Shoulder | AC Joint Repair
Overview of AC Joint Repair
The acromioclavicular (AC) joint is where the shoulder blade meets the clavicle, or collarbone. An AC joint injury is a common shoulder injury, particularly after a fall directly onto the shoulder. While many AC joint injuries can be treated without surgery, some require reconstruction to restore stability and function. AC joint repair surgery is an advanced orthopedic treatment. This surgery aims to restore stability, reduce pain, and improve shoulder mobility.
Dr. Aaron Schwartz performs AC joint repair using arthroscopic keyhole surgery, a minimally invasive approach that ensures a stable and permanent repair. This technique offers several benefits, including:
- Reduced recovery time
- Minimal scarring
- Enhanced shoulder function and mobility
Patients who may benefit from this procedure typically experience:
- Torn or damaged ligaments in the AC joint
- Persistent shoulder pain
- Limited shoulder mobility
- Difficulty performing daily activities
During arthroscopic AC joint repair surgery, small incisions are made to insert a tiny camera (arthroscope) and specialized instruments. This allows Dr. Schwartz to precisely repair the damaged ligaments, ensuring a secure and durable fix.
To help patients understand and prepare for AC joint repair surgery, Dr. Schwartz recommends this video, provided by Arthrex, a leading medical device company. This resource offers valuable insights into the procedure and the recovery process.
An OrthoIllustrated® animation for AC joint reconstruction.
Frequently Asked Questions about AC Joint Reconstruction
The AC joint connects the collarbone (clavicle) to the highest point of the shoulder blade (acromion). Ligaments surrounding the joint help stabilize the shoulder.
An AC joint injury occurs when these ligaments are stretched or torn, often following a fall or direct blow to the shoulder. More severe injuries can cause the collarbone to become displaced and create a visible bump over the shoulder.
No. Many AC joint injuries can be treated successfully with rest, activity modification, physical therapy, and gradual return to activity.
AC joint reconstruction surgery may be considered for patients with significant instability, persistent pain, symptomatic deformity, or injuries that interfere with work, sports, or daily activities.
AC joint reconstruction is a surgical procedure designed to restore stability between the clavicle and acromion after significant ligament injury.
Depending on the injury and surgical technique, the procedure may involve reconstructing the damaged ligaments using a graft or specialized fixation devices. The goal is to restore the normal relationship of the collarbone and shoulder blade and allow the supporting ligaments to heal.
AC joint reconstruction can be performed using different techniques depending on the severity and chronicity of the injury.
Dr. Schwartz uses an arthroscopic technique to stabilize the AC and CC joints using a graft, suture button and AC joint cerclage.
Recovery is gradual. Patients typically use a sling during the initial healing period, followed by physical therapy to restore motion and strength.
Return to unrestricted lifting and contact sports generally takes several months. Your rehabilitation timeline will depend on the reconstruction technique and your progress during recovery.
Most patients can return to recreational and athletic activities after successful healing and rehabilitation. The timing depends on the sport, shoulder strength and stability, and the demands placed on the joint.
Potential risks include infection, bleeding, stiffness, nerve or blood vessel injury, hardware irritation or failure, loss of correction, persistent pain, and recurrent AC joint instability.
Is AC Joint Reconstruction Right for You?
Treatment for an AC joint injury depends on the severity of the injury and your symptoms. An orthopedic evaluation can help determine whether nonsurgical treatment or AC joint reconstruction is appropriate.
Schedule an evaluation to discuss your AC joint injury and treatment options in Portland, Oregon.