Shoulder Trauma
A 32-year-old cyclist presents after a fall onto his right shoulder. He has a prominent distal clavicle with "step deformity" and tenderness over the AC joint. Weighted radiographs show the clavicle is displaced superiorly by approximately 150% compared to the contralateral side, with the CC distance increased by 50%. Cross-arm adduction is painful. The surgeon discusses the Rockwood classification and treatment options including both conservative management and surgical stabilization. Regarding acromioclavicular joint injuries:
Mark each as TRUE or FALSE
The Rockwood classification describes six types: I = AC ligament sprain, II = AC rupture with CC spr...
The coracoclavicular (CC) ligaments (conoid and trapezoid) are the PRIMARY restraints to superior cl...
The AC ligaments are the primary restraint to superior translation; all Type III injuries require su...
Types I and II are treated conservatively (sling, analgesia, rehabilitation); Type III treatment is ...
Surgical options include hook plate fixation (requires later removal), CC ligament reconstruction us...
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Click T (True) or F (False) for each option