Acromioclavicular Joint Separation

It is commonly caused by a fall directly on the shoulder or a direct blow received in a contact sport or crash from a bicycle. It is a separation of the clavicle and the acromion of the scapula. 

Causes:

  • Fall landing on the shoulder (Bicycle Crash) 
  • Direct blow to the shoulder 
  • Fall on Outstretched hand 

Symptoms:

  • Pain and swelling around the joint 
  • Pain on movement of the arm 
  • A bump may be present over the injured joint 

Diagnosis

Radiographs: Xray of the Acromioclavicular joint will show separation of AC joint. 

Treatment

Treatment of AC joint separation depends on the type of separation, occupation that requires overhead activities. Here is an overview of the treatment. 

Type 1 to 3: conservative management 

  • Ice
  • Anti Inflammatory Medication/Pain Medicine 
  • Rest/Immobilization with Arm sling 
  • Physical Therapy as soon as pain subsides 

Type 4 to 6: Surgical Management

There are varieties of surgical method used to treat AC joint separation. The common principle is restoration of the coracoclavicular ligaments using different types of stabilization devices with excision of the distal end of clavicle. 

Visit your shoulder surgeon to know the best treatment for your condition.

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