Doctor insights on:
Ac Joint Widening
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?
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. ...Read more
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?
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. ...Read more
How do you know when surgery is needed for a widening AC joint, I have had the pain for about 4/5 months now. Thanks ?
Fix pain/instability: Mere widening of your ac (acromioclavicular) joint is not an indication for surgery. Pain from arthritis or osteolysis can cause joint space widening or narrowing and lead to surgery. Trauma or injury can generate instability and widening too (usually with prominence of the end of the clavicle) that can lead to ac joint reconstruction. ...Read moreSee 2 more doctor answers
Probably: Especially if acute and tender. Older injuries tend to be painless. ...Read more
Depends on your ---: symptoms and Findings on exam and on the XRs and CT scans. If it requires more time to heal, then it'll be immobilized till its healed; if the joint is displaced due to the severity of the injury or due to the being caught in some muscles or ligaments, then an Open procedure would be needed, to approximate the bones and removal of the soft tissues, and then repair the soft tissues. good luck. ...Read moreSee 1 more doctor answer
Arthritis.: It means arthritis of that joint right on top of the shoulder. It is very common, and oftentimes does not give you symptoms. In that case, nothing needs to be done. However, if it is painful, and not getting better over time, there is a surgical procedure that can eliminate any pain. ...Read moreSee 1 more doctor 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. ...Read moreSee 1 more doctor 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. ...Read moreSee 1 more doctor answer
I had a ShoulderArthroscopy/ SubacromialDecompression; Ac Joint Resection in 11/2015. Pain, low endurance, still grinds. Should I get a 2nd opinion?
It depends.: Most ac sprains (types 1, 2, 3) are treated effectively without surgery and athletes return to competition within 1-6 weeks depending injury severity. Types 2 and 3 result in mild to moderate prominence of the distal clavicle. A small percentage of types 1, 2, and 3 require surgery for persistent or late onset symptoms. Some type 3 and all severe (type 4, 5, 6) require early surgery. ...Read moreSee 1 more doctor answer
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