Treatment of AC Joint Injury (Shoulder)

Treatment of an AC joint separation depends on injury grade (severity), if associated with acromioclavicular joint pain (chronic injury) and patient’s functional activity level.

Lower grade AC joint injuries (minimal separation) are treated with a non-surgical approach that includes rest, arm sling, medications, and physical therapy rehab program. Once pain is reduced and proper physiotherapy patient returns to normal activities within 2-6 weeks.

A surgical procedure may be recommended by Dr. Abhijit  Ranaware in higher grade injuries. An open AC joint stabilization procedure is generally performed by Dr. Abhijit Ranaware to reduce the separation between the acromion and clavicle bones.

Acute Injuries (<3 weeks):  the separated joint is reduced to anatomical position and held by strong tape or hook plate, then ligaments usually heals with fibrosis (scaring).

Shoulder x-ray showing AC joint held by hook plate

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Treatment of AC Joint Injury

Chronic Injuries (3 weeks):  The torn stabilizing ligaments are replaced (reconstructed) by patients own hamstring tendon graft (auto graft) augmented with suture tape to increase strength of the construct. AC joint reconstruction or repair will restore full joint stability and function.

Dr. Abhijit Ranaware, Shoulder and Arthroscopy Surgeon in Pune is highly experienced to treat AC joint Injury with minimally invasive surgery technique and helps patients in returning to a healthy and active lifestyle.

Post-operative rehab

After surgery patient is suggested to apply ice and brace is given for initial few weeks to prevent shoulder movement. Patient is discharged from hospital on the immediate next day and advised to undergo supervised Physiotherapy sessions as per AC Joint Surgery rehab program.

Physiotherapy is aimed to restore movement and strength of muscles after surgery which is very important to achieve best results.

AC joint reconstruction using tendon graft

Dr. Abhijit Ranaware