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This prospective, observational cohort study compares the clinical and radiographic outcomes of the modified Weaver and Dunn (WD) technique with the newer, anatomical double-button plus tendon allograft technique (DB), and the suture anchor repair plus tendon allograft (SA). The study cohort includes 53 patients, who underwent surgery for acromioclavicular joint (ACJ) dislocation Rockwood type 3, 4 and 5. Patient-reported outcome scores and clinical results, including Disabilities of the Arm, Shoulder and Hand (DASH), the Subjective Shoulder Value (SSV), the Visual Analogue Scale (VAS) and the Constant score (CS) results as well as loss of reduction rates on plain radiographs were compared.

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: Clavicle injuries are common and seem to be frequently subject to diagnostic misclassification. The accurate identification of clavicle fractures is essential, particularly for registry and Big Data analyses. This study aims to assess the frequency of diagnostic errors in clavicle injury classifications.

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Subacromial Distal Clavicle Dislocation with Associated Scapular Spine Fracture: A Case Report.

J Orthop Case Rep

January 2025

Vanderbilt University Medical Center, Department of Orthopaedic Surgery, 1215 21st Ave S, Suites 3200 and 4200, Nashville, TN, 37232, 2John Hopkins University.

Introduction: Inferior or subacromial dislocation of the distal clavicle is a rare entity. Previous reports of this injury pattern have largely been limited to Rockwood VI acromioclavicular joint (AC) dislocations, with the distal clavicle located in the subcoracoid position. Few case reports have been described with the inferior clavicle being located in the subacromial space, and these have all been previously associated with clavicle fractures.

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A ten-year prospective randomized trial comparing non-operative treatment to hook plate fixation for Rockwood III acromio-clavicular dislocation.

Orthop Traumatol Surg Res

January 2025

Faculté de médecine Université Laval, Pavillon Ferdinand-Vandry, 1050 avenue de la Médecine, Québec, Québec G1V 0A6, Canada; Département de chirurgie Université Laval, Pavillon Ferdinand-Vandry, 1050 avenue de la Médecine, Québec, Québec G1V 0A6, Canada; Centre de Recherche CHU de Québec Université Laval, Axe Médecine Régénératrice, 2705 Bd Laurier, Québec, Québec G1V 4G2, Canada. Electronic address:

Background: Despite new modern surgical techniques, no short-term functional differences have been demonstrated between operative and non-operative treatment for acute acromio-clavicular (AC) dislocations Rockwood III-V. Few studies describe the long-term clinical and radiological results of these lesions. We aim to compare the one- and ten-year outcome of patients either treated non-operatively or with hook plate fixation for Rockwood III AC lesions.

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Disparities in Operative Fixation for Acromioclavicular Joint Injuries: An Analysis of Insurance Status.

J Shoulder Elbow Surg

January 2025

Department of Orthopaedic Surgery, Hackensack Meridian Health, Hackensack, NJ, USA.

Background: Acromioclavicular (AC) joint injury management has historically been guided by the severity and grade of the injury. However, recent debates have emerged regarding the role of surgical intervention for these injuries. Insurance-based disparities in surgical treatment have been well-documented across various orthopedic conditions.

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