AC Joint injury,shoulder separation , treatment - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубликовано: 21 июн 2016
- Dr. Ebraheim’s educational animated video describes the AC joint injuries and Classifications, how to diagnose it, and the treatment options in a simple and easy way.
The AC joint is stabilized by a joint capsule and ligaments. The AC ligament controls the AP translation (horizontal stability). The Cc ligament controls the vertical stability. Two separate coracoclavicular ligaments that stabilize the distal clavicle. These ligaments are the primary stabilizers to superior or vertical migration of the distal clavicle. The conoid is medial (inserts about 4.5 cm from the end of the clavicle).
These injuries are classified according to the degree of the injury, the amount and the direction of displacement into six types.
Type I: Sprain - pain at the point of the shoulder.
Type II: AC ligament ruptures and there is partial displacement of the AC joint (CC ligament is intact).
Type III: The AC and CC ligaments are ruptured with superior displacement of the clavicle up to 100% of the clavicle width. There is an increase in the CC ligament distance and the deformity is reducible.
Type IV: The ligaments are ruptured and the AC joint is dislocated and displaced posterior through the trapezius muscle. Axillary view x-rays will show this posterior displacement very well. In the axillary view, the anterior aspect of the clavicle and the acromion should align.
Type V: greater than 100% displacement of the clavicle superiorly. Marked increase in the CC distance and the deformity is not reducible. There will be marked gross disparity between both the injured and normal shoulder.
Type VI: inferior displacement of the clavicle. This type is rare. The distal clavicle lies under the acromion and the coracoid.
Injuries to the AC joint are sometimes apparent due to the pain and deformity. Injury results from direct trauma such as a direct fall on the point of the shoulder and if the distal clavicle is prominent, then the patient probably has a high grade injury. If you can reduce the deformity with manual pressure, this probably means that the clavicle did not button hole through the trapezius or deltoid muscles and this determines if the patient will need surgery or not. Be sure to examine the patient carefully because the neurovascular status may be affected, especially if it is a violent trauma that may cause a brachial plexus injury or scapulothoracic dissociation.
The amount of displacement can often be difficult to assess on plain x-rays. If the deformity is more than 2 cm, then you probably need to do surgery. The idea is that there is a higher risk of complications with surgical treatment. The result of conservative treatment is usually better with a quick recovery and return to work. With Types I, II and Type III the trend is to do conservative treatment. Conservative treatment in Type III injuries is controversial, especially in athletes. Surgery is better with Type IV, V and Type VI injuries.
Nonoperative Treatment
•Treatment the patient with a sling for about 7 days followed by range of motion exercises
•Patient may develop painful arthritis of the AC joint
•Patient may have residual prominence of the distal clavicle and pain with nonoperative treatment that may last for about 6 months.
You will work on and stabilize the CC interval
•Healing of the ligament will occur with no need for graft augmentation (do CC interval fixation).
•Use suture anchors, buttons placed in the coracoid, or sutures passed around the coracoid (both probably have the same result).
•May do distal clavicle excision and you also add AC joint fixation with a Hook plate to support the CC ligament repair.
•CC ligament fixation in isolation could translate the clavicle anteriorly due to the lack of an anterior AC ligament.
Chronic Symptomatic Dislocation Treatment
•Do tendon reconstruction if greater than 4 weeks (augmented Weaver-Dunn procedure)
•Weaver-Dunn procedure is a good operation when it is performed acutely.
•It may not be good alone in chronic injuries
•It does not matter which procedure is done, loss of reduction can occur and it usually does not affect the result of the treatment.
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Will tell my story to help others. I’m not young, about retirement age here in Australia, and was thrown off a dirt bike in the Blue Mountains, landing on my left shoulder. I’m 120kg, and the road was hard packed clay. This was September 2020. So I had a type 3, complete separation of the AC. I paid for surgery 6 months later - had Dacron threads put in to replace the ligaments and recovered completely without medication nor physiotherapy. The only thing I would change, is to have the surgery earlier, but I had to decide first to forget about Medicare, and ante up $15k to get the surgery done privately and promptly. If I had waited for Medicare, it was at least a 12 month wait. After only 6 months, my clavicle was already tearing up through my shoulder on its way to my ear. The surgery was an immediate and welcome normalisation of my anatomy.
Thank you for sharing this, it’s helpful to know what options are available and cost in Australia
@@rumit9946 something to remember, if you put the clavicle back to its normal position using wires, you need to do it within 6-7 weeks after the injury and the earlier the better. The reason is after this amount of time, the ligaments will die, and if you can get it done right after the accident, the ligaments will actually grow back into place and after 6 months, you can have the wires removed and have a perfect shoulder again.
great video. precise information without filler. helped me immensely
Excellent tutorial. Thank you.
Sir I can't thank you enough for your lectures JazakAllah
Tengo que preparar una presentación que trata sobre esta articulación y su trabajo me ha ayudado mucho. Gracias por darse el tiempo de realizar estos vídeos :)
Really good video and illustrations. Helped me out a bunch.
Beautiful presentation...
Excellent video.
Very based. As an aspiring sports medicine physician, this was helpful to review.
thanks for sharing ...
you sir, are a magnificent wizard!!! thank you
Excellent explanation sir, congratulations...
Thank you so much! 🥺
Thank you doctor...
I have been a practitioner of parkour and booting for over ten years and last year had a severe injury to my shoulder. No insurance I touched it and was even working a day or so after. I didn’t know what happened I thought I would never train again. I’m back now but very noticeable difference visually.
joined the AC club on christmas. all the local orthopedics are on vacation, leaving me in the dark as to the extent of the damage. thanks for making this video
What was the update. I fell onto my shoulder last night and am in the ER. How long is the recovery and if you had surgery can you give me info on how long and current state of your shoulder. Thanks
Great and to the point.
thank you for your information
great video!
great video that'll help me with my anatomy exam! thanks
Fantastic Video, I am just going through shoulder issues due to an injury, your video was very helpful. Thanks for posting this!!
Thank you, great video.
thank you ！
thank you so much, this is a great video!
Thank you so much
Just had surgery for a grade 5 acj dislocation. Feel much better less than two weeks after! So happy I had it :)
Where did you get your surgery, and what type of repair did you do?
MMAoracle Now that it’s been a year how’s the shoulder. Mine is a grade 5 too but surgeons say surgery could make it worse.
Could you class your shoulder as almost normal again? Or are there any issues your having with it?
@@sundaymorning9563 mine was grade 4, 2 weeks post op an so happy i did it
TamaEnergy Thats good news. Was yours in the UK.
@@sundaymorning9563 yes so all free, long recovery ahead tho
This video just saved me from major surgery I am at level 4 from a bad Motocross accident.. Thank you
Same here motorcycle accident
How's your shoulder any updates !
Same and my parents won’t pay for surgery and I have no insurance. I’ve had the grade 4 sprain for a year now.
@@stanleyyelnats8587 wow are u still in pain ? Grade 4 mean there's a posterior displacement of the clavicle
@Rangus did you check with a shoulder specialist?
@Rangus you actually must do an MRI to see if there's any damage exept for tye acjoint
Very nice
Thanks
Im Grade 1, Best video about Shoulder AC Injury on the internet. Thank you.
How it takes to go back to the gym ?
thanks
Great information thx
best video !!
Thanks sir
Thank you for this. I suffered type 5 AC joint separation, and sadly from the first operation, I was given a strong infection. 8 operations later and 2 years, I am hoping the new reconstruction holds and I can have my shoulder back after 8 more months of rehab. Stay healthy.
If its 1 or 2 will it heal on its own?
@@VanillaEarth744 by all accounts, it will heal perfectly by itself. try to avoid extreme movements and lifting with the shoulder, but as long as the ligaments are still attached, they will grow back. With Grade 3, there is some controversy, but most doctors agree, even a grade 3 dislocation will heal without the need for surgery as well. Good luck and take it easy. Eat a healthy diet and visualize a healthy shoulder.
in response to my own statements, it looks like the 8th surgery was a huge success and with another 7 months of physical therapy, I should have a fully functioning shoulder again after almost 3 years. Modern medicine is an incredible thing, but even more incredible is the body itself. if you're reading this because of an injury, I wish you good health and I'll happy answer any questions you may have of the process.
@@denislyons thanks for your feedback. God Willing you make a full recovery ☝️🙏✝️ God Bless you and your loved ones and remember JESUS LOVES YOU GUYS TOO
@@VanillaEarth744 I've been diagnosed with a grade 2 separation right shoulder over four years ago. Went to PT around that same time with no results. Shoulder still feels clunky to this day with scapular dispositioning. Bursa flared up immensely. Going to visit the doc for advice on AC reconstruction.
Edit: I'm very active as well. My quality of life suffers greatly because of this condition that can't be ignored! I think (know) that AC reconstruction is necessary for me.
Very nice sir ...
Thanks very much for the info. :)
Very nyc...It was useful information
Just had MRI for mine, grade 4. I was spinning 720 on my snowboard and caught and edge and went on my shoulder and neck. Most likely surgery next week. Will update, thanks for the video and information.
Hey Christian! What are your updates? I have a grade 4 which occurred two weeks ago. Going to see an orthopedic doctor sometime this week but I'm pretty sure I will elect to have surgery.
@@vincenicoara7121 I was actually in the middle of trying to compile that footage to make a mini document. The surgery went well, I opted to get CC Ligament transplant and it held down the collarbone again and they took out some damaged cartilage and a little bit of the bone. I am rebuilding strength and muscle gradually and the collar bone lined up perfect with the shoulder; all in all the surgery went well. I thought the other day what it would be like if I kept with psychical therapy and not have the surgery but I had to much clicking and bone on bone rubbing etc it would have worn each other down to stubs which will be harder operate on 10 years down the line. I took really great care of myself using all natural remedies for healing and kept my diet with minimal sugar and high fruit and greens diet with whey protein. It helps to maintain muscle and heal faster or they assume anyway. Bromelain also helps with healing at a quicker rate. I have been skateboarding lightly since but nothing heavy impact because I really want to heal properly.
@@ChristianRaymondFilms Thanks for the breakdown man. Glad it went well for you, thats awesome! I'll make sure to check out Bromelain and my diet as well.
Its weird on my MRI it says its a grade 4 but based on how it looks, seems like a grade 3 - curious to see what the orthopedic doctor says. Yeah man I have alot of bone rubbing and clicking right now too, totally agree - I dont think therapy will get rid of that. I'm also 26 and I was very active with weightlifting and basketball prior to this injury so I dont want to compromise my athletic life. And honestly... the bump bothers me alot aesthetically as well haha.
How long did you get your surgery after your accident? Mine was about 2 weeks ago so I'm hoping to get my surgery scheduled in the next 2 weeks so they have to option of repairing the existing ligaments too. I'm not sure it matters too much but I'm pretty anxious about not getting it scheduled in time for that option. Also for your surgery, did they do a tendon graft or something else like a pin/screw/etc?
@@vincenicoara7121 it was about 4 weeks total, they did a tendon graft. It was better for my injury and better for long term, no metal and more mobility.
@@ChristianRaymondFilms Got it, that sounds good. Where did they get the tendon graft from?
Mine has just started to get a little bit sore from bench pressing, what should I do to prevent further injury.
For this what I've heard is that you should let it heal and see how it feels after it heals and if you want you can get the surgery but you do not have to get it
I have a grade 3 separation going on 9 months. Went to Physical Therapy and was discharged. Now having constant pain to where I cannot pick up heavy objects. Went back, now I have bursitis and tendinitis of the rotator cuff.
can i ask do you really feel it in the morning as i think i may have this too i have had it 7 months and lifting it really pins out the pain when lifting anything heavy
When the accident happened after how long could you lift your arm yourself ?
Thank you for the information , great video !
Got into a motorcycle accident and tore my AC joint along with fracturing my acromion, it was a type 3 or 4 tear if I remember correctly. I live in Canada so they suggested surgery right away and put in buttons to tie it all up instead of a removable plate which was only day surgery, in and out in a few hours. I'm almost 3 weeks into recovery and experiencing obvious shoulder stiffness, but It gets better day by day and when I look at my shoulders in the mirror they look just like before and I can already feel myself getting back to normal. If you're thinking of surgery It might be worth it.
I'm here from a motorcycle accident as well. Not as severe, but sucks nonetheless. Be safe friend.
this gives me some hope in the Canadian healthcare system! had a mountain biking accident 2 months ago and was told in the ER it was only a grade 1 but it still hurts so much and I can’t do shit. finally after several doc appointments I got another set of x-rays and an ultrasound and they said it’s grade 3 or 4 so I’m on a waitlist for an MRI to make sure that’s all it is and to see an orthopaedic surgeon finally. good to hear they don’t shy away from surgery!
Thanks for the excellent information! I have a 5 year + injury to the AC joint, it's on my to-do list to have an orthopedist address it, once some more dire medical issues have been fully addressed (most importantly, hyperthyroidism, resulting in bone loss).
I'll want to get with the orthopedist to see if PT might be more effective for the pain and loss of ROM. Still, that's why we have specialists, the specialized knowledge and experience. Still, on the triage list, it's way down on the list. There's a lumbar issue that is of greater concern, as there may be neurological deficit present.
Yeah, medically, I'm a train wreck.
I’m curious, what was your journey with your shoulder?
I fell during a ride to my village from a jeep after that the supporting bone in my left shoulder is a bit down compared to other shoulder and I am unable to lift any weight or do any Hard work with this arm... any idea how to fix it ... it's been years now. I went to my Doctor he said to Exercise but that's not helping.!
How can you have arthritis in a fully separated grade III AC joint if the articulating surfaces are no longer in contact? Grade 1-2 yes but 3 or above?
I’ve been dealing with a fractured ax joint for almost a year this month on the 28th. I did treatment and physical therapy and was still able to play last football season. What should I do?
Such a strong accent, but beautiful pronunciation! A great insight into all aspects of this injury. He could have mentioned two more pertinent factors. 1) The importance of good nutrition during recovery. 2) Avoidance of NSAIDS or other unnecessary painkillers- as they actually interfere with recovery.
very scary to read this because my doctor said I needed a non-steroid anti-inflammatory drug to take care of my problem I think the one that he gave me is monoxclan or something like that🤷🏾♀️
@@keybubba - when did you injure it, and what type is it? My injury was two years ago, type 3, complete separation of the AC. I paid for surgery 6 months later - had Dacron threads put in to replace the ligaments and recovered completely without medication nor physiotherapy. The only thing I would change, is to have the surgery earlier.
@@whitehorse1959 3 Months ago and I believe he said type 2, i’m definitely going to look more into it thank you🤸🏿♂️
@@keybubba - if type 2, you probably won’t need surgery, as the ligaments can rebuild if still connected. Good luck!
@@whitehorse1959 Thank you ever so much I’ve been quite worried God bless enjoy your live day✨
I'm watching this right now with a type 3 separation from doing jiu-jitsu. Sadly, I'm a competitor and I don't think I'll be competing anytime soon. 😪
I had type 3 and had surgery but the clavicule popped up again and was causing pain they removed the end of my clavicule i believe , i had a second surgery 2 weeks ago but my shoulder seems closer to my body now is it because the loss of muscle u think?
Great video. Definitely scary and relieving to know my shoulder may not be as bad as the pain I felt. I was told I only had an AC Joint sprain. While playing basketball, a kid ran full speed into my extended arm. The injury sounded like multiple carrots being snapped around the same time, and felt like lightning struck my shoulder. The injury was 12 days ago, and I am just now able to do certain things. I used resistant bands yesterday, which hurt like heck, but made me feel better the next morning. I even bench pressed 30-lb dumbbells, yesterday morning, at a decline, flat bench, and incline for 5 sets each of 25 repetitions. Before, I was able to bench 100-lb dumbbells for reps, now it's scary to even think about trying it. The resistant bands are great though. Make sure to fight through the pain. Do isometric holds for 30 second repetitions. Cheers!
Hey man I know it’s been 4 years, but can I ask how your recovery has been and how you feel today?
@@damianchin8451 bro do you have a dent in the injured shoulder
@@damianchin8451 Hey what's up. I still feel pain, when I spend long hours on my laptop, on the couch, leaning on my left elbow. Heavy weighted dips (parallel or straight bar) feel slightly uncomfortable. My posture looks better on my left side, which was the injured side. 6 months after I began working with resistance bands, my injured side was, noticeably, a lot more buff. Oh yeah, I was going for a couple of heavy bench press reps, and my shoulders were on fire, especially my left side. I'm super appreciative I'm able to lift the way I am. I thought it was over for me.
@@jaysaget1280 after how many weeks could you play basketball again??
@@krishnalamichhane387 It took about 6 weeks. The sprain was on my non dominant side, but shooting the ball was still difficult for a few months. Every now and then, I wake up and feel like my shoulder is on fire. If you’re young, it will be a lot easier bcuz your body will heal faster. If you’re old, your patience will make it seem easier bcuz you will be consistent with the therapy. Don’t give up … your shoulders will get back to near normalcy. Positive blessings to you.
I just tore my left AC about a week ago from a bicycle accident. Classified as type 3. My orthopedic surgeon says personally, he would not have surgery but will leave it up to me. Seems better not to do it as more complications are possible the longer your shoulder has to heal. Not to mention you’ll have to go through the recovery process all over again.
Hi brother.. Have you done the surgery. Or not??? I have also same issue now. My doctor also told me to follow non operation method....
Hey man how are you now? Just got out of the ER. Would love to know how things went for you
Hey guys, I decided to not have the surgery. I was in a sling for 2 days and was pretty much back to normal in 2 weeks. Went to maybe 5 physical therapy sessions. I notice no difference in my activities today. I do have a bump on my shoulder though.
From what I have read about the surgery is that the recovery period is 3-6 months. The pain during the first week is pretty high. Surgery doesn’t even fix the ac joint. They just pull the collar bone down to appear normal. I don’t have time from work to even think of doing this. So, I’ll live with the bump.
Good luck to you both!
@@joem5639 Hey, sorry to bother you, i have type 3 injury so the doctor said. Its been 2.5 months and i've regained some of my strength but my shoulder clicks when i move my arm in a certain way and sometimes i feel a small sharp pain when i push something hard. Do these problems remain after 1 year with you? (Im not thinking of having surgery either)
@@cigar1310 Hello there, Today I notice no pain whatsoever. I found that going to physical therapy and following their exercises with elastic bands really helped strengthen various muscles in the shoulder. For me, this helped eliminate pain from unusual movements. Sometimes, I would get a sharp pain if I made a sudden move or a jolt but that too has gone away. Give it some time, do some exercises to strengthen you shoulders and I’m sure you you will get better as well. Cheers!
My question is during. Surgery are they gonna cut the collar bone no matter what
So with types 1,2,3,5 how long does recovery take with no surgery and with just a sling as treatment and no movement ?
Ive separated my shoulder 4 times and im only 22. I hope medical science is fuckin awesome in 20 years when I’ll probably really be feelin it
محتوى نفتخر بي ورائع ومفيد
I have ac joint speration like grade 1 it's small not painful how can i cure it?
had a grade 5 on my right shoulder 15 years ago and was corrected with surgery with amazing results! Sadly, 1.5 weeks ago I Fell while sprinting on astroturf and have a grade 3 in left shoulder. very serious bump still. I'm on th fence about surgery. if the surgeon was around still that did my right shoulder it wouldn't be in question.
Schrodinger Hi. How are your shoulders.
Does the right one feel absolutely normal without any issues?
Have you had anything done to the left one?
In February, I fell forward on my straight arm whilst playing sport and felt a nice snap crackle pop and thought I had dislocated my shoulder, but alas my AC joint had been damaged. It’s now November and there is a clear bump but I suspect it was only a type 2, but now there’s scar tissue so I can still do gym work but it can be uncomfortable STILL whilst doing pectoral fly’s etc.
sounds a lot like what im going through right now. 3 months ago same thing happened to me. The first 1-2 weeks it hurt like hell. But then the pain slowly faded and i does not hurt anymore, it's only uncomfortable. However i still have a very clear bump on my shoulder and im worried that since my sport require me to land on my shoulder it might get worse. Do you have any news if your bump went down or maybe you went to the doctor?
@@emilschmidt644 how is it going now months later? Can you "land" on your shoulder? Sounds painful since I am at day 9... 😂 Not sure if I have tossy 2 or 3 though. But the bone is like a piano key. So I guess 3?
@@renstillmann I have now been playing and throwing myself on my shoulder the last 2 months and it hasn’t gotten any worse. However i still have a little discomfort at times, especially when I sleep or lift weights. I’m a little worried this might be permanent discomfort. Though I don’t think landing on my shoulder the past couple of months is the reason behind the discomfort.
Btw I still have a visible bump on my shoulder, and multiple scans have shown that my collar bone have moved 5mm up, which would be the reason for the visible bump.
@@emilschmidt644 Good to hear you can do the activity (goal keeper perhaps)? I have been to the hospital today. It's a tossy 2 or 3. But the bumb is quite large. The doctor said the bumb will go away (I don't believe that when reading other people's experiences). He says that the bumb is "mostly" from swelling. I said that I disagree because he barely put pressure on the bone when checking how much luxation was possible. I told him to put more pressure. He then acknowledged that it was indeed worse than he expected. I asked him many other questions, such as: will the joint heal/reconnect again over time. He answered: "Yes". (maybe he meant it in a different way then I would describe it) However everything I read/learned so far tells me the opposite. He also said to do fysio therapy the coming weeks. And move the arm based on pain. Which is what I will be doing. But I am just really afraid how this plays out in the long term. I have read people getting neck and back pain or even issues with legs due to imbalance of the body. And obviously the loss of strength is a concern. And the "weird" feelings when moving the arm. I hope everything will go back to normal :( At least the pain is more or less gone as long as I leave my arme rested on desk or in the sling. Moving either feels really strange (not sure how to describe it really) or hurts. Good luck with your recovery, but you seem to be doing good relatively speaking 👍
I would stop doing those
I have a 20 year old separated ac joint thats been an issue since day 1, even after 2 surgeries including a modified weaver and dunn that i never let heal . I was young and dumb when it happened. i didnt understand the injury and i never let it heal before going back to normal activities.. . its very unstable and i live in chronic pain that effects my quality of life.. im in great shape physically over all, i work out almost daily and target my ac join with physical therapy exercises .but it effects pretty much all my exercises .. when i do pull ups it feels like im not hanging evenly because theres so much instability in that shoulder that its reach is longer when hanging, its very frustrating. .. my shoulder blade position is different than my non injured side, its lower and sits flat almost .. i have achy back pain on that side daily and the appearance of a difference in leg length/hip height that i feel is all stemming from this shoulder injury..its like my entire injured side is effected ...do you have any advice for me ? i dont even know where to begin . thanks bud
I have a motor accident and this is happen to me type 3 im doubt if i will have surgery because of some reason no.1 financial and what Will happen after surgery if i can lift because im poor i need to use my shoulder strength .. I feel sorry for my self because of motor accident this is happened
I got myself a type 2 or 3, around 4 years ago(~2018) while trying to bend a steel bar,(so from pulling, not falling or so) i kept my arm close to the body and not use it for 1-2 weeks ,at the doctor, he just push on my deltoid muscles in 3-4 spots, ask me if hurts, i told him no, and that i was concern about the "bump", he pressd on it and no pain, so he just gaved me some pain pills and a creme/gel, to me it looked like he didnt pay so much attention, it took a few months(3-4) untill i got ok with it, after like 2 years it hit me again, probably an overuse of the shoulder, again ive took a few weeks brake, then again in december 2021 , again ive been to the doc. , painkillers/creme,he said to use the pain as indicator of what is to much untill it recover.
( october 2021-april 2022 , i took a brake from my workout, and just restared in may , ((no pushups, sems those are bad for my shoulder now)) So in may 2022 it happend again, guess because ive hit a boxing bag, like..10 times. i gonna get an X ray,.
Now im 26, during the 2 years after the first injury i kept doing body weight exercises at home,no pain,all normal, pushups, pullups, curls, etc, it was fine, but since the 3rd time i felt considerable pain i stop doing shoulder motion moves, i do have a bump on my right shoulder, since the beggings, the colorbone(other end of the clavicule) it also shifted a little, i can see that it feels different then the good clavicule.
-[[[ ...MY ADVICE, if you go tru AC joint issues, take it serious, the shoulder is the most flexible joint of the body, go straight to a docto..or two, get an X ray, take at last 2 months of rest for your shoulder, look to do recovery with a physic teraphist or so, use ur arm, keep it flexible and active, stay in shape, but always remember that is vulnerable to injury]]]
If you have questions, or advices, let my know.
I had a accident and My AC joint is dislocated its type 2 or 3 i also have a bump it was painful but after 4 days i don’t feel much pain but i cant move my arm easily doctor gave me 2 week time to cole again....is that bump irritate you after the recovery ?? And i want to ask Would i be 100 percent recover as i was before or the pain just come and go?? I don’t do any gym or play any sports
I am about 9 months out of a grade 3 ac sep. have a lot of strength back ... but I used to bench press 100kg for 8 reps and 3 sets, i went to gym the other night and could do 40kg for 15 reps and it felt pretty good - a big improvement on where i had been. Overall, it has not changed my life - but definitely ruined serious weight training for me which is very frustrating.
Most of the reading indicated non-surgical recovery is preferred for all grade 1-3 injuries. I could have got surgery but because I am not a professional athlete and was 32 when I did the injury, I was OK with a slower and maybe more partial recovery
Pedro Picapiedra i had grade3 surgery yesterday, i am 53 and worried about being in pain for years to come.
Dear Gibmd002, did you use 8 band ? I'm in 2 or 3 maybe between this 2 types. I have went 2 different doctors and both said that come back after 3 weeks and rest. Now I have 8 bant "www.gununfirsati.com/imgurun/soles-clavicula.jpg" just working and im 25 . I dont want to get surgery and im thinking that if i can improve my muscles there it will be better to use. Is there any suggestion for me ? Thanks in advence.
Im 4 weeks in with a type 3, deformity is huge, they said they dont want to operate on it. I lifted heavy before the accident and now I cant push. Im worried because gym is life...
Can you please share how do you feel with your daily and sport activities ? I got my grade 3 ac sep. from falling from a bike in the mountain and its been almost 2 months from now. In that time i was seen like 10 different doctors / sport therapist / orthopedics and they are all like 50/50 to make the surgery or not to make it. Im 33 years old and i can say i live active life (playing football 2-3 times a week / snowboarding in the winter / voleyball , swimming and wakeboard not that frequently but still from time to time and i just started to get in the tennis)
I’m so scared on surgery I had a skateboard accident I just wanna live my life again will I still be able to lift?
Sir agar 2cm se Kam ho to kya karna chahiye please
how do i have contact, i have this problem
I am at a lvl 4 with 1 year and being denounced by insurance. My arm does operate but at 60 percent with notable rise on clavical. Still 1 inch past other side. I understand this is surgery but not sure who to call.
I had an MRI and it said I have mild acromioclavicular joint degenerative changes? Doctors keep giving me a run around what does this really mean so I can understand.
Sir I met with an accident. 30 days ago. I had a acromioclavicular sublexion and scapula fracture. Doc told me not to lift weight for life with my injured arm and also I am unfit for army. I am devastated. Plz help sir. Is he right ??? Should I never lift weight ?? No push-ups pull ups ?? Please help sir.
I had grade 2.5 unstable AC joint, after 20 months I had operation done 9 days ago. Due to continues pain & AC structure is widening & unstable. Sleeping is no good ATM
Stephen Lim watching this currently at 6 in the morning and cannot sleep from horrible pain. I have a level 5 separation and it was not to bad over all. After having hook plate surgery I have had nothing but terrible pain ever since. I even felt as if it popped out of place and have being in terrible pain ever since, and of course they won't give me any pain killers.. surgery was done at The university of Toledo ironicly, seeing as this doctor is from there.. good luck with your injury
Stephen Lim how has it healed ? I’m 17 months after my grade 3 and finally getting surgery but worried it’s been too long
Otis Nedrick how did surgery go? I’ve got grade 3
I have a grade 3 sprain from playing rugby and it has been about 3 months. The pain is still not gone. How long will it take?
3 months for me, and the pain is similar, i hear that in case of grade 3 It takes about the year to heal decently. Every injury is different though.
What about 4.53??
Can someone explain....?
Sir, I need this dr.pliz pliz...........
Clavicle rose up very worried just had a surgery for 3rd degree ac joint separation
martez Hill did it fail? Mine did
Step deformity gang unite!
Jokes aside got into a motorcycle accident where a car hit me from the side and I fell on my left shoulder, grade 3 injury 2.5 weeks after the incident now no pain during movement, there is the step deformity though. All the doctors I went to were 70/30 about no surgery and surgery so guess this bump will accompany me as a reminder till death do us part ⚰️ lol
I have grade 2 injury what should I do?
I have the same thing. Since day 5 (20 days has passed now) i'm compressing down the clavicula using kinesio tape and having fisioterapy treatment.
Hi Sagar Rana, How are you for 8 months ? Did you get any surgery opreation ? Do you have any suggestion for the same for me ?
Mauro Nićołłiń Hi man I was wandering since I have the same injury did the kinesio tape helped? thanks
Escobar Gaming I have same grade 2 injury what treatment did u use?
Hey does the bump ac type 2 gradually decreases as it heals or is it permanent
DC C did it ever decrease when it was healing and did u get your full strength back ?
My bump stayed permanent. And using the strength is what's painful. Grade two and up, arthritis will follow over time.
My bump dint dissappear and I experience pain in the sternum....
FORRREEEVVVVVVEERRRRRRR
I got surgery and had a incension I am on week 3 I’m hurting every day I feel pain still I just want the pain to go away
Sir i have pain in my AC joint since 1 year nd there is a gap between ac joint which i got to know form my x-ray report.
Nd i think i have partial tear. But im not able to heel it, i did medication, physiotherapy, laser treatment, shoulder strengthning exercises and icing but it is not curing. Doctors are saying for surgery.
Sir please can you tell me what should i do, i have my all report of treatment.
Can it heel without surgery ?
Mohammad Ajmer You can do things such as physical therapy to restrengthen the muscles, but sadly if all you want is to get rid of that dumb bump then surgery is your best bet.
I had surgery (tight rope) for a type 3 dislocation. How long does it take for the ligament to heal? After how many week is it safe to work again? I am planning to get back on job after 5-6 weeks. Thanks in advance for any Information
Joerg Schweizer mine failed with tight rope :(
Srry to hear that tama any other updates !
so not that long ago a police officer pulled my arm nehind me and raised it to far up around my head and caused the following type 1 accromion and edema at the distal end of my left clavicle with mild edema along the acromioclavicular joint capsule. diagnoses was grade 1 acromioclavicular joint seperation / injury. what excercises can i do.. and this happened since march 30 2020 and today is October it hurts really bad if i push my shoulder down. Or pulling or pushing or raching towards the back or up.. do i need surgery
No you don’t , usually a grade 3 or higher is when surgery is the correct answer
i’m sorry that happened that police officer is so shitty for that, you should probably go back to the doctor
You must process the police officer or the institution because of that!
will the bump reduce later or will it be like that for ever
Silky Chawla yes
so the bump does reduce eventually ?
i was told the bump will be permanent
The bump is permanent for sure. I'm having it saved off because mine is really bad next week. It's been two years and mine if still really painful.
I have grade 1 ac injury
I have a n injury to my shoulder it always feels like it's dislocated but dr tell me it's not why do I feel the sensation like it's dislocated
Same pro i feel its dislocated I worry it day and night 😰 3 weeks ago My pain came from bench press for chest day
Thank you Doc for the god presentation. Am healing from Grade 5 with surgery (button and kirschner-wire insertions 8 weeks ago). K-wires migrated so the doctor had to remove them after 2 weeks. I am healing well but anxious to start retraining lost strength in arm and back, when can I start active rehabilitation? Thanks!
Beyonder1881 I also had surgery for a grade 5. Do you still have a slight bump. I noticed mine still sticks up slightly
I still have more than a slight bump, probably a 1-2 cm bump, permanently. I think its because the doctor removed the entire acromioclavicular ligament, which was smashed anyway. So there is no longer that connection to stabilise and keep things in line. In general - now 10 months after my surgery my shoulder is still weaker than the other side, but seems okay except for this permanent bump. I sometimes wonder if the surgery made any difference at all or if it would have healed up well (perhaps with less of a bump) on its own. I will never know.
Oh wow did they originally put a replacement ligament in?
Brandon Pickett im also recovering from a ac sprain grade 5 and i have a bump left
I have a grade 5 . Week 3 now. Waiting for the docs to assess my shoulder.
Sir can you help me
Alright im sure i have type 2 Ac joint separation. Now how do i recover
I have same as 8:15 the vedio shows us mine is little bit but i can Raise up and down without pain so what did you do pro for yours now ???
today meh mom was picking me up from school and was 2 tables of gettting of the way so i decided to go under the table and the heavy table got all of its weight on my left index finger and then i got joint injury we immediatly went to hospital and they put a bandage between my middle and left index fingers and the nurse told me to keep it for a week and come back so the doctor would check my fingers again..
Can anyone who choose NOT to do a surgery with a grade 3 ac sep. please share how do you feel with your daily and sporty activities after several months / years ?
I got my grade 3 from falling from bike in the mountains and its been 2 months from now. I have seen like 10 different doctors / sport therapist / orthopedics and they are like 50/50 to do the surgery or not to. The point is that i can say i live an active life , im 33 now and i play a lot of football and snowboarding. Obvious thees sports are not effected by the ac sep. but i also play volleyball every now and then , occasionally wakeboard with friends and i like to swim and lately i get into tennis.
One of the doctors said that "if i want to continue with those active sports , its mandatory to do the surgery because the joint doesn't funcion properly and i could get arthrosis latter on"
If i dont push it too much , i can go without surgery. My question is can anyone tell me how does it feel after several moths or years have passed ? Thanks a lot and thanks for the video
I'm 7 weeks today after a mtb accident. Fell many times but this time i fell bad and on downhill into a ditch. I manage to ride another 15km's to the finish in pain.
I would've done surgery but cannot as my coracoid process also broke. So nothing to attach the LARS ligament on. Now i need to wait 9 months minimum to be sure and then if i feel the need i can do surgery. So at this stage its a waiting game. I can say however for me this is a looooong process. I'm very active cyclist, mtb and road. Even tho i do stationary i'm still very depress. My shoulder feels like it is taking longer than usual. Out of the sling and can move my arm, but only to some degree. Still very weak and i put no weight on it.
I'm two years in from grade three. I'm having surgery next week. It got better for awhile before it got worse. At this point I feel surgery is worth a shot before I accept I'm screwed up for life. The bump still sticks way up and I have pain everyday. Especially when it gets cold out. I got mine from being thrown from a motorcycle and landed on my shoulder. But hey at least I didn't die. Hope you have good luck. I would get the surgery before arthritis kicks in. Why wait till then it will only make it worse. Wish I would have fixed it right away.
Anthony war
Have you had the surgery. How’d it go?
Anthony war hi there, same situation as you, motorcycle accident, grade 3. It’s been 17 months finally getting surgery, how do you feel now after yours? I’m just abit worried as I have full rom but the joint is unstable and moved around too freely
Hey anthony same accident here any updates plz....
I dislocated my AC joint when I was 13. Let me tell you, it’s extremely painful.
no shit! :)
Yeah and right when the pain gets better arthritis kicks in and the pain is back!
James Connor sent me here
10yrs type 2 . I want back my bone.
Mine is a knot with swelling. I quit benching and do dumbells and machines. It has been a month about. I think I have type I?
How can you tell type I from II?
@@hotwheel6663pro i feel same I get Tpy 2 for bench press I worry about it Can you tell me What you did how can i get back as normal ?? Little separation but not more pain
I Just woke up One morning, stretched a bit my arms to wake up like everyone usually do, and then CRACK CRACK i fucked my AC joint, apparently only stretched It.
It even dislocated 3 times damn it
Im at the hospital, waiting for the surgery, yeah, i have a lot of time to waste
Sean Strongman hope it went well, my daughters just had surgery too 8 months after her injury
It sucks at any age, but worse for the young active ones .
My heart goes out to you
Anthea Blackmore how has she healed since having the surgery ? 17 months after I’m finally having it but worried it’s been too long
Sean Anthea or Otis, do you have an update? I’m getting close to my surgery date and having second thoughts.
How has it gone for you guys? I hope your recovering well.
Sunday Morning my surgery date is March 18th, I also feel like you and worrying but it’s what I’ve wanted since the accident. I’m 24 so I feel like if I get the surgery now and suffer for another 12 months recovering, at least that’s better than chronic arthritis in a few years and have to deal with that as well as the joint still being unstable.
How long since you injured yours? It’s still hard to accept now as I played rugby, boxing and heavy weights. I just want to be able to play sport again with it moving around as much as it does.
I had the surgery 2 day post op
I need to address
I do not have money
I need to address
Ponedlo en cristiano para que los mortales que no sabemos inglés lo entendamos.
Welp. I have a grade 5, guess that means surgery
Thanks