pathologies
Shoulder
Acromioclavicular dislocation
treatment
Treatment is adapted according to the stage of dislocation.
When the end of the clavicle has moved sharply upwards due to loss of continuity of the ligaments holding it in place, surgery may be proposed.
Surgery is particularly suitable for young, very active, athletic patients. For best results, surgery must be performed early.
Several surgical techniques have been described. For my part, I prefer ligament reconstruction with plastic laceration and stabilization of the clavicle.
The surgical procedure is performed during a short hospital stay. Afterwards, the patient's arm is kept in a sling for 4 weeks, and mobility is gradually regained through physiotherapy sessions starting in the second week after the operation.
diagnosis
Diagnosis is confirmed by an X-ray of the affected shoulder. There are several stages in the evolution of this type of lesion (6 stages).
Some require simple orthopedic treatment with immobilization in a sling (stages 1 and 2), while others need surgical treatment (stages 4, 5 and 6).
An ultrasound scan will be necessary to rule out an associated cuff lesion.
symptoms
Patients consult us after a fall. There is a painful deformity of the joint, sometimes with "piano key" mobility of the clavicle. Sores and haematomas may complete the picture.
Definition
This dislocation affects the joint between the clavicle and the acromion (part of the scapula).
Dislocation often occurs after a fall (bicycle, motorcycle) on the shoulder.