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Year |
Select |
|---|---|
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Question Number |
179. |
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Category |
Shoulder and Elbow |
Question
A 34-year-old man sustains a type III acromioclavicular separation of his dominant shoulder. Initial management should consist of
1- reconstruction of the coracoclavicular ligament.
2- brief immobilization, followed by a gradual return to activity.
3- excision of the distal clavicle.
4- immobilization for 4 to 6 weeks, followed by aggressive rehabilitation.
5- a steroid injection.
Figures
Answer (click for answer)
Answer – 2
A type III AC joint injury involves disruption of both the AC ligament and CC ligament complex with superior clavicular displacement approximately equal to the diameter of the distal clavicle. Although treatment remains controversial, the literature currently supports the initial nonsurgical treatment of most patients with type III injuries. Nonsurgical management consists of brief immobilization followed by gradual return to activity.
Reference: OKU – 6