AC-Gelenk-VerletzungArthroscopically assisted techniques for treatment of acute and chronic acromioclavicular joint injuries. Der Unfallchirurg 118:5, pages 407-414.
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Jong Pil YoonByoung-Joo LeeSang Jin NamSeok Won ChungWon-Ju JeongWoo-Kie MinJoo Han Oh. (2015) Comparison of Results between Hook Plate Fixation and Ligament Reconstruction for Acute Unstable Acromioclavicular Joint Dislocation. Clinics in Orthopedic Surgery 7:1, pages 97.
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Robert F LaPrade, Rachel K Surowiec, Ada N Sochanska, Brandon S Hentkowski, Brandie M Martin, Lars Engebretsen & Coen A Wijdicks. (2014) Epidemiology, identification, treatment and return to play of musculoskeletal-based ice hockey injuries. British Journal of Sports Medicine 48:1, pages 4-10.
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Frank Martetschläger, Sepp Braun & Andreas B. Imhoff. 2014. Shoulder Arthroscopy. Shoulder Arthroscopy 539 547 .
M. Spoliti, Mauro De Cupis, S. Chiossi, G. Corsi & A. Giai Via. (2013) Stabilizzazione artroscopica della lussazione acromion-claveare acuta con il sistema TightRope®Arthroscopic stabilization of acute acromioclavicular joint dislocation with the TightRope® system. LO SCALPELLO-OTODI Educational 27:1, pages 22-27.
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Ryan J. Warth, Frank Martetschläger, Trevor R. Gaskill & Peter J. Millett. (2012) Acromioclavicular joint separations. Current Reviews in Musculoskeletal Medicine 6:1, pages 71-78.
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Frank Martetschläger, Arne Buchholz, Gunther Sandmann, Sebastian Siebenlist, Stefan Döbele, Alexander Hapfelmeier, Ulrich Stöckle, Peter J. Millett, Florian Elser & Andreas Lenich. (2012) Acromioclavicular and coracoclavicular PDS augmentation for complete AC joint dislocation showed insufficient properties in a cadaver model. Knee Surgery, Sports Traumatology, Arthroscopy 21:2, pages 438-444.
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