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Erschienen in: Clinical Orthopaedics and Related Research® 1/2017

16.09.2016 | In Brief

Classifications in Brief: Rockwood Classification of Acromioclavicular Joint Separations

verfasst von: Jacob D. Gorbaty, MD, Jason E. Hsu, MD, Albert O. Gee, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 1/2017

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Excerpt

Acromioclavicular (AC) joint separation is a common shoulder injury, representing up to 9% of all shoulder injuries [8, 19]. The majority of AC injuries (44%) occur in people in their twenties and are five times more common in men than in women [19]. They are especially numerous in younger patients participating in contact sports and represent 15%, 20%, and 41% of shoulder injuries in hockey, skiing, and American football, respectively [10, 15, 20, 27]. The most common mechanism of injury is by direct contact applied directly over the superolateral border of the shoulder while the humerus is in the adducted position. …
Literatur
1.
Zurück zum Zitat Allman FL Jr. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. 1967;49:774–784.CrossRefPubMed Allman FL Jr. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. 1967;49:774–784.CrossRefPubMed
2.
Zurück zum Zitat Alyas F, Curtis M, Speed C, Saifuddin A, Connell D. MR imaging appearances of acromioclavicular joint dislocation. Radiographics. 2008;28:463–479; quiz 619. Alyas F, Curtis M, Speed C, Saifuddin A, Connell D. MR imaging appearances of acromioclavicular joint dislocation. Radiographics. 2008;28:463–479; quiz 619.
3.
Zurück zum Zitat Antonio GE, Cho JH, Chung CB, Trudell DJ, Resnick D. Pictorial essay: MR imaging appearance and classification of acromioclavicular joint injury. AJR Am J Roentgenol. 2003;180:1103–1110.CrossRefPubMed Antonio GE, Cho JH, Chung CB, Trudell DJ, Resnick D. Pictorial essay: MR imaging appearance and classification of acromioclavicular joint injury. AJR Am J Roentgenol. 2003;180:1103–1110.CrossRefPubMed
4.
Zurück zum Zitat Bannister GC, Wallace WA, Stableforth PG, Hutson MA. The management of acute acromioclavicular dislocation: a randomised prospective controlled trial. J Bone Joint Surg Br. 1989;71:848–850.CrossRefPubMed Bannister GC, Wallace WA, Stableforth PG, Hutson MA. The management of acute acromioclavicular dislocation: a randomised prospective controlled trial. J Bone Joint Surg Br. 1989;71:848–850.CrossRefPubMed
5.
Zurück zum Zitat Beitzel K, Cote MP, Apostolakos J, Solovyova O, Judson CH, Ziegler CG, Edgar CM, Imhoff AB, Arciero RA, Mazzocca AD. Current concepts in the treatment of acromioclavicular joint dislocations. Arthroscopy. 2013;29:387–397.CrossRefPubMed Beitzel K, Cote MP, Apostolakos J, Solovyova O, Judson CH, Ziegler CG, Edgar CM, Imhoff AB, Arciero RA, Mazzocca AD. Current concepts in the treatment of acromioclavicular joint dislocations. Arthroscopy. 2013;29:387–397.CrossRefPubMed
6.
Zurück zum Zitat Cadenat F. The treatment of dislocations and fractures of the outer end of the clavicle. Int Clin. 1917;1:145–169. Cadenat F. The treatment of dislocations and fractures of the outer end of the clavicle. Int Clin. 1917;1:145–169.
7.
Zurück zum Zitat Calvo E, Lopez-Franco M, Arribas IM. Clinical and radiologic outcomes of surgical and conservative treatment of type III acromioclavicular joint injury. J Shoulder Elbow Surg. 2006;15:300–305.CrossRefPubMed Calvo E, Lopez-Franco M, Arribas IM. Clinical and radiologic outcomes of surgical and conservative treatment of type III acromioclavicular joint injury. J Shoulder Elbow Surg. 2006;15:300–305.CrossRefPubMed
8.
Zurück zum Zitat Chillemi C, Franceschini V, Dei Giudici L, Alibardi A, Salate Santone F, Ramos Alday LJ, Osimani M. Epidemiology of isolated acromioclavicular joint dislocation. Emerg Med Int. 2013;2013:171609. Chillemi C, Franceschini V, Dei Giudici L, Alibardi A, Salate Santone F, Ramos Alday LJ, Osimani M. Epidemiology of isolated acromioclavicular joint dislocation. Emerg Med Int. 2013;2013:171609.
9.
Zurück zum Zitat Cho CH, Hwang I, Seo JS, Choi CH, Ko SH, Park HB, Dan J. Reliability of the classification and treatment of dislocations of the acromioclavicular joint. J Shoulder Elbow Surg. 2014;23:665–670.CrossRefPubMed Cho CH, Hwang I, Seo JS, Choi CH, Ko SH, Park HB, Dan J. Reliability of the classification and treatment of dislocations of the acromioclavicular joint. J Shoulder Elbow Surg. 2014;23:665–670.CrossRefPubMed
10.
Zurück zum Zitat Flik K, Lyman S, Marx RG. American collegiate men’s ice hockey: an analysis of injuries. Am J Sports Med. 2005;33:183–187.CrossRefPubMed Flik K, Lyman S, Marx RG. American collegiate men’s ice hockey: an analysis of injuries. Am J Sports Med. 2005;33:183–187.CrossRefPubMed
11.
Zurück zum Zitat Gstettner C, Tauber M, Hitzl W, Resch H. Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg. 2008;17:220–225.CrossRefPubMed Gstettner C, Tauber M, Hitzl W, Resch H. Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg. 2008;17:220–225.CrossRefPubMed
12.
Zurück zum Zitat Heers G, Hedtmann A. Correlation of ultrasonographic findings to Tossy’s and Rockwood’s classification of acromioclavicular joint injuries. Ultrasound Med Biol. 2005;31:725–732.CrossRefPubMed Heers G, Hedtmann A. Correlation of ultrasonographic findings to Tossy’s and Rockwood’s classification of acromioclavicular joint injuries. Ultrasound Med Biol. 2005;31:725–732.CrossRefPubMed
13.
Zurück zum Zitat Johansen JA, Grutter PW, McFarland EG, Petersen SA. Acromioclavicular joint injuries: indications for treatment and treatment options. J Shoulder Elbow Surg. 2011;20(2 suppl):S70–82.CrossRefPubMed Johansen JA, Grutter PW, McFarland EG, Petersen SA. Acromioclavicular joint injuries: indications for treatment and treatment options. J Shoulder Elbow Surg. 2011;20(2 suppl):S70–82.CrossRefPubMed
14.
Zurück zum Zitat Joukainen A, Kröger H, Niemitukia L, Mäkelä EA, Väätäinen U. Results of operative and nonoperative treatment of Rockwood types III and V acromioclavicular joint dislocation: a prospective, randomized trial with an 18- to 20-year follow-up. Orthop J Sports Med. 2014;2:2325967114560130. doi:10.1177/2325967114560130.CrossRefPubMedPubMedCentral Joukainen A, Kröger H, Niemitukia L, Mäkelä EA, Väätäinen U. Results of operative and nonoperative treatment of Rockwood types III and V acromioclavicular joint dislocation: a prospective, randomized trial with an 18- to 20-year follow-up. Orthop J Sports Med. 2014;2:2325967114560130. doi:10.​1177/​2325967114560130​.CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Kaplan LD, Flanigan DC, Norwig J, Jost P, Bradley J. Prevalence and variance of shoulder injuries in elite collegiate football players. Am J Sports Med. 2005;33:1142–1146.CrossRefPubMed Kaplan LD, Flanigan DC, Norwig J, Jost P, Bradley J. Prevalence and variance of shoulder injuries in elite collegiate football players. Am J Sports Med. 2005;33:1142–1146.CrossRefPubMed
16.
Zurück zum Zitat Kraeutler MJ, Williams GR Jr, Cohen SB, Ciccotti MG, Tucker BS, Dines JS, Altchek DW, Dodson CC. Inter- and intraobserver reliability of the radiographic diagnosis and treatment of acromioclavicular joint separations. Orthopedics. 2012;35:e1483–1487.CrossRefPubMed Kraeutler MJ, Williams GR Jr, Cohen SB, Ciccotti MG, Tucker BS, Dines JS, Altchek DW, Dodson CC. Inter- and intraobserver reliability of the radiographic diagnosis and treatment of acromioclavicular joint separations. Orthopedics. 2012;35:e1483–1487.CrossRefPubMed
17.
Zurück zum Zitat Larsen E, Hede A. Treatment of acute acromioclavicular dislocation: three different methods of treatment prospectively studied. Acta Orthop Belg. 1987;53:480–484.PubMed Larsen E, Hede A. Treatment of acute acromioclavicular dislocation: three different methods of treatment prospectively studied. Acta Orthop Belg. 1987;53:480–484.PubMed
18.
Zurück zum Zitat Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26:137–144.PubMed Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26:137–144.PubMed
19.
Zurück zum Zitat Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007;35:316–329.CrossRefPubMed Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007;35:316–329.CrossRefPubMed
20.
Zurück zum Zitat McCall D, Safran MR. Injuries about the shoulder in skiing and snowboarding. Br J Sports Med. 2009;43:987–992.CrossRefPubMed McCall D, Safran MR. Injuries about the shoulder in skiing and snowboarding. Br J Sports Med. 2009;43:987–992.CrossRefPubMed
21.
Zurück zum Zitat Mikek M. Long-term shoulder function after type I and II acromioclavicular joint disruption. Am J Sports Med. 2008;36:2147–2150.CrossRefPubMed Mikek M. Long-term shoulder function after type I and II acromioclavicular joint disruption. Am J Sports Med. 2008;36:2147–2150.CrossRefPubMed
22.
Zurück zum Zitat Ng CY, Smith EK, Funk L. Reliability of the traditional classification systems for acromioclavicular joint injuries by radiography. Shoulder Elbow. 2012;4:266–269.CrossRef Ng CY, Smith EK, Funk L. Reliability of the traditional classification systems for acromioclavicular joint injuries by radiography. Shoulder Elbow. 2012;4:266–269.CrossRef
23.
Zurück zum Zitat Phillips AM, Smart C, Groom AF. Acromioclavicular dislocation: conservative or surgical therapy. Clin Orthop Relat Res. 1998;353:10–17.CrossRef Phillips AM, Smart C, Groom AF. Acromioclavicular dislocation: conservative or surgical therapy. Clin Orthop Relat Res. 1998;353:10–17.CrossRef
24.
Zurück zum Zitat Pifer M, Ashfaq K, Maerz T, Jackson A, Baker K, Anderson K. Intra- and interdisciplinary agreement in the rating of acromioclavicular joint dislocations. Phys Sportsmed. 2013;41:25–32.CrossRefPubMed Pifer M, Ashfaq K, Maerz T, Jackson A, Baker K, Anderson K. Intra- and interdisciplinary agreement in the rating of acromioclavicular joint dislocations. Phys Sportsmed. 2013;41:25–32.CrossRefPubMed
25.
Zurück zum Zitat Post M. Current concepts in the diagnosis and management of acromioclavicular dislocations. Clin Orthop Relat Res. 1985;200:234–247. Post M. Current concepts in the diagnosis and management of acromioclavicular dislocations. Clin Orthop Relat Res. 1985;200:234–247.
26.
Zurück zum Zitat Powers JA, Bach PJ. Acromioclavicular separations: closed or open treatment? Clin Orthop Relat Res. 1974;104:213–223.CrossRef Powers JA, Bach PJ. Acromioclavicular separations: closed or open treatment? Clin Orthop Relat Res. 1974;104:213–223.CrossRef
27.
Zurück zum Zitat Rios CG, Mazzocca AD. Acromioclavicular joint problems in athletes and new methods of management. Clin Sports Med. 2008;27:763–788.CrossRefPubMed Rios CG, Mazzocca AD. Acromioclavicular joint problems in athletes and new methods of management. Clin Sports Med. 2008;27:763–788.CrossRefPubMed
28.
Zurück zum Zitat Rockwood CA Jr. Fractures and dislocations of the shoulder. In: Rockwood CA Jr, Green DP, eds. Fractures in Adults. Philadelphia, PA: Lippincott; 1984:860–910. Rockwood CA Jr. Fractures and dislocations of the shoulder. In: Rockwood CA Jr, Green DP, eds. Fractures in Adults. Philadelphia, PA: Lippincott; 1984:860–910.
29.
Zurück zum Zitat Schaefer FK, Schaefer PJ, Brossmann J, Hilgert RE, Heller M, Jahnke T. Experimental and clinical evaluation of acromioclavicular joint structures with new scan orientations in MRI. Eur Radiol. 2006;16:1488–1493.CrossRefPubMed Schaefer FK, Schaefer PJ, Brossmann J, Hilgert RE, Heller M, Jahnke T. Experimental and clinical evaluation of acromioclavicular joint structures with new scan orientations in MRI. Eur Radiol. 2006;16:1488–1493.CrossRefPubMed
30.
Zurück zum Zitat Schlegel TF, Burks RT, Marcus RL, Dunn HK. A prospective evaluation of untreated acute grade III acromioclavicular separations. Am J Sports Med. 2001;29:699–703.PubMed Schlegel TF, Burks RT, Marcus RL, Dunn HK. A prospective evaluation of untreated acute grade III acromioclavicular separations. Am J Sports Med. 2001;29:699–703.PubMed
31.
Zurück zum Zitat Tamaoki MJ, Belloti JC, Lenza M, Matsumoto MH, Gomes Dos Santos JB, Faloppa F. Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults. Cochrane Database Syst Rev. 2010;8:CD007429. Tamaoki MJ, Belloti JC, Lenza M, Matsumoto MH, Gomes Dos Santos JB, Faloppa F. Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults. Cochrane Database Syst Rev. 2010;8:CD007429.
32.
Zurück zum Zitat Tossy JD, Mead NC, Sigmond HM. Acromioclavicular separations: useful and practical classification for treatment. Clin Orthop Relat Res. 1963;28:111–119.PubMed Tossy JD, Mead NC, Sigmond HM. Acromioclavicular separations: useful and practical classification for treatment. Clin Orthop Relat Res. 1963;28:111–119.PubMed
33.
Zurück zum Zitat Urist MR. Complete dislocations of the acromiclavicular joint; the nature of the traumatic lesion and effective methods of treatment with an analysis of forty-one cases. J Bone Joint Surg Am. 1946;28:813–837.PubMed Urist MR. Complete dislocations of the acromiclavicular joint; the nature of the traumatic lesion and effective methods of treatment with an analysis of forty-one cases. J Bone Joint Surg Am. 1946;28:813–837.PubMed
Metadaten
Titel
Classifications in Brief: Rockwood Classification of Acromioclavicular Joint Separations
verfasst von
Jacob D. Gorbaty, MD
Jason E. Hsu, MD
Albert O. Gee, MD
Publikationsdatum
16.09.2016
Verlag
Springer US
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 1/2017
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-5079-6

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