Injuries to the acromioclavicular joint
Injuries to the acromioclavicular joint are common but underdiagnosed. Sprains and minor subluxations are best managed conservatively, but there is debate concerning the treatment of complete dislocations and the more complex combined injuries in which other elements of the shoulder girdle are damag...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2008-06, Vol.90 (6), p.697-707 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | FRASER-MOODIE, J. A SHORTT, N. L ROBINSON, C. M |
| description | Injuries to the acromioclavicular joint are common but underdiagnosed. Sprains and minor subluxations are best managed conservatively, but there is debate concerning the treatment of complete dislocations and the more complex combined injuries in which other elements of the shoulder girdle are damaged. Confusion has been caused by existing systems for classification of these injuries, the plethora of available operative techniques and the lack of well-designed clinical trials comparing alternative methods of management. Recent advances in arthroscopic surgery have produced an even greater variety of surgical options for which, as yet, there are no objective data on outcome of high quality. We review the current concepts of the treatment of these injuries. |
| doi_str_mv | 10.1302/0301-620X.90B6.20704 |
| format | Article |
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A</creatorcontrib><creatorcontrib>SHORTT, N. L</creatorcontrib><creatorcontrib>ROBINSON, C. M</creatorcontrib><title>Injuries to the acromioclavicular joint</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>Injuries to the acromioclavicular joint are common but underdiagnosed. Sprains and minor subluxations are best managed conservatively, but there is debate concerning the treatment of complete dislocations and the more complex combined injuries in which other elements of the shoulder girdle are damaged. Confusion has been caused by existing systems for classification of these injuries, the plethora of available operative techniques and the lack of well-designed clinical trials comparing alternative methods of management. Recent advances in arthroscopic surgery have produced an even greater variety of surgical options for which, as yet, there are no objective data on outcome of high quality. We review the current concepts of the treatment of these injuries.</description><subject>Acromioclavicular Joint - anatomy & histology</subject><subject>Acromioclavicular Joint - injuries</subject><subject>Acromioclavicular Joint - physiology</subject><subject>Acromioclavicular Joint - surgery</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Diseases of the osteoarticular system</subject><subject>Humans</subject><subject>Joint Dislocations - classification</subject><subject>Joint Dislocations - complications</subject><subject>Joint Dislocations - diagnosis</subject><subject>Joint Dislocations - therapy</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FRASER-MOODIE, J. A</creatorcontrib><creatorcontrib>SHORTT, N. L</creatorcontrib><creatorcontrib>ROBINSON, C. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FRASER-MOODIE, J. A</au><au>SHORTT, N. L</au><au>ROBINSON, C. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Injuries to the acromioclavicular joint</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2008-06-01</date><risdate>2008</risdate><volume>90</volume><issue>6</issue><spage>697</spage><epage>707</epage><pages>697-707</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>Injuries to the acromioclavicular joint are common but underdiagnosed. Sprains and minor subluxations are best managed conservatively, but there is debate concerning the treatment of complete dislocations and the more complex combined injuries in which other elements of the shoulder girdle are damaged. Confusion has been caused by existing systems for classification of these injuries, the plethora of available operative techniques and the lack of well-designed clinical trials comparing alternative methods of management. Recent advances in arthroscopic surgery have produced an even greater variety of surgical options for which, as yet, there are no objective data on outcome of high quality. We review the current concepts of the treatment of these injuries.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>18539661</pmid><doi>10.1302/0301-620X.90B6.20704</doi><tpages>11</tpages><edition>British volume</edition><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0301-620X |
| ispartof | Journal of bone and joint surgery. British volume, 2008-06, Vol.90 (6), p.697-707 |
| issn | 0301-620X 2049-4394 2044-5377 2049-4408 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Acromioclavicular Joint - anatomy & histology Acromioclavicular Joint - injuries Acromioclavicular Joint - physiology Acromioclavicular Joint - surgery Biological and medical sciences Biomechanical Phenomena Diseases of the osteoarticular system Humans Joint Dislocations - classification Joint Dislocations - complications Joint Dislocations - diagnosis Joint Dislocations - therapy Medical sciences Orthopedic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Injuries to the acromioclavicular joint |
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