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View Full Version : Grade III shoulder dislocation of AC joint



kaushik
19-06-2006, 09:09 AM
hello, on the friday the 10th june, i was playing football and i fell awkardly, and managed to dislocate my shoulder,i went to the hospital and they informed me that i have a grade III shoulder dislocation of the AC joint, the doctors advised me not to have surgery and said that it will heal without surgery, but right now there is a really big lump on my shoulder where i can see the collar bone really sticking out, because i am aware of the bump, i am considering having surgery on my shoulder, but that is if it wont even go down a little bit. but id prefer it to recover non-surgically, but my main concern is the bump and the AC ball and socket joint, i was wondering if the ball and socket will ever come bak into place, and if so great, if not i am considering having surgery, as i also do a lot of weight lifting
i am concerned that if i keep playing football after recovery and it is still popping out, wouldnt i be prone to more shoulder dislocations?
and the other question is, will the ball and socket joint ever go bak in place or will the collar bone just sit on top?
and will the lump go down on my shoulder in time?
please reply
many thanks in advance guys!

Unregistered
19-06-2006, 12:25 PM
Mate I've had the same injury on both shoulders and all I can say is there is very little chance of that bump ever going away.
When I first did my left shoulder the bump was huge and the physio told me surgery "wouldn't do much" so I did a big of rehab but (because I was lazy) there is still a pretty bad lump there to this day.. My shoulder is also far weaker and clicks around a fair bit.
When I did my right shoulder last year, I again sought advice on possible surgery but the (different) physio said it would do nothing to strenghthen the injury -- however it could help asthetically (as in, make it look better, get rid of the bump).
Needless to say I didn't have enough money to have surgery and don't like the idea of it anyway, so I just worked harder on rehab and it has recovered better than my other shoulder. Although I'll add its still weaker than before the injury and there is still a slight bump - especially after a big night out or if I've slept on it.
I'd seriously consider surgery if I were you, especially if you want to keep playing football and lifting.
I can't play anymore because any impact on those 'bumps' equals a lot of pain and it literally moves the collarbone around dangerously in my shoulder.
If I do want to go back and play (with pain) then I have to use really tough shields that I strap to the bumps. The physio can hook you up with those sorts of things but it gets bloody annoying to have to strap that stuff to you every training session.

So overall, recovery from AC joint injuries takes quite a while and there's no guarantee the bump will go away. It's up to you whether you think you need surgery or not. The advice I got (from a former Canberra Raiders physio) was that surgery will do nothing for the actual injury, just make it look better.

Cheers, good luck.
dc_macca.

kaushik
20-06-2006, 12:27 AM
hey thanks again for the reply mate, wat ime really worried abt is if the collar bone will ever go bak into its socket in time? relly gutted this has happened because i was really into my weight lifting lol. i am not bothered abt the bump to be honest, my main concern is if my collarbone will ever go bak into its socket. thanks in advance for reply, other opinions from others i would be really grateful

plucs
20-06-2006, 10:43 AM
You need to educate yourself on what the injury actually is. There is heaps of information on the internet and this site.

kaushik
20-06-2006, 11:41 AM
hey, i have looked on the internet a lot, trust me, i just dont know for a fact if the collar bone will ever fall in place given time, if i dont have surgery, please could you give me a definitive answer, thank you very much, because the collar bone will be relocated in the socket, then i may not have surgery, vice versa, then surgey may be an option, please reply folks

plucs
20-06-2006, 04:01 PM
You still have got the injury wrong, it has nothing to do with your collarbone and a socket. It has got to do with your ac joint and the ligaments that held the ac joint together. If you really have a grade III dislocation you should have heard a few cracks when you landed on your shoulder, that noise was ligaments rupturing. Fact, your collarbone will never go back in place since those ligaments who did that job for you are gone forever.

kaushik
21-06-2006, 02:02 AM
hey, ok , so what are teh advantages and disadvantages of surgery compared to non-surgery

plucs
21-06-2006, 11:15 AM
The advantages of surgery:
- stability in the shoulder
- better protection against the development of arthritis
- relief from arthritis if you are a sufferer
- allow you to return to activities that involve heavy lifting of objects over your head

The disadvantages of surgery
- even with private health cover you are looking at around $5000 for the whole process, this does not include lost wages.
- your arm will be in a sling at all times for 6 weeks.
- rehab takes around 3 months, return to contact sport at 4 months, your shoulder will start to feel better after about 6 months.
- scarring above the ac joint, there is nothing that can be done about this. Scar revision will only be possible where your sutures split. A plastic surgeon can do this in day surgery and won't charge a gap.
- there are the typical risks involved with any surgery.
- extra risk with an ac joint reconstruction - they can fail though though this is a risk with any operation. Make sure you get the best shoulder specialist you can find to do an ac joint reconstruction for you, make sure he has done thousands of them.

I was a long time sufferer of arthritis due to my injury and after the operation my shoulder has improved and continues to do so. The rewards were worth the risk for me in my case.

kaushik
21-06-2006, 10:30 PM
hey this thread has been really helpful, could you also point out the advantages and disadvantages of the conservative method?
thanks very much
greatly appreciated

Rod Whiteley
23-06-2006, 01:40 PM
A fairly recent paper would have you stay conservative as the longer term results match or exceed those for surgical reconstruction. In contrast to one of the earlier posters, the incidence of late OA is higher for surgical reconstruction (Calvo et al, Journal of Shoulder and Elbow Surgery, v15, no. 3, 2006). From the last line of the abstract: "Because operative and conservative treatments achieve equally good clinical results and surgery carries a higher risk of osteoarthritis, we recommend managing this injury conservatively".
I should point out that they only looked at the modified Phemister technique.
hTH

Rod Whiteley
23-06-2006, 07:54 PM
The last post was written in haste, and I neglected to mention the downsides of conservative management. The short answer is that they are primarily cosmetic (an ugly lump on your shoulder).
I should also point out that there is a reasonable amount of evidence that a-c joint injuries are not nearly as benign as we had thought, and while I don't want to scare you, a lot of people have ongoing symptoms for quite some time. the upshot of this is whatever treatment you choose, there's a fair chance you'll think that it's not 'ideal' as it's unlikely to completely abolish all of your pain and restore all of your function and appearance.

Gareth
02-07-2006, 06:41 PM
Hey guys,

As some of you may know from a previous thread I had a grade 3 seperation on March 4th this year, I managed conservetively for approximately 9 weeks and like u had a large bump on my shoulder. I too am very into weight lifting and when I did this injury playin rugby it really hit me hard and I was really depressed that I could not train. Over these 9 weeks I had also lost about 1/2 a stone of muscle which went no way to helping the situation. I did not really care all that much about the asthetic qualities (or lack there of) of the bump but in my 9 weeks post injury after returning to light training I was struggling lifting the bar 20kg when 9 weeks earlier I was doing sets on 100kg +.

After consulting a good specialist we decided (although I had decided long b4) to have an operation. On May 6 I had my operation which was to have a false ligament pinned in between the colar bone and shoulder and to have the colar bone excised causing scar tissue to form as well. There are many variations on the shoulder operations and many surgeons will approach it in different ways using a variaty of pins plates false ligaments or whatever their preference. There is debate about which is better but I know of success cases for many and some who have returned to full strength and activivty with conservative treatment.

Four weeks + post operation I had made remarkable recovery according to my surgeon and physio and was even allowed to start strengthening around the joint after working successfully on flexibality in the previous week. After six weeks I was allowed back in the gym and along with my strengthening exercises I was allowed to return to my normal routine only on low weights to start with( the specialist had told me that the joint was pretty solid now and I could do what I liked but to stay clear of extream weights 1 rep max or max sets till week 12).

I left it one more week b4 returning to my beloved bench press and after seven weeks I was back under the bar. I managed to start back with sets of 55kg which in comparrison to the 20kg after 9 weeks of conservative was a vast improvement and I was not pushing it fully, my physios have also told me that muscle and strength will fly back on over the next three months. (My bad side is also noticably weeker than my good side at the moment.)

Overall so far I am delighted with the results of my operation because although I am a lot weaker than b4 the injury, my joint although feeling a little disimular to b4 seems stable and was reletively painless when traning. I am not scared of hard work getting my muscle/strength back but the fact that the joint feels good is the most important, and I have got to build all the muscle up around the joint (which has suffered extreme atrophy) which will make it imeasurably stronger as well (physios will tell u to do thid however it is treated). As for cosmetically I have got a three inche scar on my shoulder and still an ever so slight bump but to be honest who cares as long as I can get back to doin what I love then Im happy, if it bothers me that much I will get a tatoo over it but to be honest it is not that much of an eye saw anyway.

The main thing is dont worry there will be imrovement either way but if you love training consult a specialist who can point u in the right direction operation or otherwise. I am on here from time to time so if there is anythin u wanna ask then fire away I am no expert but am more than willing to share what I know. (Also sorry about the spelling and grammer)

plucs
03-07-2006, 10:24 AM
Hi Gareth,

I'm 8 months post operation. I limit myself to 3 days a week for heavy weights - squats 100kg, rows 60kg, bench 90kg. I find that if I go consecutive days I can get inflammation and will need to take anti-inflammatories for that day. How are you going with lifting heavy weights? Do you suffer inflammation any more with your shoulder?

My shoulder also does not feel as normal as my uninjured shoulder. I think it is my fault because I have not spent enough time in the last 5 months reintroducing it to doing normal tasks. In the first 3 months I was extremely dedicated to getting back my ROM and getting back to judo so I worked on my rehab a few hours a day on the shoulder joint exercises from the physio, theraband, and very light work in the gym. It also has not helped that I am a software engineer so I sit at a desk all day, and have worked very long hours and weekends for the last 5 months, although this goes back to normal mid August. How does your shoulder feel? Does it feel normal when compared to your uninjured shoulder yet? Are there any kinds of activities that have made a difference to return your shoulder to normalacy?

Regards

kaushik
04-07-2006, 11:57 AM
hey i am going to leave it a while see how the conservative mathod goes, and hopefully i will be able to do my normal routine, 4 weeks after injury, i am able to go press ups, and light lifting, but not tried the bench yet, but just wondering if i wanted surgery can i have it in like a year or so , if i feel its appropriate, going to a physio at the gym, see what he says abt all this, but i seem to be moving it remarkably well after 2-3 weeks, better than expected, ime hoping it will get better. surgery is an option in the future, when i gain a bit of money, thanks for your help guys, you been excellent

kaushik
10-07-2006, 08:22 AM
hey i was just wondering, that if in a year i wanted surgery on my shoulder to get rid of lump, would it be possible>?

Nicko1981
28-03-2007, 05:38 PM
Hi there injured ones. I thought I might share my experience for the benefit of those debating surgery.

I had a type 3 dislocation having stacked my mountain bike. I had surgery 6 weeks later. The surgery used the hooked clavicular plate.

It is 9 weeks post surgery now and I am back to the gym (thank christ), running and playing some non contact. I still have constant low level pain in the shoulder. Especially after a workout. I may start using anti inflammatory's for this.

I have pain lifting weights above my head, have had to cut out related excercises at the gym and can't ride my bike offroad untill the plate comes out in about three months.

Despite the pain I do not regret surgery. My shoulder looked pretty deformed with the bump. I doubt I will ever be 100% again but at the same time I think I would have struggled later on having to deal with arthritis and the deformity. I had the surgery at the Melbourne Orthopaedic Surgery in Windsor. They are excellent.

Good luck to anyone with this injury.

Nick

hopeful
29-03-2007, 05:27 PM
Hi Nick, thanx for that info. How does the shoulder look now? is there still a small bump? do you find your shoulder clicks, grinds more than the good shoulder?

thx,

Nicko1981
19-04-2007, 03:40 PM
The shoulder looks great now besides the scar. There is almost no difference in the outline of the shoulder - no bumps or corners. My shoulder doesn't click or grind either.

I would add that I am now benching 80% of my previous best. What is holding me back is that two small tendons on the posterior deltiod (back of the shoulder) have been cut (deliberately during surgery) and so the shoulder is a little less stable when pushing big weights. I am told that in a couple of years they will heal up.

In the mean time I am strengthening the whole shoulder (and the rest of my body) as much as I can.

I would seriously recomend that anyone who has this surgery also go to the gym. I have found that weight training helps bring back some of the confidence that you inevitably lose when your body has been seriously injured.

hopeful
24-04-2007, 05:19 PM
you know, that is really amazing. very rare. I have heard of horror stories about this surgery. even from the top surgeons. some things go wrong like the clavicles pops up for no reason several weeks or even years after the surgery is one. and i have seen that there is stil a small bump on most people who had the surgery.

consider yourself a lucky shoulder man.

Ekkawat
13-06-2007, 12:28 AM
Hey guys, I've injured myself and suffered a grade 3 AC joint separation around in early Feb 2007. The doctor advised me its better to treat it non-surgically but its been 4 months plus and I feel I could not get back much to lifting and I could feel pain when I do push-ups. I feel my shoulder wasnt as flexible as before.

So I went to see another doctor would recommended strengthening is all I could do as surgery is quite late and he wouldnt risk it for me. Its been about 16-18 weeks now, is it really too late for surgery now? I really hope you guys would advice and answer me asap. Thanks a million!

hopeful
13-06-2007, 07:47 AM
hi...


i know how it feels to be in your position as i have also suffered from the same injury.
my advice to you is to be patient as, believe it or not, it does actually get better.

for me , there was a big difference after 4 months.. and then another big difference after 6 months and then at about 8 months it actually feels almost the same as it was before. altho yours could be different but i am giving u my personal experience.

it still is a little bit weaker compared to my good side but i been told that after some strength training that it can be fixed.

its a pretty common injury with some sports

kurt kidley from the newcastle knights has it, also paul harragon

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kjwilkin
13-06-2007, 11:27 AM
Hey guys, I've injured myself and suffered a grade 3 AC joint separation around in early Feb 2007. The doctor advised me its better to treat it non-surgically but its been 4 months plus and I feel I could not get back much to lifting and I could feel pain when I do push-ups. I feel my shoulder wasnt as flexible as before.

So I went to see another doctor would recommended strengthening is all I could do as surgery is quite late and he wouldnt risk it for me. Its been about 16-18 weeks now, is it really too late for surgery now? I really hope you guys would advice and answer me asap. Thanks a million!

Hi there,

I don't think it's too late for surgery. My problem is different, but I had a very unstable shoulder and tried physio for a good couple of years. I recently had shoulder surgery and haven't looked back since.

If I was you I'd go and see a good sports physician that can refer you to a top shoulder surgeon. Whereabouts are you based ? I know some good sports physicians and shoulder surgeons in Melbourne. I really wonder about the advice you've been given to date. It's really important to go to someone good.

Nicko1981
06-07-2007, 01:16 PM
Hi again,

Just an update. I just had the hooked clavicular plate removed from my shoulder after having it in for six months. Shoulder feels great, very mobile, fairly strong. Going back to the gym in three weeks.

Looking at this thread I want to summarise - if you have a spare $6K or health insurance I would suggest you have this operation, especially if you play any contact sport. Prepare yourself for about a year of drudgery. Go to the gym, find a good physio but make sure you determine the level of treatment you get.

Dont lose your positivity - its what keeps you going. Attitude is everything when you are injured. Good luck.

Nick

kjwilkin
06-07-2007, 01:38 PM
Hi Nick,

That's great news.

Having my shoulder operated on for instability was the best thing I did. My muscles are already working so much better now that my shoulder joint is much tighter.

Good luck with your recovery. I've started some work in the hydro pool and some physio exercises. I hope to start swimming in another 4 weeks.

Keep us posted on your recovery !!

dislocation queen
10-10-2007, 09:46 AM
hey there

I have the same problem as you. When i went to the Hospital to get it checked out, they said I have done extensive damage to my AC joint and will need surg on it before I can Rugby again. But as stubborn as I am, I'm scared of going under the knife but I am looking forward to getting the operation.

I think it will help both of us by getting th op as it will give the shoulder more strength and stability back.

I really hope things go well for you my friend

missled
19-09-2008, 04:45 AM
hi im 20. i suffered a grade 3 ac separation about a year and a half ago. I went to the university hospital in lexington ky the night of the accident. the er doctor told me there was nothing that could be done and that i should go home. at the time there was a noticeable bump. but i did as i was advised. i went to a specialist who i had already talked to about my rotator cuff. He said that it was a common injury and that it could easily be fixed. considering he had preformed joe namaths surgery and got him to the superbowl, i was very confident in what he was saying.i had the surgery for my ac separation and for my rotator cuff at the same time. You all know what thats like. meds bed and dread.after the surgery i went to fallow up with my doctor and asked him about the lack of progress on the position of the clavicle. nothing was better at all, but he insisted the bones protrusion was swelling and was adiment about it all going down and returning to normal. so i did the therapy and nothing changed. but i could still moves my shoulder without alot of trouble. 6 months after surgery i went to fallow up and my dr. said it was a failed surgery after much dancing around the subject and months of making me feel awkward and impatient about my constant questioning. i was back to lifting and 80% of my skateboarding abilities. But my DR. was pushing a second different surgery to repair what he had failed to repair b4. he convinced me that he could fix the appearance of my shoulder and could make it look 100%. not only this but he was going to do it for free. Wanting to get what i had already paid for and what he was describing i agreed. Im now over 2 months out of the surgery and have significantly less function in my shoulder than i did prior to my second surgery. the bump is still prominent and i have a horrible popping and grinding. My DR. still avoids questions about my shoulder and continues to say that the catching and popping is because of scar tissue and insists that is is no big deal and he has done a great job . Im 2 surgeries in 35,000 dollars in the hole and in worse condition than i was b4 and after the first surgery. i work at abercrombie and find it hard to do even the most simple tasks like folding clothes and leaning to pick up a soda or a book with the other arm without a great deal of catching and grinding in the worked on arm. i am however still in therapy and trying my hardest to do what i can despite my total loss of confidence and overwhelming depression. I am getting a second opinion on the 23rd of september 08 and feel totally helpless. if anyone knows a doctor i should see or knows of anyone that could help i would be more than appreciative. This is starting to feel like a fight to be healthy enough just to function rather than a surgery meant to allow me to go back to sports. thank you so much for reading and i hope to get some replys

holdyourpony
29-09-2008, 03:34 PM
ok theres just one question?
how did you fall?
i was riding my horse once and and fell on my shoulder. i don't know what happened but i only got a type 1 shoulder seperation. a type 3 shoulder seperation is much similar to a dislocation.

OllyO
22-07-2009, 06:27 PM
Hi everyone.

2 weeks ago, following a years training to compete in an international soccer tournament, on my final training session I fell, hit a wall and obtained a grade 3 disloctaion of the Ac joint. I was representing Great Britain in teh over 35's category and have been inconsolable sice eth accident. My team are now in Isreal playing for a bronze medal this afternoon.

Surgery appears to be hit and miss. No surgery appears to be hit and miss. If I do elect to have surgery, it seems theres no specific technique. Every specialist has there own way of doing it.

Im not giving up soccer, im focused on playing at a high level again..

One soecialist said no need for surgery, Ill be absolutley fine in 3 months. The other specialist said surgery would be my best choice.

Can anyone shed some light on this decision?

Thanks in advance.

kjwilkin
22-07-2009, 11:10 PM
Hi there,

Sorry to hear what you are going through. Must be really tough.

What part of the UK are you in ?

If you want to get some good advice I would recommend seeing a sports doctor/physician at Pure Sports Medicine in London. They treat a lot of elite soccer clubs throughout the UK. They should be able to point you in the right direction. Their website is www.puresportsmed.com If it is too far to go I would recommend getting a suggestion of where else to go for top level treatment.

Make sure that if you decide on surgery go to a surgeon that specialises in shoulders. It is really important. I've had surgery on both shoulders for multi-directional instability and had the best surgeon I could find.

Good luck !!

ac-ligaments
23-07-2009, 04:36 AM
HI ALL
/ Gareth & mantisgb

( Sorry about my spelling - from Denmark )
I´ve used hours & hours searching for the best solution for my 3. luxation
Training, training in 8 month - absolutely no progress past 5 months.
For me "conservative management" sucks.

To all new ACJ victims ? for your own sake ? take the following article under serious consideration: http://www.ejbjs.org/cgi/reprint/17/4/1005.pdf
So sad my hospital had the conservative opinion. The article is to late for me ? my ligaments is degenerated.
In my humble nonDoctor opinion ? even grade 2 & lucky grade 3 ? victims would never loose anything getting original ligaments restored !!!
-----------------------------------------------------------------------------------------
Back to Gareth´s OP - earlier posted in this Thread
? i'm very interested in a follow-up on that kind of surgery.
Hope Gareth appears with some new info.
What the name is for that OP ? and who performs it ???

Never heard about "false ligament pinned in between the colar bone and shoulder" - but why not !!! About time for some new methods ? like the sentence
? must be the no. 1 place to make the shoulder stable.
Tried to Google it ? no luck.

Totally impressed - bench press 55 kg. 7 weeks after the operation.
( think its a bad idea even after 27 weeks with a Weaver-Dunn )
-----------------------------------------------------------------------------------------
Never liked the Weaver-Dunn, but there is a new modified technique ? again very poor information.
Up to date it looks logic to do it that way ? only transfer ½ the ligament.
?avoiding sacrifice of the coracoacromial arch? - Also an interesting solution: http://www.ejbjs.org/cgi/content/abstract/89/11/2408
-----------------------------------------------------------------------------------------
Also like to hear news from mantisgb, who had the ?Nottingham Surgilig reconstruction?
http://www.injuryupdate.com.au/forum/showthread.php?t=262&highlight=Nottingham+Surgilig&page=3
( after a Weaver-Dunn failure ) - Method described here:
http://www.opnews.com/articles/138/articles.php#3
-----------------------------------------------------------------------------------------
Like to make a new thread ? dont know how - mostly interested in new ACJ OP techniques !!!
Summary:
Gareths ?false ligament pinned in between.....?
The Weaver/Dunn alike method: ?Conjoined Tendon Transfer?
mantisgb artificial ligament: ?Nottingham Surgilig reconstruction?

Anybody please have any update/info on those 3 OP methods ???

ac-ligaments
23-07-2009, 04:47 AM
HI ALL
/ Gareth & mantisgb

( Sorry about my spelling - from Denmark )
I´ve used hours & hours searching for the best solution for my 3. luxation
Training, training in 8 month - absolutely no progress past 5 months.
For me "conservative management" sucks.

To all new ACJ victims ? for your own sake ? take the following article under serious consideration: http://www.ejbjs.org/cgi/reprint/17/4/1005.pdf
So sad my hospital had the conservative opinion. The article is to late for me ? my ligaments is degenerated.
In my humble nonDoctor opinion ? even grade 2 & lucky grade 3 ? victims would never loose anything getting original ligaments restored !!!
-----------------------------------------------------------------------------------------
Back to Gareth´s OP - earlier posted in this Thread
? i'm very interested in a follow-up on that kind of surgery.
Hope Gareth appears with some new info.
What the name is for that OP ? and who performs it ???

Never heard about "false ligament pinned in between the colar bone and shoulder" - but why not !!! About time for some new methods ? like the sentence
? must be the no. 1 place to make the shoulder stable.
Tried to Google it ? no luck.

Totally impressed - bench press 55 kg. 7 weeks after the operation.
( think its a bad idea even after 27 weeks with a Weaver-Dunn )
-----------------------------------------------------------------------------------------
Never liked the Weaver-Dunn, but there is a new modified technique ? again very poor information.
Up to date it looks logic to do it that way ? only transfer ½ the ligament.
?avoiding sacrifice of the coracoacromial arch? - Also an interesting solution: http://www.ejbjs.org/cgi/content/abstract/89/11/2408
-----------------------------------------------------------------------------------------
Also like to hear news from mantisgb, who had the ?Nottingham Surgilig reconstruction?
http://www.injuryupdate.com.au/forum/showthread.php?t=262&highlight=Nottingham+Surgilig&page=3
( after a Weaver-Dunn failure ) - Method described here:
http://www.opnews.com/articles/138/articles.php#3
-----------------------------------------------------------------------------------------
Like to make a new thread ? dont know how - mostly interested in new ACJ OP techniques !!!
Summary:
Gareths ?false ligament pinned in between.....?
The Weaver/Dunn alike method: ?Conjoined Tendon Transfer?
mantisgb artificial ligament: ?Nottingham Surgilig reconstruction?

Anybody please have any update/info on those 3 OP methods ???

gckmd
14-08-2009, 09:05 AM
since i have enjoyed reading the threads posted here and elsewhere on the net i have decided to contribute my own experience. took a nasty spill over the handlebars of my road bike last 5 days ago and "dislocated" my left acromioclavicular (ac) joint completely (grade 3). since i am an orthopaedic surgeon i knew immediately what had happened after feeling the bump on my shoulder. have since had xrays and even an mri (to r/o rc tear) . the pain is tolerable and although i cancelled my surgery schedule this week i have been working in the clinic and hope to begin operating by next week.

regarding the decision for surgery, i already knew that most (if not all) grade 3 injuries can be treated non operatively. still i am bothered by the prospect of a "bump" and perhaps a weaker & occ painful shoulder. yet i have not found anything to justify early surgery since the results of non-op care are generally very good and one can always do something about it later if it continues to be a bother. maybe it is just my desire to be "normal" again( not that surgery will make the shoulder normal-just look more normal).

still considering my options but need to decide soon. will keep this updated for future sufferers benefit.

gckmd
14-08-2009, 09:05 AM
that article was written in 1935!!!

sar
18-08-2009, 12:28 PM
Hello all, I came off my motorbike on the race track 10 days ago and landed on my outstretched arm at speed, dislocating the AC joint - grade 3 with clear bump deformity, separation of around 5-8mm or so which is easily seen in xrays where the clavicle end is raised up by about 2/3's of its width. Pain is strong but no piankillers, range of movement is good and two doc's have said to just leave it alone and let it get better on its own. I'm not bothered by the bump but I do play tennis at a fairly high competitive/tournament level and want to return to that.

Im going to start physio but would also like to know if anyone can recommend a good orthopedic shoulder specialist surgeon in the Sydney area, pref west/Parramatta/Liverpool area. I have read that if you're going to have surgery its best to have it done within 3 weeks of the injury happening.

Scottah
03-09-2009, 06:36 PM
lol @ the 1935 article, I realised the same thing after reading it all...

gkmcd, have you decided your course of action yet?

I saw an ortho surgeon today... my separation is 1.5cm ... and he has said the op would basically be just for cosmetic reasons...

It has been 2 weeks for me, and I'm seeing good progress. I can lift my arm all the way up but it does NOT feel good, very delicate...

I'm going to go for non surgical management.

HYPE
13-05-2011, 09:51 AM
I just had ac surgery...now i have 6 weeks of wearing this big uncomfortable sling!!!...but without surgery the space will fill with scar tissue and thats about it...and as for the joint! Without surgery there is no chance that it will jump back into place!!!...

arconvert
13-05-2011, 01:13 PM
What type of surgery did you have HYPE?

I ditched my sling after about 7 days and just put my hand in my pocket to support it.

I had the hook plate surgery and had a lot of swelling for a month or so, but I think most of the swelling was probably due to the trauma caused by the crash that dislocated the joint.

hallissd
28-04-2012, 09:13 PM
Hi,
I found this forum and just wanted to contribute to it as when i first dislocated my ac joint I wanted to find out more about my options and found it to be different for everyone. I first dislocated my ac joint during a gaelic football match after a collision with another player. Turns out it was a grade three dislocation. As I'm playing high intensity football and am also in a sports course it was important that I could heal it as quick as possible. I first went to the orthopaedic specialist and he informed me that in many cases the grade three would not require surgery, however he said that if I wanted to return to sport and considering my career area he said that surgery would probably be a better option as leaving it heal naturally was a long strengthening process and that it is susceptible to dislocating again. I then returned and asked to have the surgery as I was eager to get back, bascially what they insert is a clavicle hook plated that pushes the dislocation back into place. the surgery took about an hour and was left out of the hospital later that day. To be honest the first two weeks after the insertion of the plate I was in desperate pain, particularly at night and trying to sleep on it. Throughout the length of time the plate is in there you will experience pain but once the dislocation is back into place the pain eases off. I was in a sling and immobilised for 6 weeks after surgery. A thing I noticed during the time the plate was in, that my range of motion was increasing but still wouldn't be able to raise my arm up fully as obviously with the plate it restricts movement, a few times id be messing aswel kicking around and going out that I feared a number of times id done damage to it. I also noticed a sharp tiny lump underneath the scar and also a purple fluid based lump on the scar. I didn't know what these were and I thought that the sharp lump was a metal piece of the plate or something. I returned to my orthopaedic consultant and he assured me I hadnt done any damage, that the sharp lump was a ball of stitches that had gathered under the skin but that after a while would dissolve. The purple fluid lump was benign he assured me and that it was not a sign of infection. 8 weeks later I had got an appointment to have the plate removed, which was yesterday, after the surgery it actually feels a lot better, it was a lot less painful than when i went in beforehand. I am in a sling for a week but going back then to remove stitches. The doctor informed me that the lump may come back but it wont be as noticable as when i first did it as the scar tissue will help prevent that. He also said I could go back playing football in about 5 -6 weeks which I was happy enough with as prior to surgery he told me it would be longer. Overall i inujred it in early february and hope to be back the end of june so outlook was 5 months...hopefully

Brandden
07-11-2012, 09:57 PM
Well this information is quite helpful for me to get knowledge about preventing shoulder injury. I would definitely say that this is the nice place to find appropriate information.