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Background <p>Instability of the acromioclavicular (AC) joint is a&#xa0;common shoulder injury, particularly among young physically active patients. Despite the evolution of numerous classifications and treatment approaches over time, there is still no universally accepted gold standard. This review examines the historical development of classifications and treatment for AC joint instability and assessment of their importance for current treatment concepts.</p> Results <p>Currently, classifications based on injury patterns and subsequent refinements are well established. From a&#xa0;therapeutic perspective, the focus has shifted from a&#xa0;variety of open and material-supported techniques to anatomical and arthroscopic reconstruction, resulting in better functional outcomes.</p> Discussion <p>A&#xa0;standardized treatment protocol has not yet been established, particularly for moderate injuries. Treatment decisions are currently made on a&#xa0;case-by-case basis, taking patient-specific factors and the surgeon’s experience into account.</p>

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Auf Suche nach Stabilität: Entwicklung der AC-Gelenk-Therapie

  • 期刊论文

  • 发表日期：

    2026年7月22日

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  • Marie Schlotmann

摘要

Background

Instability of the acromioclavicular (AC) joint is a common shoulder injury, particularly among young physically active patients. Despite the evolution of numerous classifications and treatment approaches over time, there is still no universally accepted gold standard. This review examines the historical development of classifications and treatment for AC joint instability and assessment of their importance for current treatment concepts.

Results

Currently, classifications based on injury patterns and subsequent refinements are well established. From a therapeutic perspective, the focus has shifted from a variety of open and material-supported techniques to anatomical and arthroscopic reconstruction, resulting in better functional outcomes.

Discussion

A standardized treatment protocol has not yet been established, particularly for moderate injuries. Treatment decisions are currently made on a case-by-case basis, taking patient-specific factors and the surgeon’s experience into account.