Top
40
Doctor insights on: Widening Of Ac Joint

Share
1

1
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?

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 more

Dr. Stratos Christianakis
1,189 Doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


3

3
Is widening of AC shoulder joint dangerous?

Is widening of AC shoulder joint dangerous?

Not dangerous but: May point 2 a separated shoulder of low grade. Was this compared 2 the opposite side? They may both b the same. Injury? A lot missing here as far as info is concerned. C an ortho if it is painful, was injury, and b sure the other side is on the same film plain ; holding weights in each hand, both taken while standing. ...Read more

4

4
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?

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 that's 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

5

5
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?

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

6

6
What can you do with an AC joint that hasn't healed fully?

What can you do with an AC joint that hasn't healed fully?

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 more

7

7
What can I expect in the recovery of a separated shoulder/ac joint?

What can I expect in the recovery of a separated shoulder/ac joint?

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 more

8

8
Ac joint seperation, what to do?

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 more

9

9
How to treat separated shoulder (ac joint)?

How to treat separated shoulder (ac joint)?

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 more

10

10
How is the best way to treat bursitis in AC joint?

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

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 more

11

11
What to do if I sprained my AC joint a couple of days ago and I need to know how to wrap it?

What to do if I sprained my AC joint a couple of days ago and I need to know how to wrap it?

AC sprain: There is no great way to wrap an ac joint. Your best bet is to use a sling for a week or two. ...Read more

12

12
What does hypertrophic changes at the AC joint mean and what can cause it shoul I be concerned?

What does hypertrophic changes at the AC joint mean and what can cause it shoul I be concerned?

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 more

14

14
I had a ShoulderArthroscopy/ SubacromialDecompression; Ac Joint Resection in 11/2015. Pain, low endurance, still grinds. Should I get a 2nd opinion?

I had a ShoulderArthroscopy/ SubacromialDecompression; Ac Joint Resection in 11/2015. Pain, low endurance, still grinds. Should I get a 2nd opinion?

Wouldn't hurt: Might be a good idea, you could have developed some degree of rotator cuff arthropathy and there are some good treatment options for it. ...Read more

15

15
Separated shoulder (ac joint), treatment?

Separated shoulder (ac joint), treatment?

AC SEPARATION: Typically an AC JOINT separation can be treated conservatively when it is only a type 2 or 3. Treatment consists of therapy to regain motion after a short period in a sling. If pain persists or you have pain with activities then sometimes surgical intervention is warranted. Consult an Orthopaedic surgeon for a complete work up. Hope this information is helpful. Take care. Wilsonshoulder. Com ...Read more

16

16
What all happens in shoulder-ac joint surgery?

AC joint surgery: In ac joint surgery the clavicle is secured to the coracoid process of the scapula to decrease the separation of the ac joint. A graft is frequently used to reconstruct the torn coracoclavicular ligaments. ...Read more

17

17
Ac joint pain from bench press how long to heal?

Ac joint pain from bench press how long to heal?

Depends on grade: 1= 2-3weeks using ice rest activity modification. 2= some disruption of ligaments ; takes 6-8 weeks. 3=complete dislocation of the joint, all ligaments ; capsule torn, ; the clavicle rides high ; there's noted deformity, this may or may not require surgery depending on which orthopod u c. 2 schools of thought. ...Read more

18

18
How painful is the recovery for AC joint surgery?

How painful is the recovery for AC joint surgery?

Depends...: Ac joint resection is an arthroscopic procedure, typically done for ac pain. Recovery is fairly quick, typically less then 3 months. Reconstruction of the ac joint is done for separation. It requires ligament healing, prolonged sling wear (6 weeks), and pt. Full recovery typically 6 months or more. For both, most pain in 1st week or so requires oral narcotic. After this, pain med use is episodic. ...Read more

19

19
What is the average recovery time of an AC joint surgery?

What is the average recovery time of an AC joint surgery?

Depends...: Depending upon the severity of the injury, the skill of the sugeon, and the overall health of your body in general I would say 6-12 weeks. ...Read more

20

20
Is it possible that a torn rotator cuff cause other injuries within the shoulder such as: separated shoulder (ac joint)?

Is it possible that a torn rotator cuff cause other injuries within the shoulder such as: separated shoulder (ac joint)?

Possibly related: Questioner asks if rotator cuff ; acromialclavicular (ac) joint injuries are related. These are two separate injuries of contiguous tissues. Significant mechanical trauma can cause injury to both structures, but not common. Ac joint separation observed grossly as superior projection of distal clavicle relative to acromion ; palpation of ac joint is painful. Mri necessary to visualize rotator tear. ...Read more

21

21
They say my daughter has a sprained AC Joint it has been 3 weeks and it still hurts she said it doesn't feel any better. Is this normal?

They say my daughter has a sprained AC Joint it has been 3 weeks and it still hurts she said it doesn't feel any better. Is this normal?

Clavicle physeal fx?: The distal (end) of the clavicle does not ossify until about age 21. For this reason, the cartilage end is currently not visible on routine X-rays. If pain is NOT improving by now, a repeat thorough examination is warranted by a musculoskeletal specialist (orthopaedic surgeon) to assess for a physeal separation between the cartilage and bone end. This injury occurs at the growth plate. ...Read more

22

22
They say my daughter has a sprained AC Joint it has been 3 weeks and it still hurts she said it doesn't feel any better. Is this normal?

They say my daughter has a sprained AC Joint it has been 3 weeks and it still hurts she said it doesn't feel any better. Is this normal?

Sprains: Mild sprains can take a week to heal, but more severe ones can take up to 6 weeks to heal depending on the location amount of use. Rest from sports, anti-inflammatory medications such as ibuprofen and heat pads can help. Severe injuries may need PT. If she has not seen one already, your daughter should probably see a pediatric orthopedist to be sure there is not a more serious problem. ...Read more

23

23
8 weeks post shoulder cortisone still painful and now physio feels AC joint is involved he mobilsed it now v painful to move what can I do?

8 weeks post shoulder cortisone still painful and now physio feels AC joint is involved he mobilsed it now v painful to move what can I do?

Further dx studies: If you have undergone 8 weeks of a comprehensive conservative treatment program for your shoulder and still having pain further diagnostic studies are likely warranted. Conservative treatment typically includes non-steroidal anti-inflammatory, physical therapy, avoidance of aggravating activities and possibly a cortisone injection. Further diagnostic studies may include a ultrasound or mri. ...Read more

24

24
What are treatment for AC joint damage?

What are treatment for AC joint damage?

AC separation: Treatment for ac separation depends on severity of the injury. Ac separations are classified type i-vi. Type I and ii are all treated non-operatively. Type iv-vi are all fixed surgically. Type iii management varies depending on the patient. Some are fixed acutely, but most still managed conservatively. ...Read more

26

26
Please let me know who can I go see for a possible AC joint sprain?

Please let me know who can I go see for a possible AC joint sprain?

AC SEPARATION: Typically an AC JOINT separation can be treated conservatively when it is only a type 2 or 3. Treatment consists of therapy to regain motion after a short period in a sling. If pain persists or you have pain with activities then sometimes surgical intervention is warranted. Consult an Orthopaedic surgeon for a complete work up. Hope this information is helpful. Take care. Wilsonshoulder. Com ...Read more

27

27
How long does it take to recover from grade 3 AC joint seperation surgery?

How long does it take to recover from grade 3 AC joint seperation surgery?

AC SEPARATION: Typically an AC JOINT separation can be treated conservatively when it is only a type 2 or 3. Treatment consists of therapy to regain motion after a short period in a sling. If pain persists or you have pain with activities then sometimes surgical intervention is warranted. Consult an Orthopaedic surgeon for a complete work up. Hope this information is helpful. Take care. Wilsonshoulder. Com ...Read more

28

28
What causes prominent marrow edema on both sides of the AC joint, and what does it mean?

What causes prominent marrow edema on both sides of the AC joint, and what does it mean?

Shoulder pain: Hi there! Chances are you had an MRI of the shoulder for pain. Edema is swelling or water seen on the images. This is typically from inflammation or arthritis in the AC joint or point of the shoulder. If you have pain or tenderness in the area of the bump on top of your shoulder this is likely the cause. ...Read more

29

29
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?

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. ...Read more

30

30
Ac joint injury from fall. Bump showing, went to a specialist and the xrays came out okay. He advised doing nothing? Should I be concerned about bump

Ac joint injury from fall. Bump showing, went to a specialist and the xrays came out okay. He advised doing nothing? Should I be concerned about bump

If X-rays R -,: That means the injury 2 the AC joint is a grade 1, meaning it was "jammed" but no structural damage was seen. This is a joint active in all shoulder & arm motion, & can B "sprained" like any other joint. Doing nothing now is the best plan. Give it time & C if it clears. If it persists B re-evaled. Also if the imaging was not done with U standing & holding weights in both hands, the eval not cmplt ...Read more

31

31
I tore my AC joint in my shoulder and still get a sharp pain when I rotate my shoulder should I return for a X-ray or try some sort rehabilitation?

I tore my AC joint in my shoulder and still get a sharp pain when I rotate my shoulder should I return for a X-ray or try some sort rehabilitation?

AC joint: If you re still having pain or limited motion I would recommend that you followup with othopaedic surgeon. The problem could stem from ac joint or coiuld be rotator cuff. Before you stay on than process it is helpful to have correct diagnosis. ...Read more

32

32
Sir if frequently AC joint seperation occur after every 7 to 8 months. So sir what type of calcium tablets we should prefer. So please suggest us...?

Sir if frequently AC joint seperation occur after every 7 to 8 months. So sir what type of calcium tablets we should prefer. So please suggest us...?

Haven't heard of...: Haven't heard of ac joint separation being related to calcium tablets. Nevertheless, it is important for each person to get enough vitamin d and calcium in his daily diet or take some supplements. ...Read more

34

34
Ac joint separation question. What is AC joint?

More information: Learn more about ac separation here:
http://theshouldercenter. Com/separated-shoulder. Htm. ...Read more

35

35
What is the treatment for AC joint separation?

What is the treatment for AC joint separation?

It depends: On the grade, 1-obesvation and treatment, 2- also could be treated by the method, 3- most likely need surgery. Ther are classification for those injuries are more detailed. ...Read more

36

36
Will an AC joint separation affect me much?

Will an AC joint separation affect me much?

AC SEPARATION: Typically an AC JOINT separation can be treated conservatively when it is only a type 2 or 3. Treatment consists of therapy to regain motion after a short period in a sling. If pain persists or you have pain with activities then sometimes surgical intervention is warranted. Consult an Orthopaedic surgeon for a complete work up. Hope this information is helpful. Take care. Wilsonshoulder. Com ...Read more

37

37
What can be done about AC joint separation?

What can be done about AC joint separation?

AC SEPARATION: Typically an AC JOINT separation can be treated conservatively when it is only a type 2 or 3. Treatment consists of therapy to regain motion after a short period in a sling. If pain persists or you have pain with activities then sometimes surgical intervention is warranted. Consult an Orthopaedic surgeon for a complete work up. Hope this information is helpful. Take care. Wilsonshoulder. Com ...Read more

38

38
Any weights routine for post-ac joint separation?

Any weights routine for post-ac joint separation?

None til healed: After it has healed (no pain) start range of motion for the shoulder then add gradually increasing weights for the shoulder and add shrugs last. ...Read more

39

39
What is the definition or description of: AC joint separation?

Shoulder sprain: Wherever two bones meet is a joint. Joints move in certain directions and use ligaments from one bone to the other to prevent movement in other directions. Ie ligaments on the sides of the knee keep it from bending sideways. When ligaments tear partially its called a sprain, completely its called a separation. The acromioclavicular (AC) joint is where the collarbone meets the scapula or shoulder. ...Read more

40

40
Will a grade 2 AC joint separation disqualify me from the army?

Army entry: See: http://usmilitary. About. Com/od/joiningthemilitary/a/extremities3.htm & http://usmilitary. About. Com/od/joiningthemilitary/a/extremities. Htm ...Read more