Conservative therapy may be effective for treatment of type V AC dislocations

Conservative treatment of type V acromioclavicular dislocations demonstrated successful outcomes in many patients, and average time before return to duty did not improve with immediate vs. delayed surgery, according to a presentation made during the American Academy of Orthopedic Surgeons Annual Meeting.

Researchers retrospectively reviewed the medical records of 41 patients with type V acromioclavicular (AC) dislocations, defined as a greater than 100% increase in the coracoclavicular (CC) distance compared with the contralateral side, or greater than 2 cm of displacement unilaterally of the clavicle’s superior border, from January 2007 to December 2012. Outcomes were compared for 10 patients who underwent acute acromioclavicular reconstruction (surgical intervention within 90 days of injury without a conservative therapy trial) and 22 patients for whom conservative therapy was recommended.


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