Acromioclavicular (AC) Joint Separation Surgery

AC joint separation surgery is a procedure performed to repair a disruption of the acromioclavicular joint, which is located at the top of the shoulder where the clavicle (collarbone) meets the acromion (part of the shoulder blade). A separation occurs when the ligaments that stabilize this joint are torn, often due to a direct blow to the shoulder.

Surgery may be necessary when:

Severe AC Joint Separation: When conservative treatments (sling, pain medication, physical therapy) fail to provide adequate relief from pain and instability in higher grade separations (Rockwood types III, IV, V, and VI).
Persistent Pain and Instability: When non-surgical treatment fails to relieve chronic pain and instability.
Significant Deformity: When there is a noticeable and functionally limiting deformity of the AC joint.

Arthroscopic Subacromial Decompression: This is the most common method, performed with small incisions and an arthroscope.
Open Subacromial Decompression: This involves a larger incision and is typically reserved for complex cases.

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.