Operative or Conservative Treatment of Acute Acromioclavicular Joint Dislocation

St Goran's Hospital124 enrolled

Overview

The study aims to answer if surgery with hook plate for acute dislocation of the acromioclavicular joint (AC joint) grade III and V according to Rockwood is superior to conservative treatment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

124

Conditions

Acromioclavicular Joint Dislocation

Interventions

hook platePROCEDURE

Surgery with hook plate followed by physiotherapy

PhysiotherapyOTHER

Patients will be following a program specific for AC joint dislocations

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * AC joint dislocation grade III according to Rockwood with at least half a clavicular bone width above the acromion or grade V according to Rockwood * men and women 18-65 years and able to work * understand spoken and/or written Swedish or English language * be able to start treatment within 3 weeks from trauma * consent form signed Exclusion Criteria: * earlier injury to, or surgery of either of the shoulders * simultaneous fracture of the clavicle or acromion * associates neurovascular injury * severe osteoporosis * open dislocation * open growth plate of the acromion * local skin damage

Locations (1)

Capio St Gorans Hospital AB

Stockholm, Sweden

Outcomes

Primary Outcomes

Constant Score

Time frame: change from Baseline in Constant Score at 24 months

Secondary Outcomes

Disabilities of Arm, Shoulder and Hand function (QuickDASH)

Time frame: change from Baseline in QuickDASH at 24 months

Data from ClinicalTrials.gov

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