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Raul Barco Hospital Universitario La Paz, Madrid, Spain

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Olga D. Savvidou Athens University Medical School, Attikon University Hospital, Athens, Greece

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John W. Sperling Mayo Clinic, Rochester, USA

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Joaquín Sanchez-Sotelo Mayo Clinic, Rochester, USA

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Robert H. Cofield Mayo Clinic, Rochester, USA

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anterior acromion (Type I); fractures of the acromion posterior to the acromioclavicular joint (Type II); and fractures of the scapular spine (Type III). They found eight type I, ten type II, and four type III fractures. Type I fractures were seen post

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Diana Cabral Teixeira Faculty of Medicine, University of Porto, Porto, Portugal
These authors contributed equally to the article and should all be considered first authors

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Luís Alves Orthopaedic and Traumatology Department, São João Hospital Center, Porto, Portugal
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Manuel Gutierres Orthopaedic and Traumatology Department, São João Hospital Center, Porto, Portugal
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possible diagnostic and technical failures during the first intervention, as well postsurgical conditioners, such as an inadequate rehabilitation. 38 Concomitant abnormalities, such as the pathology of the long head of the biceps or the acromioclavicular

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Alp Paksoy Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany

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Doruk Akgün Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany

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Sebastian Lappen Schulthess Klinik, Lengghalde 2, Zurich, Switzerland

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Philipp Moroder Schulthess Klinik, Lengghalde 2, Zurich, Switzerland

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e19 . ( https://doi.org/10.2106/JBJS.L.01588 ) 68 O'Brien SJ Pagnani MJ Fealy S McGlynn SR & Wilson JB . The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality

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John Edwin Kings College Hospital, London, UK

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Shahbaz Ahmed Pulvertaft Hand Centre, Royal Derby Hospital, Derby, UK

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Shobhit Verma Kings College Hospital, London, UK

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Graham Tytherleigh-Strong Cambridge University Hospitals, UK

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Karthik Karuppaiah Kings College Hospital, London, UK

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Joydeep Sinha Kings College Hospital, London, UK

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to the SCJ makes posterior dislocations of this joint particularly dangerous. 9 – 12 , 25 Fortunately they are less common than anterior dislocations. 13 , 26 In addition to SCJ dislocation, concomitant injury to the acromioclavicular joint

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Marko Nabergoj Valdoltra Orthopaedic Hospital, Ankaran, Slovenia
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

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Patrick J. Denard Department of Orthopaedic & Rehabilitation, Oregon Health & Science University, Portland, Oregon, USA

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Philippe Collin Centre Hospitalier Privé Saint-Grégoire (Vivalto Santé), Saint-Grégoire, France

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Rihard Trebše Valdoltra Orthopaedic Hospital, Ankaran, Slovenia
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland

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were statistically more common compared to cases as a result of direct trauma like a fall. 64 Crosby et al hypothesized an arthritic or stiff acromioclavicular joint to be a risk factor for acromial fracture after RSA. 67 However, there is little

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Thomas Kozak Albany Health Campus, Albany, Australia
Royal Perth Hospital, Perth, Australia

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Stefan Bauer Ensemble Hospitalier de la Côte, Morges, Switzerland

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Gilles Walch Hôpital Privé Jean-Mermoz, Centre Orthopédique Santy, Lyon, France

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Saad Al-karawi Albany Health Campus, Albany, Australia

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William Blakeney Albany Health Campus, Albany, Australia
Royal Perth Hospital, Perth, Australia

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reviewed the records of 400 RTSAs and identified 22 cases (5.5%) of acromial fracture, and described three patterns: type I, avulsion fractures of the anterior acromion; type II, fractures to the acromion posterior the acromioclavicular joint; and type III

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