Epidemiology of Isolated Acromioclavicular Joint Dislocation
Table 1
The Rockwood classification takes into account not only the acromioclavicular joint, but also the coracoclavicular ligament, the deltoid and trapeziusmuscles, and the direction of dislocation of the clavicle with respect to the acromion. According to this classification, AC dislocations can be divided into 6 types.
Type
AC ligament
AC joint capsule
CC ligament
AC joint displacement
Delta-trapezial fascia
Type I
Sprained
Intact
Intact
None
Intact
Type II
Torn
Disrupted
Intact
50% AC subluxation
Intact
Type III
Torn
Disrupted
Torn
100% AC superior dislocation
Intact
Type IV
Torn
Disrupted
Torn
100% AC posterior dislocation. Posterior displacement of the distal clavicle into or through the trapezius muscle
Disrupted
Type V
Torn
Disrupted
Torn
100–300% AC superior dislocation. Complete detachment of deltoid and trapezius muscle from their clavicular insertion
Disrupted
Type VI
Torn
Disrupted
Torn
100% AC inferior dislocation. Inferior displacement of the distal clavicle into a subacromial or subcoracoid position