Acromioclavicular joint (AC joint) dislocation or shoulder separation is one of the most common injuries of the upper arm. It commonly occurs in athletic young patients and results from a fall directly onto the point of the shoulder. It involves separation of the AC joint and injury to the ligaments that support the joint. The AC joint forms where the clavicle (collarbone) meets the shoulder blade (acromion).
A mild shoulder separation is said to have occurred when there is AC ligament sprain that does not displace the collarbone. In more serious injury, the AC ligament tears and the coracoclavicular (CC) ligament sprains or tears slightly causing misalignment in the collarbone. In the most severe shoulder separation injury, both the AC and CC ligaments get torn and the AC joint is completely out of its position.
Of late, research has been focused on improving surgical techniques used to reconstruct the severely separated AC joint. The novel reconstruction technique that has been designed to reconstruct the AC joint in an anatomic manner is known as anatomic reconstruction. Anatomic reconstruction of the AC joint ensures static and safe fixation and stable joint functions. Nevertheless, a functional reconstruction is attempted through reconstruction of the ligaments. This technique is done through an arthroscopically assisted procedure. A small open incision will be made to place the graft.
This surgery involves replacement of the torn CC ligaments by utilizing allograft tissue. The graft tissue is placed at the precise location where the ligaments have torn and fixed using bio-compatible screws. The new ligaments gradually heal and help restore the normal anatomy of the shoulder.
Postoperative rehabilitation includes use of shoulder sling for 6 weeks followed by which physical therapy exercises should be done for 3 months. This helps restore movements and improve strength. You may return to sports only after 5-6 months after surgery.
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Houston Sports Medicine Specialists
Physicians at Advanced Orthopedics and Sports Medicine are currently providing professional cutting-edge sports medicine care for a number of high school, collegiate, professional and Olympic athletes at a local national and international level and coverage for a number of sports teams.The doctors at Advanced Orthopedics and Sports Medicine are available to assess and treat your problems often through conservative care and if surgery is indicated they have extensive experience with minimally invasive surgeries to get you back quickly to what you are passionate about.
Our highly skilled, certified, and friendly Physical Therapy and Occupational therapy staff work to help our clients perform at full potential based on their personal athletic goals.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Sports Medicine and Rehabilitation Treatment options.
1Professional Building II At North Cypress Medical Center
2North Cypress Professional Building At Lakewood Crossing
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What Our Patients Are Saying
I was in pain for a couple of months and went to see Dr. Cubbage. He knew right away by the way my posture what the issue was. He had me scheduled in and he along with his staff were awesome. After my surgery, I felt 100 % better. I had a few follow up visits and he along with his staff were genuinely attentive to my concerns and needs. I was also not in his network and his staff helped me out with that as well. I highly recommend him for people that have back or neck issues.
Dr. Cubbage & Staff replaced a disc that had been destroyed between my 4th and 5th vertebra. This is my 4th month since the surgery in January of 2018. I was very impressed with their dedication and professional approach to helping me live a more productive life. I am a 70 year old wife, mother and grandmother. Feel very blessed. Sincerely!
Excellent experience. The doctor, staff, office services and hospital care were outstanding before, during and after the procedure. Thank you – Heathgrades, Dr. Cubbage review
Each procedure done by Dr. Patel has been an improvement. Very pleased.
Dr. Patel has been a great Doctor for me. When I was referred to after discussion we decided to do injections in my back. The first two did not work so did two more in a different section of my back. These injections worked great. I’m now able to sleep at night and the numbness in my foot is almost gone. The tingling in my foot & leg is gone and I am very happy about that. I am extremely happy that Dr. Patel is my Doctor. She has been a good listener when I tell her where I hurt and talks to me about what she feels should be done. The final decision is always mine.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life! For the first time in 4 intolerable months of pain, I was finally pain free, and I am now getting a second chance to live again! I am so grateful to Dr. Patel for my new life, and to God for guiding me to her! Thank you so very much Dr. Patel – you are God’s gift to me, thank you for being so awesome at what you do.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her. In other words she is pretty good.
The surgery done by Dr. S. Patel (Actually injections) & the mild medications she has prescribed has surely made my lower back -hip-leg less painful. I have complete confidence in her medical judgement & advice. She will administer second injection in June.
Dr. Patel is a very good Pain Management Doctor. She is one of my favorite doctors.
Dr. Patel has been great at my pain relief. She doesn’t force me to take any meds I don’t want, or injections. She will give me the injection I want when I need it. Great friendly Doctor.