Surgical versus conservative management of Type III acromioclavicular dislocation: a systematic review

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Acromioclavicular dislocation. Conservative or surgical therapy.

A literature review was performed to clarify available information which influences decisions whether to advise a young adult patient to undergo surgery for a severely displaced acromioclavicular dislocation. Twenty-four papers were retrieved yielding 1172 patients of whom the mean followup for the 833 surgically treated patients was 43.7 months and not surgically treated was 60.4 months. Of th...

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Comparison of surgical and conservative treatment of Rockwood type-III acromioclavicular dislocation

BACKGROUND There is no consensus on the effects of surgical versus conservative treatment on Rockwood type-III dislocation of the acromioclavicular joint in general orthopedic practice. The objective of this meta-analysis was to compare the clinical outcomes of patients managed surgically and conservatively following type-III acromioclavicular (AC) dislocation. METHODS The Cochrane Library, E...

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Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults.

BACKGROUND Dislocation of the acromioclavicular joint is one of the most common shoulder problems in general orthopaedic practice. The question of whether surgery should be used remains controversial. OBJECTIVES To assess the relative effects of surgical versus conservative (non-surgical) interventions for treating acromioclavicular dislocations in adults. SEARCH STRATEGY We searched the Co...

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The conservative treatment of acromioclavicular dislocation. Review after five years.

The treatment of acromioclavicular injuries is controversial; few studies document the late results. We have reviewed 53 patients about five years after conservative management, in nine for subluxation and 44 for dislocation. Subjective and objective results were satisfactory in all cases except for one with painful subluxation, who was the only patient to change her occupation because of the i...

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Although nonoperative treatment is considered the standard of care for the treatment of Grade I and II acromioclavicular (AC) joint injuries, the treatment of Grade III injuries is controversial. There are as many methods of nonoperative treatment as there are for operative stabilization. Most of the literature represents Level IV evidence with very few Level II and III studies upon which to ba...

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ژورنال

عنوان ژورنال: British Medical Bulletin

سال: 2017

ISSN: 0007-1420,1471-8391

DOI: 10.1093/bmb/ldx003