Operative or conservative treatment in patients with Rockwood type III acromioclavicular dislocation: a systematic review and update of current literature View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-10-31

AUTHORS

Koos Korsten, Amy C. Gunning, Luke P. H. Leenen

ABSTRACT

PurposeDespite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and present an overview of the outcome of conservative versus operative treatment of Rockwood type III dislocations.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was used to conduct this review. A systematic search was performed in the Pubmed, Cochrane library, Embase, Scopus and Cumulative Index to Nursing and Allied Health Literature databases. Titles and abstracts were screened using predefined criteria and articles were critically appraised on relevance and validity.ResultsAfter critical appraisal eight articles were included in the study. The objective and subjective shoulder function outcome was better in the operative group, especially in young adults, though the rate of complications and radiographic abnormalities were higher. The rehabilitation time was shorter in the conservative group, however the cosmetic outcome was worse.ConclusionsThis review showed no conclusive evidence for the treatment of Rockwood type III AC dislocations. Overall, physically active young adults seem to have a slight advantage in outcome when treated operatively. More... »

PAGES

831-838

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-013-2143-7

DOI

http://dx.doi.org/10.1007/s00264-013-2143-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003015492

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24178060


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