Surgery for Acromio-Clavicular Dislocation
Acromioclavicular dislocation is a common injury that affects the shoulder joint.
This condition occurs when the clavicle dislocates from the scapula (acromion), causing pain, swelling and loss of stability in the shoulder.
In some severe cases, conservative treatment such as rest and physical therapy may not be enough to restore normal joint function.
In these cases, surgery may be indicated to repair the ligaments and restore stability.
In this article, we will explore in detail the surgery for acromioclavicular dislocation, its objectives, procedures and postoperative recovery.
If you suffer from an acromioclavicular dislocation and are considering surgery as a treatment option, read on to better understand the procedure and its potential benefits.
Table of Contents
Understanding acromioclavicular dislocation
Acromioclavicular dislocation is a common injury that occurs mainly in people who play contact sports such as football, rugby or martial arts.
Direct trauma to the top of the shoulder can cause the clavicle to dislocate, leading to instability of the joint.
Depending on the severity of the injury, it can be classified into different degrees, ranging from mild to severe.
Conservative treatment versus surgery
For mild to moderate cases of acromioclavicular dislocation, conservative treatment is usually the first approach.
This may include rest, use of a brachial suspender, application of ice, pain relief medication and physical therapy to strengthen the muscles around the shoulder.
However, in more serious cases, surgery should be considered.
Indications for surgery
- Persistent shoulder pain and instability despite conservative treatment.
- Marked dislocation of the clavicle in relation to the scapula.
- More pronounced degrees of dislocation.
surgical procedures
There are different surgical techniques to treat acromioclavicular dislocation, but the most common is the reconstruction of the coracoclavicular ligament.
In this procedure, the surgeon may use tendon grafts or synthetic devices to restore joint stability.
Surgery is usually performed arthroscopically, a minimally invasive technique that uses small incisions and a camera to view and repair damaged ligaments.
We start by making small incisions which we call portals and through which the camera and work instruments are placed.
With fluoroscopy support, we were able to reduce the clavicle to its anatomical position.
The coracoid and clavicle are prepared with a small hole through which high-resistance wires pass.
At the ends there are 2 metal buttons that keep the clavicle in the desired position.
surgery results
In general, surgery for acromioclavicular dislocation has high success rates in restoring shoulder joint stability.
Most patients report a significant reduction in pain and an improvement in function after complete recovery.
However, it is important to follow all of your doctor's instructions to ensure a successful recovery.
post-operative recovery
Recovery after acromioclavicular dislocation surgery can vary depending on the severity of the injury and the procedure performed.
Generally, the patient will need to wear a brachial suspender for a few weeks to protect the joint while it heals.
Your doctor will also prescribe physical therapy to help your shoulder muscles recover and strengthen.
The return to normality and sports activity will be gradual, following the surgeon's guidelines.
Conclusions
Surgery for acromioclavicular dislocation is an effective treatment option for patients whose degree of dislocation does not allow successful conservative treatment.
If you suffer from an acromioclavicular dislocation and are considering surgery, it is essential to consult a specialist orthopedic surgeon for a complete evaluation and personalized guidance.
Surgery can help restore stability and improve quality of life, allowing you to resume your daily and sporting activities with greater comfort and safety.
Do not hesitate to seek medical help to find the best solution for your case.
