Scholarlink

Background <p>Rockwood&#xa0;III acromioclavicular joint injuries represent a&#xa0;frequent but controversial borderline indication, with no clear evidence favoring primary surgical treatment.</p> Objective <p>The aim of this study was to evaluate the current evidence and derive a&#xa0;practical aid for making decisions.</p> Material and methods <p>A&#xa0;narrative literature review was conducted, incorporating current evidence and recommendations from relevant professional societies, particularly the AGA Shoulder Instability Committee (issue&#xa0;II). Additionally, representative clinical case trajectories from daily practice were analyzed.</p> Results <p>The long-term functional outcomes are generally very good regardless of the selected treatment modality. A&#xa0;superiority of surgical treatment has so far not been demonstrated. Conservative management shows advantages in terms of complication rates and early functional recovery, whereas surgical treatment is associated with a&#xa0;higher degree of cosmetic satisfaction. For subgroups, particularly Rockwood IIIB injuries with horizontal instability, there can be selective advantages for surgical treatment.</p> Discussion <p>Overall, a&#xa0;primary conservative management is recommended. Surgical treatment should be considered in cases of persistent symptoms or extensive horizontal instability before chronic changes occur. The evaluation of the indications still requires an individualized, patient-specific decision.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Grenzindikation Rockwood III

  • 期刊论文

  • 发表日期：

    2026年6月3日

查看全文
  • Josefa Stadelmeier,
  • Nick Luca Seiferth

摘要

Background

Rockwood III acromioclavicular joint injuries represent a frequent but controversial borderline indication, with no clear evidence favoring primary surgical treatment.

Objective

The aim of this study was to evaluate the current evidence and derive a practical aid for making decisions.

Material and methods

A narrative literature review was conducted, incorporating current evidence and recommendations from relevant professional societies, particularly the AGA Shoulder Instability Committee (issue II). Additionally, representative clinical case trajectories from daily practice were analyzed.

Results

The long-term functional outcomes are generally very good regardless of the selected treatment modality. A superiority of surgical treatment has so far not been demonstrated. Conservative management shows advantages in terms of complication rates and early functional recovery, whereas surgical treatment is associated with a higher degree of cosmetic satisfaction. For subgroups, particularly Rockwood IIIB injuries with horizontal instability, there can be selective advantages for surgical treatment.

Discussion

Overall, a primary conservative management is recommended. Surgical treatment should be considered in cases of persistent symptoms or extensive horizontal instability before chronic changes occur. The evaluation of the indications still requires an individualized, patient-specific decision.