What can I do to prevent shoulder separation? How should I manage shoulder separation? When should I call my healthcare provider? Key points about shoulder separation In a shoulder separation, trauma damages the ligaments around your AC joint.
Symptoms of shoulder separation include pain at the top of the shoulder and a deformed look to the shoulder. Your healthcare provider may treat you with ice, movement restriction, pain medicines, and exercises. If you have a more severe injury, you may need surgery as well. Most people fully recover from a shoulder separation injury. A small number of people will have symptoms months after their injury.
Surgery may help. This is especially true if you are an athlete. Next steps Tips to help you get the most from a visit to your healthcare provider: Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered. Bring someone with you to help you ask questions and remember what your provider tells you. At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you. Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
Ask if your condition can be treated in other ways. Know why a test or procedure is recommended and what the results could mean. Know what to expect if you do not take the medicine or have the test or procedure. If you have a follow-up appointment, write down the date, time, and purpose for that visit. Know how you can contact your provider if you have questions.
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Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Updated visitor guidelines. You are here Home » Shoulder Separation. Top of the page. Topic Overview What is a shoulder separation? A shoulder separation is classified according to how severely these ligaments are injured: In a type I injury, the AC ligament is partially torn, but the CC ligament is not injured.
See a picture of a type I injury. The collarbone is partially separated from the acromion. See a picture of a type II injury. The collarbone and the acromion are completely separated. Michael A. Cheek, M. Jon D. Hop, M. Richard M. Howell, M. Thereseann M. Huprikar, D. Sara L. Kane-Smart, M. John I.
Khoury, M. Theodore A. Kostiuk, D. Brian W. Paff, D. Bruce A. Stewart, M. John W. Swartz, D. Joel R. Wolfe, M. Certain athletes may fall on either end of the extreme. For example, most elite swimmers and professional dancers tend to have very loose shoulders; whereas an NFL offensive tackle or an Olympic marathon runner may have less movement in the joint.
Shoulder dislocation occurs when the connection between the humerus and the glenoid—the ball and socket joint in the shoulder see image above becomes unstable 3,4,5. As with shoulder separation, an injury to the ligaments that stabilize the joint is involved. In most cases, the labrum, a layer of cartilage that lines the glenoid bone and serves as the attachment site for the ligaments, will be torn.
SLAP tears often occur in throwing athletes and swimmers 6. Diagrams of glenohumeral GH dislocation — anterior dislocation top and multidirectional dislocation bottom.
X-ray image of glenohumeral GH dislocation. Anterior dislocations are the most common type. In some settings, as when an athlete develops the injury during competition, a trainer or coach may be able to move the humeral head or "ball" back in its correct position - a procedure orthopedists refer to as reduction.
Because reduction can be painful, however, in most cases it is performed with the patient under intravenous sedation in a hospital setting. Whether they are competitive athletes or not, most people with shoulder dislocations have injured themselves playing a sport.
However, other forms of blunt trauma - such as a fall down a flight of stairs or being knocked over by a large wave in the ocean - may also result in a dislocation of the shoulder. Posterior dislocations may also occur as the result of a bicycle accident as well as equestrian or motor vehicle accidents.
They have also been linked to a seizure disorder. The age of the patient at the time of the first dislocation is inversely related to recurrence rate, and the activity level of the patient is directly related to the recurrence rate, according to Dr. Non-operative treatment Non-operative treatment is appropriate for some patients, including older individuals and those who are going to modify their activities, and those with atypical dislocations in which no injury to the ligament is seen on MRI.
Surgical Repair Surgical treatment of a shoulder dislocation involves reattachment of the torn ligaments - and labrum - to the bone and fixation with bioabsorbable non-metallic suture anchors.
The surgery may be performed with either an open incision or with the aid of arthroscopy. These outpatient procedures are conducted with the use of regional anesthesia during surgery. As with surgery for AC separation, arthroscopic repair offers the advantages of a less painful, and more rapid, recovery.
The time required to return to collision sports is not dependent upon whether the procedure is performed arthroscopically or with open surgery; however, the short-term recovery is much improved with the less invasive procedure.
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