TY - JOUR
T1 - ISAKOS upper extremity committee consensus statement on the need for diversification of the rockwood classification for acromioclavicular joint injuries
AU - Beitzel, Knut
AU - Mazzocca, Augustus D.
AU - Bak, Klaus
AU - Itoi, Eiji
AU - Kibler, William B.
AU - Mirzayan, Raffy
AU - Imhoff, Andreas B.
AU - Calvo, Emilio
AU - Arce, Guillermo
AU - Shea, Kevin
PY - 2014/2
Y1 - 2014/2
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84893477354&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84893477354&partnerID=8YFLogxK
U2 - 10.1016/j.arthro.2013.11.005
DO - 10.1016/j.arthro.2013.11.005
M3 - Article
C2 - 24485119
AN - SCOPUS:84893477354
VL - 30
SP - 271
EP - 278
JO - Arthroscopy - Journal of Arthroscopic and Related Surgery
JF - Arthroscopy - Journal of Arthroscopic and Related Surgery
SN - 0749-8063
IS - 2
ER -