Unstable acromioclavicular joint injuries: Is there really a difference between surgical management in the acute or chronic setting?

Abstract Aim To compare the outcomes of unstable ACJ injuries managed with an arthroscopy-assisted anatomic reconstruction of the coracoclavicular (CC) ligaments in the acute and chronic setting. Methods A retrospective revision was performed. The SF36, visual analog scale for pain, DASH questionnaire, constant score and the global satisfaction were assessed at the last follow-up visit. Results 22 patients were included. Results of the questionnaires assessed at the last follow-up visit showed no significant differences between the study groups. Conclusion Management of ACJ injuries in the acute or chronic setting may involve comparable outcomes if biological and mechanical aspects are considered. Level of evidence Level III, retrospective cohort study.