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Old 08-02-2011, 11:15 PM   #1
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Dislocated collarbone at the AC joint?

Hi All, I was at training on Monday and got rolled, unexpectedly, into my left shoulder with my left arm fully outstretched away from my body. Immediately I felt a sharp pain in or behind my scapula, and a few clicks. Sounded like a tear. A few hours later I noticed my shoulder was very tender, right over the AC joint, and it has a small bump there. Although the pain in my upper back/shoulder blade is far worse than the pain in my shoulder, the doctor seemed to be more converned about my shoulder. Ordered an X-ray and this is the result:

http://a5.sphotos.ak.fbcdn.net/hphot..._5054872_n.jpg

It's a poor quality shot, but it looks really normal to me. Doesn't look like a dislocation so I'm guessing it's just a mild sprain? From what you guys see, do you think I have anything to worry about?

Pushing down on my collarbone has that 'piano key' effect i read about, the bump disappears then pop backs up when i let go. Still a little tender, and the bump feels softer than bone. Cheers.

 
Old 08-03-2011, 10:38 AM   #2
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Re: Dislocated collarbone at the AC joint?

If you have the "Piano key" effect then you have at least some subluxation of the joint. You most likely have a second degree, that is type 11 acromioclavicular joint sprain. That is a tear of the A/C joint and a stretch of the corarcoclavicular ligament. The treatment is to put up with it. You will lose a little bit of strength in that arm also. Some pro athletes have surgery but the results are not that great so says the evidence. Looks like the xray shows the space is slightly increased in the A/C joint.
James

 
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Old 08-07-2011, 01:53 PM   #3
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Re: Dislocated collarbone at the AC joint?

@James079, I'm just curious what type of procedure would be done for this situation?

 
Old 08-07-2011, 07:10 PM   #4
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Re: Dislocated collarbone at the AC joint?

Quote:
Originally Posted by Shoulders1091 View Post
@James079, I'm just curious what type of procedure would be done for this situation?
I am anything but up to date on surgical proceedures of the shoulder but I'm sure it would be wiring the A/C joint together or putting a screw through the clavicle and into to coracoid process of the scapula. The coracoid process is the bean shaped extention of the scapula as shown in the middle upper aspect of your xray. Big decision. Surf around and see what the evidence shows.
James

 
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