We present a review of the literature with respect to the anatomy, biomechanics, classification, diagnosis and rationale for contemporary management of both acute and chronic acromioclavicular joint dislocations. Both conservative and surgical management are discussed.
Fraser-MoodieJA, ShorttNL, RobinsonCM. Injuries to the acromioclavicular joint. J Bone Joint Surg Br2008; 90: 697–707.
2.
RockwoodCAJr, YoungDC. Disorders of the acromioclavicular joint. In: RockwoodCAJr, MatsenFAIII eds. The Shoulder.Philadelphia, PA: WB Saunders, 1990; 413–68.
3.
KaplanLD, FlaniganDC, NorwigJ, JostP, BradleyJ. Prevalence and variance of shoulder injuries in elite collegiate football players. Am J Sports Med2005; 33: 1142–6.
4.
FukudaK, CraigEV, AnK-N. Biomechanical study of ligamentous system of the acromioclavicular joint. J Bone Joint Surg1986; 68-A: 434–9.
5.
DepalmaA. The role of the disks of the sternoclavicular and the acromioclavicular joints. Clin Orthop1959; 13: 222–33.
RiosCG, ArcieroRA, MazzoccaAD. Anatomy of the clavicle and coracoid process for reconstruction of the coracoclavicular ligaments. Am J Sports Med2007; 35: 811–17.
8.
BossartPJ, JoyceSM, ManasterBJ, PackerSM. Lack of efficacy of ‘weighted’ radiographs in diagnosing acute acromioclavicular separation. Ann Emerg Med1988; 17: 20–4.
9.
BradleyJP, ElkousyH. Decision making: operative versus nonoperative treatment of acromioclavicular joint injuries. Clin Sports Med2003; 22: 277–90.
10.
CalvoE, Lopez-FrancoM, ArribasIM. Clinical and radiologic outcomes of surgical and conservative treatment of type III acromioclavicular joint injury. J Shoulder Elbow Surg2006; 15: 300–5.
11.
LemosMJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med1998; 26: 137–44.
12.
NuberGW, BowenMK. Acromioclavicular joint injuries and distal clavicle fractures. J Am Acad Orthop Surg1997; 5: 11–18.
13.
BergfeldJA, AndrishJT, ClancyWG. Evaluation of the acromioclavicular joint following first- and second-degree sprains. Am J Sports Med1978; 6: 153–9.
14.
NuberGW, BowenMK. Arthroscopic treatment of acromioclavicular joint injuries and results. Clin Sports Med2003; 22: 301–17.
15.
RawesML, DiasJJ. Long-term results of conservative treatment for acromioclavicular dislocation. J Bone Joint Surg Br1996; 78: 410–12.
16.
WojtysEM, NelsonG. Conservative treatment of grade III acromio-clavicular dislocations. Clin Orthop Relat Res1991; 268: 112–19.
17.
GurdFB. The treatment of complete dislocation of the outer end of the clavicle: an hitherto undescribed operation. Ann Surg1941; 113: 1094–8.
18.
GlickJM, MilburnLJ, HaggertyJF, NishimotoD. Dislocated acromioclavicular joint: follow-up study of 35 unreduced acromio-clavicular dislocations. Am J Sports Med1977; 5: 264–70.
BontempoN, MazzoccaA. Biomechanics and treatment of acromio-clavicular and sternoclavicular injuries. Br J Sports Med2010; 44: 361–9.
22.
NorrellHJr, LlewellynRC. Migration of a threaded Steinmann pin from an acromioclavicular joint into the spinal canal: a case report. J Bone Joint Surg Am1965; 47: 1024–6.
23.
SethiGK, ScottSM. Subclavian artery laceration due to migration of a Hagie pin. Surgery1976; 80: 644–6.
24.
FarajAA, KetzerB. The use of a hook-plate in the management of acromioclavicular injuries. Report of ten cases. Acta Orthop Belg2001; 67: 448–51.
25.
NadarajahR, MahaluxmivalaJ, AminA, GoodierDW. Clavicular hook-plate: complications of retaining the implant. Injury2005; 36: 681–3.
26.
ButtHZ, WallaceWA. Nottingham Surgilig™ – a novel device for the surgical treatment of acromioclavicular dislocation. Orth Prod News2005; 44–6.
27.
WoodTA, RosellPA, ClasperJC. Preliminary results of the ‘Surgilig’ synthetic ligament in the management of chronic acromioclavicular joint disruption. J R Army Med Corps2009; 155: 191–3.
28.
BhattacharyaR, GoodchildL, RanganA. Acromioclavicular joint reconstruction using the Nottingham Surgilig: a preliminary report. Acta Orthop Belg2008; 74: 167–72.
29.
JeonIH, DewnanyG, HartleyR, NeumannL, WallaceWA. Chronic acromioclavicular separation: the medium term results of coraco-clavicular ligament reconstruction using braided polyester prosthetic ligament. Injury2007; 38: 1247–53.
30.
ClayerM, SlavotinekJ, KrishnanJ. The results of coraco-clavicular slings for acromioclavicular dislocation. Aust N Z J Surg1997; 67: 343–6.
31.
StamL, DawsonI. Complete acromioclavicular dislocations: treatment with a Dacron ligament. Injury1991; 22: 173–6.
32.
VerhavenE, DeBoeckH, HaentjensP,. Surgical treatment of acute type V AC injuries: a prospective study. Acta Orthop Belg1992; 58: 176–82.
33.
MumfordEB. Acromioclavicular dislocation: a new operative treatment. J Bone Joint Surg Am1941; 23: 799–802.
34.
SnyderSJ, BanasMP, KarzelRP. The arthroscopic Mumford procedure: an analysis of results. Arthroscopy1995; 11: 157–64.
35.
CorteenDP, TeitgeRA. Stabilization of the clavicle after distal resection: a biomechanical study. Am J Sports Med2005; 33: 61–7.
36.
StineI, VangsnessT. Analysis of the capsule and ligament insertions about the acromioclavicular joint: a cadaveric study. Arthroscopy2009; 25: 968–74.
37.
LeskoPDJ. Variation of the arthroscopic Mumford procedure for resecting the distal clavicle. South Orthop Assoc2001; 10: 194–200.
38.
BoileauP, OldJ, GastaudO, BrassartN, RoussanneY. All-arthroscopic Weaver–Dunn–Chuinard procedure with double-button fixation for chronic acromioclavicular joint dislocation. Arthroscopy2010; 26: 149–60.
39.
TrikhaSP, ActonD, WilsonAJ, CurtisMJ. A new method of arthroscopic reconstruction of the dislocated acromio-clavicular joint. Ann R Coll Surg Engl2004; 86: 161–4.
40.
DeBerardinoTM, PensakMJ, FerreiraJ, MazzoccaAD. Arthroscopic stabilization of acromioclavicular joint dislocation using the AC graftrope system. J Shoulder Elbow Surg2010; 19(Suppl 2): 47–52.
41.
TauberM, EppelM, ReschH. Acromioclavicular reconstruction using autogenous semitendinosus tendon graft: results of revision surgery in chronic cases. J Shoulder Elbow Surg2007; 16: 429–33.
42.
ZvijacJE, PopkinCA, Botto-van BemdenA. Salvage procedure for chronic acromioclavicular dislocation subsequent to overzealous distal clavicle resection. Orthopedics2008; 31.
