Treatments of Shoulder
Delhi-NCR based orthopaedic surgeon, Dr. Ankit Varshney, specializes in the diagnosis and treatment of shoulder conditions and injuries. The best treatment for shoulder pain will vary depending on the individual’s specific circumstances. If you are experiencing shoulder pain, it is important to see a doctor to determine the cause and get the appropriate treatment. Below is a list of the shoulder conditions we treat and services we provide.
What is AC Joint?
The acromioclavicular (AC) joint is a joint at the top of the shoulder. It is the junction between the acromion (part of the scapula that forms the highest point of the shoulder) and the clavicle. It is a plane synovial joint.
The AC joint provides stability and motion to the shoulder complex. It allows the scapula to move on the thorax, which helps with arm movement such as shoulder abduction and flexion. It also enables the transmission of forces from the upper arm to the rest of the skeleton.
The AC joint can be injured in a fall onto the shoulder or by a direct blow to the area. Symptoms of an AC joint injury can include pain, swelling, bruising, and difficulty moving the arm. Treatment for an AC joint injury depends on the severity of the injury. In mild cases, the injury may heal on its own with rest, ice, compression, and elevation. In more severe cases, surgery may be necessary to repair the joint.
How Does an AC Joint Injury Occur?
An AC joint injury, otherwise known as a shoulder separation, is a traumatic injury to the acromioclavicular (AC) joint with disruption of the acromioclavicular ligaments and/or coracoclavicular (CC) ligaments. The AC joint is a small joint located at the top of the shoulder where the collarbone (clavicle) meets the shoulder blade (scapula). The ligaments that hold the joint together are called the acromioclavicular ligaments and the coracoclavicular ligaments.
An AC joint injury can occur when a person falls onto their shoulder or when they are hit in the shoulder with a force that causes the collarbone to move upward and away from the shoulder blade. The severity of the injury depends on the amount of damage to the ligaments.
What are the Symptoms of an AC Joint Injury?
The symptoms of an AC joint injury can vary depending on the severity of the injury. Mild injuries may only cause mild pain and discomfort, while more severe injuries can cause severe pain, swelling, and bruising. Some common symptoms of an AC joint injury include:
Pain in the shoulder, especially when the arm is Raised
Swelling and bruising around the shoulder
Weakness or instability in the shoulder
Difficulty moving the shoulder.
Numbness or tingling in the shoulder or Arm
How to Daignose an AC Joint Injury?
The diagnosis of an AC joint injury is usually made by a doctor based on your medical history and physical examination. The doctor will ask you about the mechanism of injury and how your shoulder feels. They will also examine your shoulder for swelling, bruising, and deformity.
Can an AC Injury be treated without Surgery?
Yes, an AC injury can be treated without surgery in many cases. The type of injury and the severity of the symptoms will determine whether surgery is necessary.
How to Treat AC Injury with Surgery?
There are two main types of surgery for AC joint injuries: arthroscopic surgery and open surgery.
Arthroscopic surgery is a minimally invasive procedure that is performed through small incisions in the skin. A camera is inserted into the joint to allow the surgeon to see inside and make repairs.
Open surgery is a more invasive procedure that involves making a larger incision in the skin. This type of surgery may be necessary for more severe injuries.
The type of surgery that is best for you will depend on the severity of your injury and your individual needs. Your surgeon will discuss the options with you and help you decide which type of surgery is right for you.
Recovery from surgery
Recovery from surgery for an AC joint injury typically takes about 6-8 weeks. You will need to wear a sling or immobilizer for the first few weeks to protect your shoulder. You will also need to physical therapy to regain range of motion and strength in your shoulder.
Complications
Complications from surgery for an AC joint injury are rare. However, some possible complications include infection, nerve damage, and stiffness.
Expected outcomes
Most people who have surgery for an AC joint injury experience good result. The surgery can help to relieve pain and improve range of motion and strength in the shoulder. However, it is important to note that surgery is not always successful, and some people may continue to experience pain and stiffness after surgery.
If you are considering surgery for an AC joint injury, it is important to talk to your doctor about the risks and benefits of surgery. Your doctor can help you decide if surgery is the right treatment for you.
