Subsidence following surgical stabilization of acromioclavicular joint injuries: Should we be concerned?

Table 5 Clinical pearls and pitfalls related to postoperative loss of reduction after acromioclavicular joint stabilization

Clinical pearls and pitfalls
Pearls
	LOR must be interpreted with symptoms, not radiographs alone
	Horizontal stability is equally important as vertical alignment
	Functional deficit and overhead pain are the most reliable indicators of true failure
	Identify the mechanism of failure before planning revision
	Combined CC and AC reconstruction enhances revision durability
	Protect the repair during the early healing phase
Pitfalls
	Treating radiographic LOR without clinical relevance
	Misinterpreting mild subsidence as failure
	Reliance on CCD alone without assessing horizontal stability
	Allowing early loading leading to graft stretch or hardware failure
	Failing to correlate radiographic findings with symptoms
	Overlooking coracoid or clavicular fractures

LOR: Loss of reduction; CC: Coracoclavicular; AC: Acromioclavicular; CCD: Coracoclavicular distance.