Acromioclavicular (AC) Joint Injuries

Grade I and II injuries: sling for 3-7 days, taking into account severity of pain and patient age. Encourage early range of motion, especially in elderly patients. (Montellese 2004)

Type III injuries: Ensure orthopedic follow up for possible operative management.

Type IV-VI injuries: Uncommon and are frequently in the setting of polytrauma. They require careful examination to evaluate for signs of vascular injury. Orthopedic consultation recommended for evaluation and operative planning.

Emergency Medicine Kenya Foundation

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