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Unstable acromioclavicular joint injuries: Is there really a difference between surgical management in the acute or chronic setting?

AIM: To compare the outcomes of unstable ACJ injuries managed with an arthroscopy-assisted anatomic reconstruction of the coracoclavicular (CC) ligaments in the acute and chronic setting.

METHODS: A retrospective revision was performed. The SF36, visual analog scale for pain, DASH questionnaire, constant score and the global satisfaction were assessed at the last follow-up visit.

RESULTS: 22 patients were included. Results of the questionnaires assessed at the last follow-up visit showed no significant differences between the study groups.

CONCLUSION: Management of ACJ injuries in the acute or chronic setting may involve comparable outcomes if biological and mechanical aspects are considered.

LEVEL OF EVIDENCE: Level III, retrospective cohort study.

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