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J Can Chiropr Assoc. 2017 Mar;61(1):68-71.

Grade V acromioclavicular joint separation in a 57-year-old mountain biker.

Author information

1
Private Practice, Cambridge, ON.
2
Division of Undergraduate Studies, Canadian Memorial Chiropractic College.
3
Chiropractic Department, D'Youville College, Buffalo, NY.

Abstract

in English, French

Patients rarely present to a chiropractic office setting during the acute stage of a high-grade (i.e. Rockwood types IV-VI) separation of the acromioclavicular (AC) joint. Moreover, such cases are non-existent in the peer-reviewed chiropractic literature. Some controversy exists over the optimal (surgical vs. non-surgical) treatment of severe AC joint injuries. Published reports of nonoperative management for grade V injuries of the AC joint are also scarce. This case review highlights the plain film imaging and conservative management of a 57-year-old patient diagnosed with an acute Rockwood type V AC joint separation. Radiographs with nine years of follow-up are presented.

KEYWORDS:

acromioclavicular joint; articulation acromio-claviculaire; chiropractic; chiropratique; dislocation; entorse; sprain

PMID:
28413226
PMCID:
PMC5381483

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