Acromioclavicular (AC) Joint Stabilization

AC joint stabilization is a surgical procedure performed to repair and stabilize the acromioclavicular joint, located at the top of the shoulder where the clavicle (collarbone) meets the acromion (part of the shoulder blade). This procedure is typically necessary when the ligaments that stabilize this joint are torn or damaged, leading to pain, instability, and deformity.

AC joint stabilization is usually recommended when:

Severe AC Joint Separations: Rockwood types III, IV, V, and VI separations, which involve significant ligament damage and displacement.
Persistent Pain and Instability: When non-surgical treatments (sling, physical therapy) fail to relieve chronic pain and instability.
Significant Deformity: When there is a noticeable and functionally limiting deformity of the AC joint.
Failed Conservative Management: when several months of conservative treatment does not improve the condition.
Young and/or active patients: In these patients, a more stable shoulder is often needed.

Ligament Reconstruction: Repairing or reconstructing the torn AC ligaments.
Coracoclavicular (CC) Ligament Reconstruction: Reconstructing the ligaments between the clavicle and the coracoid process.
Internal Fixation: Using plates, screws, or sutures to stabilize the joint.
Arthroscopic or Open procedures: The procedure can be preformed either arthroscopically, or in an open manner.

Anesthesia: General or regional anesthesia is used.
Incision: An incision is made over the AC joint.
Ligament Repair/Reconstruction: The torn ligaments are repaired or reconstructed using grafts or sutures.
Fixation: If necessary, plates, screws, or sutures are used to stabilize the joint.
Closure: The incision is closed with stitches or staples.

Sling: A sling is typically worn for several weeks.
Physical Therapy: Rehabilitation is crucial for regaining shoulder strength and range of motion.
Pain Management: Pain medication is prescribed as needed.
Activity Restrictions: Certain activities are restricted for several months.

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.