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Dedicated to patient care, we utilise the latest arthroscopic and minimally invasive techniques for the management of all hip, knee and shoulder conditions; thereby facilitating the best recovery and outcome for patients from surgery.
Dedicated to patient care, we utilise the latest arthroscopic and minimally invasive techniques for the management of all hip, knee and shoulder conditions; thereby facilitating the best recovery and outcome for patients from surgery.

  • Shoulder Pain
  • Anterior Hip Replacement
  • ACL Reconstruction
  • Rotator Cuff Tear
  • Hip Arthroscopy

Shoulder Separation (AC Dislocation)

Shoulder Separation (AC Dislocation)
Acromioclavicular joint (AC joint) dislocation or shoulder separation is one of the most common injuries of the upper arm. It involves the separation of the AC joint and injury to the ligaments that support the joint. The AC joint forms where the clavicle (collarbone) meets the shoulder blade (acromion).

Causes

It commonly occurs in young athletes and can result from a fall on the shoulder. A mild shoulder separation can occur when there is an AC ligament sprain that does not displace the collarbone. In more serious injuries, the AC ligament tears and the coracoclavicular (CC) ligament sprains or tears slightly causing misalignment in the collarbone. In the most severe shoulder separation injury, both the AC and CC ligaments get torn and the AC joint moves completely out of its position.

Symptoms

Symptoms of a separated shoulder may include shoulder pain, bruising, swelling and limited shoulder movement.

Diagnosis

The diagnosis of shoulder separation is made through your medical history, a physical exam and an X-ray.

Conservative treatment options

Conservative treatment options include rest, cold packs, medications and physical therapy.

Surgery

Surgery may be an option if pain persists or if you have a severe separation.

Anatomic reconstruction

Of late, research has been focused on improving surgical techniques used to reconstruct the severely separated AC joint. The novel reconstruction technique that has been designed to reconstruct the AC joint in an anatomic manner is known as anatomic reconstruction. Anatomic reconstruction of the AC joint ensures static and safe fixation and stable joint functions. Nevertheless, a functional reconstruction is attempted through reconstruction of the ligaments. This technique is done through an arthroscopically-assisted procedure. A small open incision will be made to place the graft.

This surgery involves replacement of the torn CC ligaments by utilising allograft tissue. The graft tissue is placed at the precise location where the ligaments have torn and fixed using bio-compatible screws. The new ligaments gradually heal and help restore the normal anatomy of the shoulder.

Postoperative rehabilitation includes the use of a shoulder sling for 6 weeks, followed by physical therapy exercises for 3 months. This helps restore movements and improve strength. You may return to sports only after 5-6 months of surgery.

Hip Knee Shoulder FAORTHA FRACSInternational Society for Hip Arthroscopy

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