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

Knut Beitzel, Augustus D. Mazzocca, Klaus Bak, Eiji Itoi, William B. Kibler, Raffy Mirzayan, Andreas B. Imhoff, Emilio Calvo, Guillermo Arce, Kevin Shea

Research output: Contribution to journalArticlepeer-review

109 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)271-278
Number of pages8
JournalArthroscopy - Journal of Arthroscopic and Related Surgery
Volume30
Issue number2
DOIs
Publication statusPublished - 2014 Feb 1

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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