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Papers of the Week

2022 Dec 27

J Shoulder Elbow Surg

Superior clinical results for early arthroscopic treatment of grade IIIb and V acromioclavicular joint instability compared to delayed operative treatment.


Dey Hazra R-O, Hanhoff M, Kühnapfel A, Rutledge JC, Warnhoff M, Ellwein A, Lill H, Jensen G
J Shoulder Elbow Surg. 2022 Dec 27.
PMID: 36584871.


Arthroscopic assisted cortical fixation devices have been increasingly used in the operative management of both acute and chronic cases of acromioclavicular joint instability (ACJI). It has been hypothesized that delayed surgical management leads to inferior clinical and radiological outcomes compared to acute treatment. The purpose of this study is to compare clinical and radiologic outcomes, scapula dyskinesia, and failure/revision rates of arthroscopically treated acute with chronic ACJI.