December 22, 2014
The patient is a young active athlete with a chronic grade III acromioclavicular separation. He presents 5 months after injury with unknown previous treatment. The general consensus regarding the treatment of acute grade III injuries is to employ nonoperative treatment for 8 weeks to 12 weeks followed by examination to evaluate residual pain and/or dysfunction. However, in the chronic setting, the role of nonoperative management is unclear. The primary indicator for operative treatment is pain. Secondary factors that may indicate operative treatment include weakness and loss of motion in the extremity.
Weaver-Dunn procedure variations