ISAKOS upper extremity committee consensus statement on the need for diversification of the Rockwood classification for acromioclavicular joint injuries

Optimal treatment for the unstable acromioclavicular (AC) joint remains a highly debated topic in the field of orthopaedic medicine. In particular, no consensus exists regarding treatment of grade III injuries, which are classified according to the Rockwood classification by disruption of both the c...

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Bibliographic Details
Published in:Arthroscopy Vol. 30; no. 2; p. 271
Main Authors: Beitzel, Knut, Mazzocca, Augustus D, Bak, Klaus, Itoi, Eiji, Kibler, William B, Mirzayan, Raffy, Imhoff, Andreas B, Calvo, Emilio, Arce, Guillermo, Shea, Kevin
Format: Journal Article
Language:English
Published: United States 01.02.2014
Subjects:
Acromioclavicular Joint - injuries
Humans
Joint Diseases - classification
Orthopedics
Trauma Severity Indices
Wounds and Injuries - classification
Wounds and Injuries - diagnosis
ISSN:1526-3231, 1526-3231
Online Access:Get more information
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Summary:Optimal treatment for the unstable acromioclavicular (AC) joint remains a highly debated topic in the field of orthopaedic medicine. In particular, no consensus exists regarding treatment of grade III injuries, which are classified according to the Rockwood classification by disruption of both the coracoclavicular and AC ligaments. The ISAKOS Upper Extremity Committee has provided a more specific classification of shoulder pathologies to enhance the knowledge on and clinical approach to these injuries. We suggest the addition of grade IIIA and grade IIIB injuries to a modified Rockwood classification. Grade IIIA injuries would be defined by a stable AC joint without overriding of the clavicle on the cross-body adduction view and without significant scapular dysfunction. The unstable grade IIIB injury would be further defined by therapy-resistant scapular dysfunction and an overriding clavicle on the cross-body adduction view.
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ISSN:1526-3231
1526-3231
DOI:10.1016/j.arthro.2013.11.005