Open versus arthroscopic surgery in acromioclavicular separation

Journal of Clinical and Investigative Surgery. 2018;3(2):82-87 DOI 10.25083/2559.5555/3.2/82.87


Journal Homepage

Journal Title: Journal of Clinical and Investigative Surgery

ISSN: 2559-5555 (Online)

Publisher: Digital ProScholar Media

Society/Institution: Digital ProScolar media

LCC Subject Category: Medicine

Country of publisher: Romania

Language of fulltext: English

Full-text formats available: PDF



Tudor M. Gavrilă (Carol Davila University of Medicine and Pharmacy, Bucharest, Romania)
Ștefan Cristea (Carol Davila University of Medicine and Pharmacy, Bucharest, Romania)


Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks


Abstract | Full Text

Acromioclavicular separation is a very serious injury at the level of shoulder. Lesion of the acromioclavicular joint is a usual clinical condition because of its superficial situation. It is often involved in trauma of the shoulder girdle. Rockwood classification involves VI types of modifications. First three types are treated conservatively, type IV to VI surgically. Arthroscopic techniques, lead to same middle and long-term results as open surgery. Arthroscopic procedures have theoretical advantages of no deltoid disruption and may help the surgeon to diagnose and treat associated lesions such as rotator cuff ruptures. More recently, arthroscopic surgeries for fresh and/or chronic acromioclavicular disjunctions were proposed. We analyzed 13 cases of acromioclavicular separation: 7 cases were treated with open surgery and 6 arthroscopically using tightrope, or dog bone button.