Journal of Clinical and Investigative Surgery
ISSN: 2559-5555


Open versus arthroscopic surgery in acromioclavicular separation

Tudor M. Gavrilă1,2, Ștefan Cristea1,2

1Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
2St. Pantelimon Hospital, Department of Orthopedics and Traumatology, Bucharest, Romania

J Clin Invest Surg. 2018; 3(2): 82-87. DOI: 10.25083/2559.5555/3.2/82.87
Running title: Open versus arthroscopic surgery in acromioclavicular separation
Keywords: acromio-clavicular separation, arthroscopy, tight-rope, Rockwood classification


Acromioclavicular separation is a very serious injury at the level of shoulder. Lesion of the acromioclavicular joint is a usual clinical condition because of its superficial situation. It is often involved in trauma of the shoulder girdle. Rockwood classification involves VI types of modifications. First three types are treated conservatively, type IV to VI surgically. Arthroscopic techniques, lead to same middle and long-term results as open surgery.

Arthroscopic procedures have theoretical advantages of no deltoid disruption and may help the surgeon to diagnose and treat associated lesions such as rotator cuff ruptures. More recently, arthroscopic surgeries for fresh and/or chronic acromioclavicular disjunctions were proposed. We analyzed 13 cases of acromioclavicular separation: 7 cases were treated with open surgery and 6 arthroscopically using tightrope, or dog bone button.