Galpin R D, Hawkins R J, Grainger R W
Clin Orthop Relat Res. 1985 Mar(193):150-5.
Nonoperative treatment (accepting the deformity with early range of motion and strengthening exercises) was compared with surgical treatment by Bosworth claviculocoracoid screw fixation of complete acromioclavicular dislocations. Nonoperative treatment provided an equal if not superior result, with an earlier return to activities, sports, and work. Neither the "bump" nor the scar was a significant cosmetic complaint. Range of motion and strength were equal, despite the treatment. Both groups were significantly weak in shoulder external rotator muscle power.
将非手术治疗（接受畸形并尽早进行活动范围和强化锻炼）与通过博斯沃思锁骨喙突螺钉固定治疗完全性肩锁关节脱位的手术治疗进行了比较。非手术治疗即便没有取得更好的效果，也能提供相同的结果，且能更早恢复活动、运动和工作。“肿块”和瘢痕都不是明显的美容问题。无论采用何种治疗方法，活动范围和力量都是相同的。两组患者的肩部外旋肌力量均明显较弱。
