抄録
This is to evaluate the clinical results of conservative treatment for complete dislocations of the acromioclavicular joint.
Twenty-seven patients with acromioclavicular dislocation (21 patients with type III and 6, with type V of Rockwood's classification) were followed up for 46 months, on average. The mean age at the time of injury was 39 years (17 to 64 years). Clinical and roentgenological evaluations were done according to the JOA scores.
The average JOA score was 79 points in patients with type III and 69 points, in those with type V. This difference between the two types resulted from pain in daily activities. There were no differences in JOA score between the injury of the dominant and non-dominant side. But 2 patients with type III, one a baseball play and the other a badminton player at university, could not return to their pre-injury activity levels, due to the injury being on the dominant side.
In the type III of acromiclavicular. dislocation, conservative treatment may be indicated, except in patients such as a university athlete with an injury on his dominant side. The results of conservative treatment were not satisfactory in a typeV injury.
