{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T14:15:24Z","timestamp":1792505724790,"version":"4.5.0"},"reference-count":43,"publisher":"EDP Sciences","license":[{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"content-version":"vor","delay-in-days":249,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SICOT-J"],"accepted":{"date-parts":[[2022,8,21]]},"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>: Surgical treatment is usually recommended for acute, high-grade acromioclavicular joint (ACJ) injuries. A wide variety of surgical techniques exist, and the literature does not strongly support one over the other. In this literature review, we describe and compare the results of different surgical treatments for the management of acute unstable ACJ dislocation and aim to guide surgeons on optimal treatment. <jats:italic>Materials and methods<\/jats:italic>: A literature review was performed by searching PubMed, Medline, Cochrane, and Embase databases. Seventeen studies met the inclusion criteria and were analyzed. Only studies with comparative data were included. The clinical and radiological outcomes of these studies were reviewed. <jats:italic>Results<\/jats:italic>: Seventeen studies were included in this literature review. We found no difference in outcomes between open and arthroscopic procedures. Coracoclavicular ligament (CCL) reconstruction techniques provide better results than the more rigid hook plate fixation. There is no evidence that biologic repair with tendon graft is superior to synthetic grafts. Furthermore, an autograft is not shown to be better than an allograft. Rigid fixation between the clavicle and coracoid and the non-anatomic Weaver-Dunn technique appears less popular in recent literature. The hook plate is associated with subacromial osteolysis, acromial erosion, and the morbidity of a secondary procedure. <jats:italic>Discussion<\/jats:italic>: There is a recent increase in publications on the reconstruction of the ACJ after injury, with new techniques focusing on the anatomic reconstruction of the CCLs aiming to restore both vertical and horizontal plane stability of the ACJ using synthetic\/biological grafts. Despite the plethora of new techniques introduced, meaningful comparisons are difficult to draw due to the heterogeneity of the treatments used and the outcome measure used to assess the results.<\/jats:p>","DOI":"10.1051\/sicotj\/2022038","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T08:46:16Z","timestamp":1662540376000},"page":"38","source":"Crossref","is-referenced-by-count":22,"title":["Surgical treatments for acute unstable acromioclavicular joint dislocations"],"prefix":"10.1051","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5916-9183","authenticated-orcid":false,"given":"Georgios","family":"Saraglis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Prinja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendrick","family":"To","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasim","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagwant","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"250","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"key":"R1","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/01.jsa.0000212330.32969.6e","volume":"14","author":"Bishop","year":"2006","journal-title":"Sports Med Arthrosc"},{"issue":"6","key":"R2","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1016\/j.jse.2012.08.022","volume":"22","author":"Rieser","year":"2013","journal-title":"J Shoulder Elb Surg"},{"issue":"6","key":"R3","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/S1058-2746(03)00215-5","volume":"12","author":"Mouhsine","year":"2003","journal-title":"J Shoulder Elbow Surg"},{"issue":"1","key":"R4","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/BCO.0b013e3181c78f71","volume":"21","author":"Garcia","year":"2010","journal-title":"Curr Orthop Pract"},{"issue":"3","key":"R5","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/JSA.0b013e3181eaf6f7","volume":"18","author":"Geaney","year":"2010","journal-title":"Sports Med Arthrosc Rev"},{"issue":"1","key":"R6","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s10195-011-0127-1","volume":"12","author":"Smith","year":"2010","journal-title":"J Orthop Traumatol"},{"issue":"10","key":"R7","first-page":"CD007429","volume":"10","author":"Tamaoki","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"R8","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.2106\/00004623-197254060-00005","volume":"56","author":"Weaver","year":"1972","journal-title":"J Bone Joint Surg Am"},{"issue":"4","key":"R9","doi-asserted-by":"crossref","first-page":"207","DOI":"10.5435\/00124635-200904000-00002","volume":"17","author":"Simovitch","year":"2009","journal-title":"J Am Acad Orthop Surg"},{"issue":"2","key":"R10","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.jse.2008.08.003","volume":"18","author":"Dawson","year":"2009","journal-title":"J Shoulder Elb Surg"},{"issue":"6","key":"R11","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1177\/036354659702500622","volume":"25","author":"Lee","year":"1997","journal-title":"Am J Sports Med"},{"issue":"suppl 6","key":"R12","doi-asserted-by":"crossref","first-page":"S107","DOI":"10.1016\/j.injury.2015.10.053","volume":"46","author":"Vrgo\u010d","year":"2015","journal-title":"Injury"},{"issue":"2","key":"R13","first-page":"167","volume":"74","author":"Bhattacharya","year":"2008","journal-title":"Acta Orthop Belg"},{"issue":"2","key":"R14","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.arthro.2012.11.023","volume":"29","author":"Beitzel","year":"2013","journal-title":"Arthroscopy"},{"issue":"12","key":"R15","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.1302\/0301-620X.95B12.31802","volume":"95-B","author":"Modi","year":"2013","journal-title":"Bone Joint J"},{"issue":"7","key":"R16","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1177\/0363546508315200","volume":"36","author":"Mazzocca","year":"2008","journal-title":"Am J Sports Med"},{"issue":"10","key":"R17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/00004623-200301000-00001","volume":"85","author":"Wright","year":"2003","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"R18","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.otsr.2015.10.007","volume":"102","author":"Natera-Cisneros","year":"2006","journal-title":"Orthop Traumatol Surg Res"},{"issue":"2","key":"R19","first-page":"253","volume":"47","author":"Li","year":"2015","journal-title":"Beijing Da Xue Xue Bao Yi Xue Ban"},{"issue":"3","key":"R20","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/s12306-016-0411-6","volume":"100","author":"Faggiani","year":"2016","journal-title":"Musculoskelet Surg"},{"issue":"11","key":"R21","doi-asserted-by":"crossref","first-page":"2725","DOI":"10.1177\/0363546518788355","volume":"46","author":"Stein","year":"2018","journal-title":"Am J Sports Med"},{"issue":"1","key":"R22","doi-asserted-by":"crossref","first-page":"97","DOI":"10.4055\/cios.2015.7.1.97","volume":"7","author":"Yoon","year":"2015","journal-title":"CiOS Clin Orthop Surg"},{"key":"R23","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1186\/s13018-018-0879-x","volume":"13","author":"Wang","year":"2018","journal-title":"J Orthop Surg Res"},{"issue":"6","key":"R24","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1007\/s00167-014-3294-9","volume":"24","author":"Metzlaff","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"R25","first-page":"1132.e1","volume":"3","author":"Wellmann","year":"2007","journal-title":"Arthroscopy"},{"issue":"12","key":"R26","doi-asserted-by":"crossref","first-page":"2896","DOI":"10.1177\/0363546513502459","volume":"41","author":"Martetschl\u00e4ger","year":"2013","journal-title":"Am J Sports Med"},{"issue":"9","key":"R27","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s00402-005-0073-6","volume":"126","author":"Chernchujit","year":"2006","journal-title":"Arch Orthop Trauma Surg"},{"issue":"12","key":"R28","doi-asserted-by":"crossref","first-page":"2325967118811604","DOI":"10.1177\/2325967118811604","volume":"6","author":"Sinagra","year":"2018","journal-title":"Orthop J Sport Med"},{"issue":"5","key":"R29","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1177\/03635465030310050301","volume":"31","author":"Lee","year":"2003","journal-title":"Am J Sports Med"},{"issue":"4","key":"R30","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1007\/s00264-013-2143-7","volume":"38","author":"Korsten","year":"2014","journal-title":"Int Orthop"},{"issue":"3","key":"R31","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1177\/036354659502300313","volume":"23","author":"Weinstein","year":"1995","journal-title":"Am J Sports Med"},{"issue":"Suppl 1","key":"R32","doi-asserted-by":"crossref","first-page":"S65","DOI":"10.1007\/s12306-010-0067-6","volume":"94","author":"Arrigoni","year":"2010","journal-title":"Musculoskelet Surg"},{"issue":"11","key":"R33","doi-asserted-by":"crossref","first-page":"2408","DOI":"10.2106\/00004623-200711000-00010","volume":"89","author":"Jiang","year":"2007","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"R34","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1177\/230949901402200217","volume":"22","author":"Kumar","year":"2014","journal-title":"J Orthop Surg"},{"issue":"9","key":"R35","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1016\/j.jse.2017.01.024","volume":"26","author":"Kocaoglu","year":"2017","journal-title":"J Shoulder Elb Surg"},{"issue":"5","key":"R36","first-page":"532","volume":"30","author":"Yin","year":"2016","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"issue":"Pt A","key":"R37","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ijsu.2018.04.017","volume":"54","author":"Yin","year":"2018","journal-title":"Int J Surg"},{"issue":"6","key":"R38","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.aott.2019.08.002","volume":"53","author":"Chang","year":"2019","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"11","key":"R39","first-page":"1321","volume":"29","author":"Tang","year":"2015","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"key":"R40","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1186\/1471-2482-14-53","volume":"14","author":"Hou","year":"2014","journal-title":"BMC Surg"},{"issue":"8 Suppl","key":"R41","doi-asserted-by":"crossref","first-page":"S297","DOI":"10.1016\/j.otsr.2015.09.003","volume":"101","author":"Barth","year":"2015","journal-title":"Orthop Traumatol Surg Res"},{"key":"R42","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1056\/NEJM194908112410601","volume":"241","author":"Bosworth","year":"1949","journal-title":"N Engl J Med"},{"key":"R43","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1051\/sicotj\/2016013","volume":"2","author":"Naziri","year":"2016","journal-title":"SICOT J"}],"container-title":["SICOT-J"],"original-title":[],"link":[{"URL":"https:\/\/www.sicot-j.org\/10.1051\/sicotj\/2022038\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T08:46:57Z","timestamp":1662540417000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.sicot-j.org\/10.1051\/sicotj\/2022038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":43,"alternative-id":["sicotj220072"],"URL":"https:\/\/doi.org\/10.1051\/sicotj\/2022038","relation":{},"ISSN":["2426-8887"],"issn-type":[{"value":"2426-8887","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]}}}