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16 November 2024 : Review article  

Surgical Advances in the Treatment of Acromioclavicular Joint Injury: A Comprehensive Review

Yingkai Ma1BC, Zhenwen Ma2EG, Jiangrong Guo1DE, Xinnan Ma1A, Songcen LV1BC, Shi Cheng1EF*

DOI: 10.12659/MSM.942969

Med Sci Monit 2024; 30:e942969

Table 2 Rockwood clinical classification of acromioclavicular joint injury.

TypeAcromioclavicular ligamentConus ligamentTrapezoidal ligamentThe space between the coracoid process and the clavicleImaging featuresTreatment
IIncomplete damageNo damageNo damageNormalNormalNon-surgical treatment
IITotal damageIncomplete damageNo damage<25%Broadening
IIITotal damageTotal damageIncomplete damage25–100%BroadeningNo consensus reached
IVTotal damageTotal damageTotal damageIncreaseThe clavicle is displaced backward into the trapezius muscleSurgical treatment
VTotal damageTotal damageTotal damage100–300%broadening
VITotal damageTotal damageTotal damageDecreaseThe clavicle is displaced downward to the subacromion or coracoid process

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750