title: Acromioclavicular dislocation: treatment and rehabilitation. Current perspectives and trends among Brazilian orthopedists.
abstract: OBJECTIVE
  To evaluate the approaches and procedures used by Brazilian orthopedic surgeons in treatment and rehabilitation of acromioclavicular dislocation of the shoulder.
  
  
  METHODS
  A questionnaire comprising eight closed questions that addressed topics relating to treatment and rehabilitation of acromioclavicular dislocation was applied to Brazilian orthopedic surgeons over the three days of the 45th Brazilian Congress of Orthopedics and Traumatology, in 2013.
  
  
  RESULTS
  A total of 122 surgeons completely filled out the questionnaire and formed part of the sample analyzed. Most of them came from the southeastern region of the country. In this sample, 67% of the participants would choose surgical treatment for patients with grade 3 acromioclavicular dislocation. Regarding the preferred technique for surgical treatment of acute acromioclavicular dislocation, a majority of the surgeons used subcoracoid ligature with acromioclavicular fixation and transfer of the coracoacromial ligament (25.4%). Regarding complications found after surgery had been performed, 43.4% and 32.8% of the participants, respectively, stated that residual deformity of the operated joint and pain were the complications most seen during the postoperative period.
  
  
  CONCLUSIONS
  Although there was no consensus regarding the treatment and rehabilitation of acromioclavicular dislocation, evolution had occurred in some of the topics analyzed in this questionnaire applied to Brazilian orthopedists. However, further controlled prospective studies are needed in order to evaluate the clinical and scientific benefit of these trends.
authors.affiliation: Centro de Traumatologia do Esporte (Cete), Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
authors.forename: Gustavo Gonçalves
authors.initials: GG
authors.lastname: Arliani
authors.affiliation: Centro de Traumatologia do Esporte (Cete), Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
authors.forename: Artur Yudi
authors.initials: AY
authors.lastname: Utino
authors.affiliation: Centro de Traumatologia do Esporte (Cete), Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
authors.forename: Eduardo Misao
authors.initials: EM
authors.lastname: Nishimura
authors.affiliation: Centro de Traumatologia do Esporte (Cete), Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
authors.forename: Bernardo Barcellos
authors.initials: BB
authors.lastname: Terra
authors.affiliation: Centro de Traumatologia do Esporte (Cete), Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
authors.forename: Paulo Santoro
authors.initials: PS
authors.lastname: Belangero
authors.affiliation: Centro de Traumatologia do Esporte (Cete), Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
authors.forename: Diego Costa
authors.initials: DC
authors.lastname: Astur
keywords: Acromioclavicular joint; Rehabilitation; Shoulder dislocation