Published online Dec 18, 2017. doi: 10.5312/wjo.v8.i12.861
Peer-review started: September 16, 2017
First decision: October 23, 2017
Revised: November 27, 2017
Accepted: December 5, 2017
Article in press: December 5, 2017
Published online: December 18, 2017
Core tip: Current literature suggests that the decision for treatment of type III injuries should be made on a case-by-case basis, with an emphasis on initial nonoperative treatment. Early operative treatment for grades III-VI dislocations may result in better functional and radiological outcomes than delayed surgery. There are numerous surgical techniques presented in the literature. The authors prefer an autograft tendon reconstruction of the coracoclavicular joint without bone tunnels in combination with direct suture fixation of the acromioclavicular joint. Arthroscopic techniques are evolving but there is currently no evidence to support arthroscopic over open surgery.