Operative or Conservative Treatment of Acute Acromioclavicular Joint Dislocation

Operative or Conservative Treatment of Acute Acromioclavicular Joint Dislocation Rockwood Grade III and V - a Prospective Randomized Study

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.

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