This injury involves the acromioclavicular (AC) joint, where the collarbone meets the shoulder blade (scapula). The injury occurs when a fall, blow to the shoulder or other trauma tears the ligaments that hold the AC joint together. The outer end of the collarbone may slip out of place, resulting in shoulder pain – ranging from mild to severe – and possibly a bump on the top of the shoulder.
This is a very common injury and many times ignored. It is very important that you consult a qualified shoulder surgeon if you suffer from a shoulder injury and notice any bump or abnormailty in your shoulder.
Lesser grades of seperations may be managed with rest and immobilization.
If during your examination higher grades of injury are suspected, your surgeon may advise a keyhole procedure to address the injury.
AC Joint Reconstruction
You may be recommend an AC Repair or Arthroscopic Acromioclavicular Joint Separation Repair if the ligaments in your shoulder are ruptured or torn, indicated by a bump above the shoulder. The AC joint is located where the acromion (highest point of the shoulder blade) and the clavicle (collarbone) meet. The separation in the AC joint is due to direct trauma to the tip of the shoulder. Your clavicle is relocated to the correct position, in line with the coracoid and special devices are used to hold/ repair the torn ligaments in position. This procedure helps relieve pain in the shoulder and improves function to resume normal daily activities.
In cases of failed previous surgeries and long standing dislocations you may be recommended reconstruction of the ligaments with certain tendons from your body (autografts).The advantage of an arthroscopic repair is cosmesis, lack of implant prominence and faster pain relief.You can get discharged the same day of the procedure.