Figure 2. An 18-year-old male presenting type V acromioclavicular dislocation initially subjected to conservative management. One year after the injury he presented persistent symptoms and absolute limitation for sports activities (A). Surgery was performed with good reduction of the deformity (B), and four years after the operation the functional outcome was excellent (C), with minimum degenerative changes in the acromioclavicular joint and some widening of the clavicular tunnels.