Common Shoulder Conditions

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Shoulder Operation Shoulder Operation Peter Hallam MS FRCS (Orth), Consultant Orthopaedic Surgeon

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After a fall onto the shoulder the strong ligaments which hold the acromioclavicular joint together can be ruptured.

Symptoms

Pain around the shoulder (centred over the ACJ) making all movements of the shoulder difficult.

Investigations

X rays (sometimes comparison X rays with the normal side are required).

Treatments

Non-Operative:  The vast majority of acromioclavicular joint dislocations can be treated non-operatively with a sling and physiotherapy.

Operative:  If there is a severe dislocation, surgery can be carried out to put the joint back into the correct position.

X-ray of a normal (right shoulder) acromioclavicular joint and abnormal (left shoulder). Note the increased gap on the left side.

Acromioclavicular Joint (ACJ) Dislocation