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Surgical treatment for AC joint separations has traditionally carried a high risk of complications, most notably loss of reduction and recurrent instability. The advancement of arthroscopic techniques has allowed for less\u2010invasive options with good functional outcomes, although the risk of recurrent instability remains. Type V injuries have traditionally been an indication for surgery in most cases, but recent evidence has suggested equivalent outcomes between conservative and surgical treatment for these injuries. Although arthroscopic allograft AC joint reconstruction can provide excellent patient outcomes, the jury is still out on whether surgery is necessary for all type V AC joint injuries, and it is important to provide patients individualized counseling and treatment while adhering to the classic medical principle of \u201cfirst, do no harm.\u201d<\/jats:p>","DOI":"10.1016\/j.arthro.2025.06.003","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T02:34:31Z","timestamp":1750300471000},"page":"4437-4439","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary:<\/i>\n                    Allograft Acromioclavicular Joint Reconstruction Provides Long\u2010Term Benefit for High\u2010Grade Injuries in the Active Population but May Not Be Necessary for All Patients"],"prefix":"10.1002","volume":"41","author":[{"given":"Dustin","family":"Volkmer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"145","article-title":"The treatment of dislocations and fractures of the outer end of the clavicle","volume":"27","author":"Cadenat F.","year":"1917","journal-title":"Int Clin Psychopharmacol"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.05.008"},{"issue":"3","key":"e_1_2_2_4_1","first-page":"2325967115S0001","article-title":"Successful conservative therapy in Rockwood type V acromioclavicular dislocations","volume":"3","author":"Krul K.P.","year":"2015","journal-title":"Orthop J Sports Med"},{"issue":"1","key":"e_1_2_2_5_1","first-page":"S127","article-title":"More than 90% satisfactory results after nonsurgical treatment of type III and V acute AC joint dislocation. A prospective cohort study with 1\u2010year follow\u2010up of 95 patients managed non\u2010surgically with the option of delayed surgical intervention","volume":"8","author":"Haugaard K.B.","year":"2023","journal-title":"J ISAKOS"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03630-0"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-023-04828-8"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.03.019"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2024.101017"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325004268?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325004268?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.06.003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2025.06.003","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.06.003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:17:39Z","timestamp":1773566259000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2025.06.003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,18]]},"references-count":8,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1016\/j.arthro.2025.06.003"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.06.003","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,18]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Allograft Acromioclavicular Joint Reconstruction Provides Long-Term Benefit for High-Grade Injuries in the Active Population but May Not Be Necessary for All Patients","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.06.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.05.008","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}