T Nation

AC Joint Injury


#1
 A couple months ago I posted about shoulder injuries that I have sustained through football and raquetball. Just kind of an update. My left shoulder which was thought to be a minor labrum tear has turned out just fine after a couple weeks of no benching and just stretching and moving it around a bit.   However, my right shoulder which my Athletic Trainer said was a bicep strain turned out to be an injury to the AC Joint (Got an Ultra Sound and X-Ray) There is a large visible lump at the outer end of my collar bone that has been there since the injury occured.

I have only just began to bench and do upper body lifts after a solid 2 months, though some days my shoulder seems fine and stable, other days it's weak and wobbly. Any thoughts? I start PT tomorrow. If I were to have surgery how long would recovery be? So many questions that have been unanswered.


#2

“Once you have surgery, you will never be the same” That is what I hear from my doctor, I also have strained my AC joint
Best is to go with PT therapy and take it slow, it will take a couple of years for our AC joint to heam fully with no surgery
Have patience


#3

If there’s a lump at the end of your clavicle, it’s probably a step off deformity due to stretching of the coracoclavicular ligaments. It’s a permanent deformity, but it shouldn’t affect your function very much unless your sport requires you to throw a ball. I know wrestlers and jiujitsu guys with grade 3 AC separations who still grapple just fine. As far as surgery is concerned, it’s nothing crazy. They basically use a tendon graft or synthetic material to replace the coracoclavicular ligaments and pull the ACJ back into alignment. The question is whether or not you need it.


#4

Wouldn’t prolotherapy help reduce some of this stretching as it did in your sternoclavicular joints in your case study?