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A regimen of physical therapy following surgery is prescribed and most patients experience full recovery within 8 to 10 weeks post-surgery. [1] The procedure was created by, and named for, orthopedic surgeon Eugene Bishop Mumford in 1941. [2] [3]
There is currently no "gold standard" surgery to repair acromioclavicular separations, and many surgeries have been created. However, this is one of the more common fixes. The original surgery is described as follows. Resection of the distal 2 cm of distal clavicle; Detaching the acromial end of the coracoacromial ligament, and possibly ...
A separated shoulder, also known as acromioclavicular joint injury, is a common injury to the acromioclavicular joint. [2] The AC joint is located at the outer end of the clavicle where it attaches to the acromion of the scapula. [2] Symptoms include non-radiating pain which may make it difficult to move the shoulder.
Physical therapy treatments would typically focus at maintaining range of movement, improving posture, strengthening shoulder muscles, and reduction of pain. NSAIDs and ice packs may be used for pain relief. [4] [20] Therapeutic exercises might be favorable intervention compared to passive treatment approaches, electrotherapy and placebo.
When performing the Neer impingement test, the elbow should be extended, humerus in internal rotation and the forearm pronated. When the examiner is passively flexing the arm forward, it is causing compression of the structures between the greater tuberosity, inferior acromion process and the acromioclavicular joint.
The effects of most treatments are primarily short-term, focusing on alleviating symptoms such as shoulder pain and reduced joint movement. Common treatments include exercise, physical therapy, oral analgesics such as paracetamol and NSAIDs, and intra-articular corticosteroid injections. Non-surgical treatment may continue for months, with more ...
The acromioclavicular joint, is the 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. [1] It is a plane synovial joint. The acromioclavicular joint allows the arm to be raised above the head.
Grade II is a partial dislocation of the AC joint with a complete disruption tear of the AC joint and a partial disruption of coracoclavicular ligament. The AC gap is >5 mm. Grades I and II never require surgery and heal by themselves, though physical therapy may be required. Grade III is complete disruption of AC and CC ligaments. On plain ...