A comparative analysis of operative versus nonoperative treatment of grade III acromioclavicular separations

Clin Orthop Relat Res. 1985 Mar;(193):150-5.


Nonoperative treatment (accepting the deformity with early range of motion and strengthening exercises) was compared with surgical treatment by Bosworth claviculocoracoid screw fixation of complete acromioclavicular dislocations. Nonoperative treatment provided an equal if not superior result, with an earlier return to activities, sports, and work. Neither the "bump" nor the scar was a significant cosmetic complaint. Range of motion and strength were equal, despite the treatment. Both groups were significantly weak in shoulder external rotator muscle power.

Publication types

  • Comparative Study

MeSH terms

  • Acromioclavicular Joint / injuries*
  • Acromioclavicular Joint / surgery
  • Adolescent
  • Adult
  • Aged
  • Bone Screws
  • Female
  • Humans
  • Joint Dislocations / physiopathology
  • Joint Dislocations / rehabilitation
  • Joint Dislocations / therapy*
  • Male
  • Middle Aged
  • Movement
  • Muscle Contraction
  • Retrospective Studies