Question 1

how will recurring ac joint osteoarthrosis and impingiment (after arthroscopic cleaning and/or ac decompression and resection) be treated?

Accepted Answer

Resection: Well, to have arthrosis from the AC joint means the joint must, by definition exist.  So resection of the distal clavicle essentially eliminates the existence of the AC joint and as such arthrosis in that joint can not recur.  Resection should be a permanent solution if surgery done correctly.

Question 2

i have been diagnosed with arthrosis of the ac joint at 27 and cannot afford an excision. how can i manage the pain without surgery?

Accepted Answer

Steroid injection : The pain and inflammation can often be effectively managed by AC steroid injection every 3-6 months. The Perioperative morbidity from a straightforward arthroscopic AC joint excision is quite low. The "down time" can be very short. After a week or so of "soft tissue rest," you will likely be able to advance as tolerated with motion and strength if surgery becomes indicated.

Question 3

if there is a visual deformiity from a type ii or type iii ac joint widening, how does the deformity go back to its normal location?

Accepted Answer

It does not: Grade 2 and 3 ac joint separations do not go back to its normal location. The shoulder becomes painless, and normal function ensues after a period of 6weeks or so.  If thats the case, nothing further needs to be done. If the shoulder is painful and functionally compromised, surgery is indicated to reconstruct the ligaments of the ac joint.
Here is a link to acj separation physcial therapy http://nycsportsmed.Com/pdf/ac%20joint%20types%20i-iii.Seneviratne.Pdf.

Question 4

after a grade 2 or 3 ac joint widening, there is visual deformity on my right shoulder. what are my options for getting it back to normal?

Accepted Answer

Surgery: Surgery is indicated for pain and dysfunction. Rarely for cosmetic considerations as you trade off a bump (deformity) for a scar.  Having said that, there are two ligaments called the conoid and the trapezoid that are ruptured in grade 3 ac separation. They can be surgically reconstructed using allograft (cadaver) tissue or autograft (your own) tissue. Anatomic reconstructions restore both ligaments and is done in an open fashion. Single bundle reconstructions can be done arthroscopically. Sports medicine orthopedic surgeons usually perform this operation.

Question 5

i have moderately sever ac joint arthrosis. it doesn't hurt that much with day to day activities but hurts when i work out. my doc has suggested taking a little bit off the clavicle in surgery. is there anything else i can do like prp injection. trie?

Accepted Answer

Recommend surgery: With moderate to severe AC joint arthritis, there are minimal to no non-surgical options. There are no high quality medical studies supporting PRP or other injections for treating your condition. If you condition is interfering with your life significantly, recommend you proceed with surgery. Outcomes are typically good with rather quick recovery for an isolated distal clavicle excision.

Question 6

had sport injury (ac joint), 2 years ago. still feel pain when i left my arm or move it certain way & also in my back head (behind my ear). what todo?

Accepted Answer

Be reevaluated: I would certainly be reevaluated.  A detailed exam  and appropriate studies probably including an MRI of the shoulder and cervical spine will likely determine the cause.

Question 7

ac joint seperation, what to do?

Accepted Answer

Depends on severity: Ac joint separation treatment depends on the severity of the injury.  Treatment ranges from a sling for mild injuries up to requiring surgery for the most severe injuries. You should have a doctor evaluate the injury to determine the best course of treatment.

Question 8

how do you treat hypertrophic ac joint?

Accepted Answer

: You may not be able to due much about the hypertrophy, however regular gentle exercise as tolerated should preserve and probably improve mobility is what could be done. You may have a therapist guide you in the mobility exercises initially and I hope you stay fit.

Question 9

how to treat separated shoulder (ac joint)?

Accepted Answer

Depends on severity: Ac joint separation treatment depends on the severity of the injury.  Treatment ranges from a sling for mild injuries up to requiring surgery for the most severe injuries. You should have a doctor evaluate the injury to determine the best course of treatment.

Question 10

how is the best way to treat bursitis in ac joint?

Accepted Answer

Anti-inflammatories : Ac joint pain is usually due to inflammation, either due to trauma or arthritis. Oral and/or injectable steroids are the fastest way to treat inflammation. Ice, rest and nsaid's ate also very helpful treatments, but may take a little longer to work. Sometimes therapy or even surgery may be needed. See a board certified orthopaedic surgeon for evaluation and treatment.

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Doctor answers about:

Ac joint resection back to work

A member asked:

How will recurring ac joint osteoarthrosis and impingiment (after arthroscopic cleaning and/or ac decompression and resection) be treated?

A member asked:

I have been diagnosed with arthrosis of the ac joint at 27 and cannot afford an excision. how can i manage the pain without surgery?

A member asked:

If there is a visual deformiity from a type ii or type iii ac joint widening, how does the deformity go back to its normal location?

A member asked:

After a grade 2 or 3 ac joint widening, there is visual deformity on my right shoulder. what are my options for getting it back to normal?

A member asked:

I have moderately sever ac joint arthrosis. it doesn't hurt that much with day to day activities but hurts when i work out. my doc has suggested taking a little bit off the clavicle in surgery. is there anything else i can do like prp injection. trie?

A member asked:

Had sport injury (ac joint), 2 years ago. still feel pain when i left my arm or move it certain way & also in my back head (behind my ear). what todo?

A member asked:

Ac joint seperation, what to do?

A member asked:

How do you treat hypertrophic ac joint?

A member asked:

How to treat separated shoulder (ac joint)?

A member asked:

How is the best way to treat bursitis in ac joint?

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