Board-Certified Orthopedic Surgeons Treating AC Joint Separation & Other Shoulder Injuries in Arlington, VA

Man falling off his mountain bike

One of four joints comprising the shoulder complex, the acromioclavicular (AC) joint is formed by the collarbone (clavicle) and the shoulder blade (scapula). An AC joint separation can result from a direct blow to the shoulder, a fall onto the “point” of the shoulder or a fall onto an outstretched arm. This type of injury can occur when a football player is tackled during a game or a cyclist is thrown over the handlebars of his or her bicycle in a collision. For effective treatment for this and other sports-related injuries, many athletes and other active individuals in Arlington, Virginia, turn to the board-certified orthopedic surgeons and sports medicine specialists at Nirschl Orthopaedic Center.

A shoulder separation affects the ligaments that surround and stabilize the AC joint. Through trauma, the scapula may be forced downward, which can damage the ligaments attached to the underside of the clavicle. The damage can range from a mild sprain to a complete disruption. If a ligament is torn, the collarbone may be forced out of alignment with—or completely separate from—the top outer edge of the scapula (acromion).

What Are the Symptoms of an AC Joint Separation?

Depending on the extent of the injury, an AC joint separation may cause:

  • Mild to severe pain that worsens with movement
  • Bruising and swelling
  • Reduced range of motion
  • A visible bump on the shoulder
  • Joint instability
  • A popping sound during movement

How Is an AC Joint Separation Treated?

A mild to moderate shoulder separation may be treated conservatively with:

  • Ice pack applications
  • A sling to stabilize and protect the injury as it heals
  • Pain relievers and anti-inflammatory medications

Once the pain and swelling subside, a physical therapy program can be started to strengthen the shoulder and improve its range of motion. A low-grade injury should heal within a few months.

Surgery may be considered to address a high-grade injury with significant displacement of the clavicle with respect to the acromion. For instance, a surgeon may surgically trim the end of the clavicle to prevent it from grinding against the scapula or reconstruct the damaged ligaments to realign the clavicle with the acromion.

To help ensure proper healing and a full return to activity, an AC joint separation should receive prompt medical attention. If you’ve injured your shoulder, contact Nirschl Orthopaedic Center at (703) 525-2200 to request a consultation with a shoulder specialist at our location in Arlington, VA.