Scapulothoracic Dissociation: Evaluation and Management.

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Abstract

[Indexed for MEDLINE] 7. Orthop Clin North Am. 2008 Oct;39(4):535-45, viii. doi: 10.1016/j.ocl.2008.05.003. Acromioclavicular and sternoclavicular joint injuries. Macdonald PB(1), Lapointe P. Author information: (1)Section of Orthopaedic Surgery, PanAm Clinic, University of Manitoba, 75 Poseidon Bay, Winnipeg, Manitoba, R3M 3E4, Canada. pmacdonald@panamclinic.com Acromioclavicular (AC) joint injuries are a frequent diagnosis following an acute shoulder injury. The literature on AC joint dislocation is extensive, reflecting the intense debate surrounding the topic. The choice of treatment is influenced by factors including the type of injury, the patient's occupation, the patient's past medical history, the acuity of the injury, and patient expectations. Sternoclavicular (SC) joint dislocation is an uncommon injury. The treatment of acute anterior SC joint dislocations is controversial. It is difficult to study with a well-designed prospective study because of the low frequency of this injury. Posterior dislocations are much less common than anterior dislocations. Posterior dislocations, however, are more serious; they are associated with significant complications and require prompt attention. DOI: 10.1016/j.ocl.2008.05.003