No difference in clinical outcome at 2-year follow-up in patients with type III and V acromioclavicular joint dislocation treated with hook plate or physiotherapy: a randomized controlled trial.

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Abstract

[Indexed for MEDLINE] 4. Zentralbl Chir. 2002 Mar;127(3):203-6. doi: 10.1055/s-2002-24255. [AC Joint Injuries]. [Article in German] Bosch U(1), Fremerey RW. Author information: (1)Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Germany. bosch.ulrich@mh-hannover.de There is still controversy about the treatment for acute type III acromioclavicular joint dislocation according to Tossy and Rockwood's classification. Good functional results were reported on following operative and non-operative treatment. According to the literature the functional outcome is similar. Following surgical repair, however, complications occur more often and the period of rehabilitation is longer. The disadvantages of non-operative treatment include a higher rate of a persisting prominence of the distal clavicle. Currently available data in the literature indicate that based on the criteria of evidence based medicine non-operative treatment seems to represent the method of choice for type III injuries of the acromioclavicular joint. DOI: 10.1055/s-2002-24255