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Selected Instructional Course Lecture   |    
Acromioclavicular and Sternoclavicular Injuries and Clavicular, Glenoid, and Scapular Fractures
Michael S. Bahk, MD1; John E. Kuhn, MD2; Leesa M. Galatz, MD3; Patrick M. Connor, MD4; Gerald R. WilliamsJr., MD1
1 Shoulder and Elbow Service, The Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107. E-mail address for G.R. Williams Jr.: gerald.williams@rothmaninstitute.com
2 Vanderbilt Sports Medicine, 3200 MCE South Tower, 1215 21st Avenue South, Nashville, TN 37232
3 Department of Orthopedic Surgery, Washington University, Campus Box 8233, 660 South Euclid Avenue, St. Louis, MO 63110
4 Shoulder and Elbow Center, OrthoCarolina, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC 28204
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from a commercial entity (Biomet Sports Medicine).
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in March 2010 in Instructional Course Lectures, Volume 59. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Oct 01;91(10):2492-2510
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Extract

Acromioclavicular joint injuries—or separations, as they are commonly described—are common sports-related injuries resulting from falls or other direct forces on the superolateral aspect of the shoulder pushing the acromion in an inferior direction. Acromioclavicular joint injuries represent a spectrum of severity, ranging from a simple sprain of the acromioclavicular ligament with no displacement to widely displaced injuries associated with severe soft-tissue injury to the acromioclavicular ligament, the coracoclavicular ligament, and the deltotrapezial fascia. Treatment options vary according to the severity of the injury and logically reflect the associated soft-tissue involvement. This lecture briefly outlines the types of injuries and current recommendations for treatment.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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