Der Orthopäde
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During sports the shoulder complex is exposed to considerable load especially where throwing is important and various pathological changes can occur. In the last two decades the shoulder in athletes has become a special term in clinical sports medicine ⋯ Knowledge about sport-specific load profiles as well as about the variety of treatment options is crucial for successful treatment of these injuries.
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Acromioclavicular joint (ACJ) dislocations represent the most frequent injuries of the shoulder girdle among athletes. Low grade injuries are more common than high grade injuries. Possible injury mechanisms are either a direct trauma to the shoulder or a fall on an adducted elbow with indirect trauma to the ACJ. ⋯ After relatively restrictive postoperative care including a 6-week immobilization period, competitive sport is normally possible after 3-4 months in cases of acute injury and after 6 months in cases of chronic injury.