SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
High degree of consensus achieved regarding diagnosis and treatment of acromioclavicular joint instability among ESA-ESSKA members.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.
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Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Does Weaver-Dunn procedure have a role in chronic acromioclavicular dislocations? A meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Native Coronal Acromioclavicular Joint Orientation Is Associated with Rockwood Grade in Acute Acromioclavicular Joint Dislocations.Journal of clinical medicine · 2026Article
- Alexander view as a stand-alone alternative to standard anteroposterior imaging for treatment decisions in acute acromioclavicular joint dislocation.JSES international · 2026Article
- Article
- Patient-specific psychological characteristics and personality structure affect functional outcomes after surgical stabilization of acute and chronic acromioclavicular joint injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Surgical Timing After Acromioclavicular Joint Separation: Association With Clinical Outcomes.Orthopaedic journal of sports medicine · 2026Article
- [Dislocation of the acromioclavicular joint].Orthopadie (Heidelberg, Germany) · 2026Review
- Midterm Functional Outcomes after Arthroscopically Assisted Stabilization for Acute Versus Chronic Type 5 Acromioclavicular Joint Injuries.Orthopaedic journal of sports medicine · 2026Article
- The 50 Most Cited Original Studies on Acromioclavicular Joint Reconstruction: A Bibliometric and Study-Quality Analysis.Orthopaedic journal of sports medicine · 2026Review
- Anatomical reconstruction of coracoclavicular and acromioclavicular ligaments using an autologous tendon graft provides excellent outcomes in acute acromioclavicular joint dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Advantages and Disadvantages of the Arthroscopic Procedure in Acromioclavicular Separation.Journal of clinical medicine · 2025Article
- Minimum 10-year outcomes after arthroscopically assisted anatomic coracoclavicular ligament reconstruction for the treatment of type III and V acromioclavicular joint injuries.JSES international · 2025Article
- Evolution and trends in the management of acromioclavicular joint dislocations: an epidemiological analysis from Germany between 2013 and 2023.JSES international · 2025Article
- Combined coracoclavicular ligament and transacromial capsule reconstruction for chronic acromioclavicular joint instability: clinical and radiological outcomes.Acta orthopaedica et traumatologica turcica · 2025Article
- No Short-Term Effects of Acromioclavicular Joint Augmentation in Acute Acromioclavicular Joint Stabilization Surgery: A Randomized Controlled Clinical Trial on 70 Patients.Journal of clinical medicine · 2025Article
- A Nondrilling and Self-locking Suture Fixation Technique Assisted by Arthroscopy for Treating Acromioclavicular Joint Dislocation.Arthroscopy techniques · 2025Article
- Arthroscopically Assisted Acromioclavicular Joint Reconstruction With 2.0-mm Tunnel in the Clavicle and Suture Looping Around the Coracoid Process.Arthroscopy techniques · 2025Article
- Inter- and Intrarater Reliability of the Acromioclavicular Joint Injury Classification on Anteroposterior Radiographs.Orthopaedic journal of sports medicine · 2025Article
- Influence of Tilt and Rotation on Coracoclavicular Distance Measurements and Rockwood Classification in Panorama View Radiographs in the Diagnosis of Acromioclavicular Dislocations.Orthopaedic journal of sports medicine · 2025Article
- Combined Repair and Reconstruction of Coracoclavicular and Acromioclavicular Ligaments for Acute and Chronic AC Joint Dislocations: A Technical Note and Prospective Case Series.Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo develop a consensus on diagnosis and treatment of acromioclavicular joint instability.
methodsA consensus process following the modified Delphi technique was conducted. Panel members were selected among the European Shoulder Associates of ESSKA. Five rounds were performed between October 2018 and November 2019. The first round consisted of gathering questions which were then divided into blocks referring to imaging, classifications, surgical approach for acute and chronic cases, conservative treatment. Subsequent rounds consisted of condensation by means of an online questionnaire. Consensus was achieved when ≥ 66.7% of the participants agreed on one answer. Descriptive statistic was used to summarize the data.
resultsA consensus was reached on the following topics. Imaging: a true anteroposterior or a bilateral Zanca view are sufficient for diagnosis. 93% of the panel agreed on clinical override testing during body cross test to identify horizontal instability. The Rockwood classification, as modified by the ISAKOS statement, was deemed valid. The separation line between acute and chronic cases was set at 3 weeks. The panel agreed on arthroscopically assisted anatomic reconstruction using a suspensory device (86.2%), with no need of a biological augmentation (82.8%) in acute injuries, whereas biological reconstruction of coracoclavicular and acromioclavicular ligaments with tendon graft was suggested in chronic cases. Conservative approach and postoperative care were found similar
conclusionA consensus was found on the main topics of controversy in the management of acromioclavicular joint dislocation. Each step of the diagnostic treatment algorithm was fully investigated and clarified. LEVEL OF EVIDENCE: Level V.
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