title: Surgical management of acromioclavicular dislocations.
abstract: AC injuries are common in the military population. Many AC injuries can be treated conservatively with good success. Due to requirements of a military population, however, conservative management may fail at a higher rate than in civilian populations. Surgical management is indicated for high-grade injuries and those that are refractory to nonoperative treatment, as well as in those patients at high risk for failure of conservative management. Many techniques exist and there is no single superior technique. The anatomic reconstruction is evolving into a more consistent procedure with good biomechanical support. However, complication rates and failures are higher than ideal; thus, the surgeon must approach this injury with meticulous attention to detail and technique.
authors.affiliation: Winn Army Community Hospital, 1061 Harmon Avenue, Fort Stewart, GA 31314, USA.
authors.forename: Jay B
authors.initials: JB
authors.lastname: Cook
authors.affiliation: Steadman Hawkins Clinic of the Carolinas, 200 Patewood C, Suite 100, Greenville SC 29615, USA. Electronic address: jtoke95@aol.com.
authors.forename: John M
authors.initials: JM
authors.lastname: Tokish
mesh_terms: D000173:Acromioclavicular Joint / Q000033:anatomy & histology / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D008889:Military Personnel
keywords: Acromioclavicular dislocation; Anatomic reconstruction; Military population