Arthroscopic-assisted AC joint reconstruction

Abstract

Acromioclavicular (AC) joint injuries are common place; however, their optimal treatment is still a source of debate. Classification of this injury is well established and is the platform on which successful treatment is based. The degree of injury to the surrounding ligamentous and capsular structures must be evaluated thoroughly. The surgeon must use the patient’s history and physical examination and corroborate their findings with appropriate imaging. Once an accurate diagnosis has been made, the surgeon can incorporate the patient’s preferences and demands to tailor a suitable treatment program. More minor injuries to the AC and CC ligaments can be treated nonoperatively with physical therapy and strengthening, while more severe injuries require surgical stabilization. This chapter highlights the relevant anatomy, biomechanics, classification scheme, imaging, and both nonoperative and operative treatment modalities, and the authors preferred treatment method for displaced AC separations. Finally, a brief review of rehabilitation and return to play will be discussed.