Classification of Tossy et al for Injury to the Acromioclavicular Joint

Description

Tossy et al classified traumatic separation of the acromioclavicular joint. The authors are from Northwestern University.

Parameters:

(1) injury to the capsule and acromioclavicular ligament

(2) injury to the conoid and trapezoid ligaments (coracoclavicular)

(3) radiographic appearance

(4) deformity

Injury to the Capsule and Acromioclavicular Ligament	Injury of the Conoid and Trapezoid Ligaments	X-Ray Appearance	Deformity	Grade
none	none	normal	none	0
strain or contusion	none	normal	none	1
rupture	partial tear	separation with clavicle displaced cephalad about half of normal superior to inferior depth	mild to moderate	2
rupture	complete rupture	separation more than half of the normal depth	marked	3

where:

• A Grade 1 injury is caused by a mild force and is referred to as a sprain. It features pain, swelling and tenderness localized to the joint itself.

• A Grade 2 injury is caused by moderate force and may be referred to as a subluxation. It is associated with pain, swelling, tenderness and an inability to lift strongly.

• A Grade 3 injury is caused by a severe force and may be referred to as a dislocation. It is associated with severe disability and pain.

Grade	Management
1	sling and early rehabilitation
2	shoulder spica with clavicle strap
3	open repair and external support

To read more or access our algorithms and calculators, please log in or register.

Classification of Tossy et al for Injury to the Acromioclavicular Joint

Description

Specialty