Shoulder Dislocation Clinical Trial
Official title:
A Multicenter Randomized Clinical Trial of Non-operative Versus Operative Treatment of Acute Acromioclavicular Joint Dislocation
The purpose of this study is to compare non-operative treatment versus operative treatment in patients who suffer a complete, acute acromioclavicular (AC) joint dislocation. This study will show if one method is superior to the other and will also show advantages and disadvantages associated with each treatment method.
All patients presenting to the hospital with a Type III, IV or V acute acromioclavicular (AC)
joint dislocation and meeting the eligibility criteria will be approached and asked to enter
this prospective, randomized clinical trial. After obtaining consent, the subject will be
managed in accordance with one of the two randomized treatment strategies. The first
treatment strategy will involve conservative (nonoperative) management of the AC joint
dislocation. The second treatment strategy will involve operative fixation (i.e. ORIF) of the
dislocation with a hook plate and screws.
The subjects in both treatment groups will receive post-operative care according to the same
standards and protocol. The surgeon and research staff will be responsible for study
follow-up (clinical and radiological assessment) of the patient on admission (baseline), on
discharge from the hospital and at post-operative intervals of six weeks, three months, six
months, one year and two years. Primary and secondary outcomes will be monitored at these
post-operative intervals.
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