"We found that surgery compared with conservative treatment may not improve shoulder function, return to former activities (sport and work), or quality of life at one year. We found evidence that at six weeks, these outcomes may be better after conservative treatment, indicating an earlier recovery. It is unclear whether there is a difference between surgery and conservative treatment in pain at one year, treatment failure usually resulting in secondary surgery, or patient unhappiness with their shoulder appearance. The review found more complications in the surgery group, which were mainly related to the surgical hardware or infection from the surgery. In contrast, complications in the conservatively treated group were mainly discomfort. The risk of such complications varied amongst the six studies and is likely to depend on the type of surgery used. Surgical complications were more common in the older trials, which used types of surgery rarely used today."
Surgical versus conservative for treatment for acromioclavicular dislocations of the shoulder in adults
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