Acromioclavicular (AC) separations, commonly known as shoulder separations, occur when the ligaments connecting the collarbone (clavicle) to the acromion (part of the shoulder blade) are injured or torn. This injury, often caused by direct trauma or a fall on the shoulder, is common in contact sports but can affect anyone after an accident.
What is an Acromioclavicular (AC) Separation?
The acromioclavicular joint connects the acromion and clavicle at the top of the shoulder. This joint provides stability and flexibility to the shoulder and arm. An AC separation ranges in severity from a mild sprain to a complete tear of the ligaments that hold the clavicle and acromion together, with symptoms that may vary significantly based on the injury grade.
Causes and Risk Factors
- Direct Impact: A fall onto the shoulder or direct impact, such as in sports like football, rugby, or hockey, is the leading cause of AC separations.
- High-Energy Trauma: Car accidents or heavy falls can also lead to AC joint injuries.
- Repetitive Motion: Athletes who engage in repetitive overhead motions, like weightlifters, can also be at risk.
Symptoms of AC Joint Separation
Individuals with an AC separation often experience:
- Shoulder Pain: Sharp or aching pain at the top of the shoulder, especially during movement.
- Visible Deformity: Depending on severity, a bump or raised area may be visible where the clavicle meets the acromion.
- Weakness: Difficulty lifting the arm or performing overhead movements.
- Swelling and Bruising: Common with more severe injuries, especially if ligaments are completely torn.
If you are experiencing these symptoms in Omaha, NE, or surrounding areas, reach out to Dr. Del Core promptly for evaluation.
Diagnosing an AC Joint Separation
Diagnosis of an AC separation generally involves a physical examination and imaging studies. X-rays are typically used to assess the extent of the separation and any damage to surrounding bones and structures.
Treatment Options in Nebraska and Iowa
Treatment depends on the severity of the separation, which ranges from Grade I (mild) to Grade VI (severe). The goal of treatment is to relieve pain, restore shoulder function, and stabilize the joint.
- Non-Surgical Treatments
- Rest and Ice: Reducing shoulder activity and applying ice can help relieve pain and inflammation.
- Physical Therapy: Exercises to restore shoulder mobility and strengthen surrounding muscles are essential for recovery.
- Medications: Anti-inflammatory medications or pain relievers may help reduce discomfort and swelling.
- Surgical Treatments
- Ligament Repair or Reconstruction: In cases where ligaments are completely torn or the injury is severe, surgical intervention may be required. Procedures involve repairing or reconstructing torn ligaments to restore stability.
- AC Joint Fixation: This technique stabilizes the joint, sometimes using a plate or screw, allowing the ligaments to heal.
Recovery and Rehabilitation
Recovery from an AC separation can vary widely based on the severity of the injury and treatment method. Non-surgical cases generally recover within a few weeks to months, while surgical cases may take several months. Physical therapy plays a crucial role in strengthening the shoulder and restoring its full range of motion.
Preventing AC Joint Injuries
- Use Proper Sports Techniques: Learning proper techniques in sports and activities can reduce injury risk.
- Protective Gear: In contact sports, wearing appropriate shoulder padding can protect against trauma.
- Strength Training: Building shoulder strength, particularly in stabilizing muscles, can help prevent AC joint injuries.
Seeking Treatment in Omaha, NE, and Iowa
For individuals in Nebraska, and Iowa dealing with an AC joint injury, getting the proper diagnosis and treatment is critical for recovery. Whether you’re a young athlete or an active adult, Dr. Del Core can provide comprehensive care for AC separations and help restore shoulder stability and function.
