coracoclavicular joint

Treatment

Acromioclavicular Joint Separation

Injury types

Treatment for a grade one or grade two separation usually consists of pain medications and a short period of rest using a shoulder sling. Your rehabilitation program may be directed by a physical or occupational therapist.

A shoulder separation is a fairly common injury, especially in certain sports. Most shoulder separations are actually injuries to the acromioclavicular (AC) joint.

Type 3 seperation

Type 1 seperation

Types I and II injuries are managed conservatively with ice, a sling for 1-3 weeks and non-steroidal anti-inflammatory drugs (NSAIDs) followed by physiotherapy to strengthen muscles and ligaments after the acute phase.

Type III injuries should be managed conservatively but carefully selected cases may benefit from surgical intervention if conservative therapy fails.[8]

Types IV to VI are nearly always treated with open reduction and internal fixation.

All acute lesions thought to be worse than type II should be referred urgently for an orthopaedic opinion.

Causes of damage

AC joint disruption (Rockwood Classification)

Type I - joint sprained without tear of either ligament.

Type II - AC ligaments torn but CC ligaments intact. Lateral end of clavicle not elevated.

Type III - AC and CC ligaments torn, >5 mm elevation of AC joint in unstressed X-ray. Take care to distinguish from type III (distal) clavicular fracture.

Type IV - lateral clavicle separated and impaled posteriorly into trapezial fascia.

Type V - complete separation of clavicle and scapula with gross upward clavicular displacement.

Type VI - as type V but with clavicle detached inferiorly and displaced behind tendons of biceps and brachioradialis.

The most common cause of an AC joint separation is falling on the shoulder. As the shoulder strikes the ground, the force from the fall pushes the scapula down. The collarbone, because it is attached to the rib cage, cannot move enough to follow the motion of the scapula. Something has to give. The result is that the ligaments around the AC joint begin to tear, separating (dislocating) the joint.

Type 2 seperation

full thickness tear

causes

Types

When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. Most tears occur in the supraspinatus muscle and tendon, but other parts of the rotator cuff may also be involved.

-Early Injury Protection: Pain Relief & Anti-inflammatory Tips

-Regain Full Shoulder Range of Motion

-Restore Scapular Control

- Restore Normal Neck-Scapulo-Thoracic-Shoulder Function

-Restore Rotator Cuff Strength

-Restore High Speed, Power, Proprioception & Agility

- Return to Sport or Work

some sources

Partial Tear. This type of tear damages the soft tissue, but does not completely sever it.

Full-Thickness Tear. This type of tear is also called a complete tear. It splits the soft tissue into two pieces. In many cases, tendons tear off where they attach to the head of the humerus. With a full-thickness tear, there is basically a hole in the tendon.

classification

-http://www.eorthopod.com/content/acromioclavicular-joint-separation

Rotator cuff injury

A rotator cuff tear is a common cause of pain and disability among adults. In 2008, close to 2 million people in the United States went to their doctors because of a rotator cuff problem.

-http://www.patient.co.uk/doctor/acromioclavicular-joint-problems

This joint can be classified as a ball and socket joints since it is located in the shoulder (scapula and the inferior surface of the lateral portion of the clavicle)

General infomation:

coracoclavicular joint

-http://www.methodistorthopedics.com/acromioclavicular-joint-separation

It is one of the important functional joints that allows a full range of movement at the glenohumeral joint. A joint capsule and several ligaments hold the joint in situ, assisted by the trapezoid and conoid coracoclavicular (CC) ligaments that connect the coracoid process of the scapula to the mid/lateral clavicle.

partial tear

Surgery to repair a torn rotator cuff most often involves re-attaching the tendon to the head of humerus (upper arm bone). A partial tear, however, may need only a trimming or smoothing procedure called a debridement. A complete tear within the thickest part of the tendon is repaired by stitching the two sides back together.

coracoclavicular joint