AC Joint Reconstruction
If you’ve sustained damage to your ACJ (acromioclavicular joint), where your collarbone meets your shoulder blade, typically through a fall or collision, ACJ reconstruction surgery might be suggested.
This surgical intervention is usually reserved for cases of significant damage. For milder injuries, alternative, less invasive treatments are preferred. ACJ reconstruction is a routine surgery known for its positive outcomes over the long haul.
This surgical option may be advised for individuals with a significant ACJ injury or dislocation. Such injuries can range from mild strains to complete ligament tears.
What does ACJ reconstruction surgery involve?
In the procedure to repair a damaged ACJ, your surgeon will work to stabilize the joint. This can be achieved by utilizing a segment of your own ligament, specifically from the coracoacromial ligament at the front of your shoulder, or by employing an artificial ligament. This artificial ligament is threaded around the clavicle and the coracoid process of the shoulder blade, effectively repositioning your dislocated shoulder to its proper place and thus stabilizing the ACJ and alleviating pain. In more extreme instances, a temporary plate might be necessary to support the joint while the ligaments heal, potentially requiring a subsequent operation to remove it.
The procedure for repairing the ACJ ligament is performed under general anesthesia. To insert the replacement ligament, an incision is made at the top and front of the shoulder, and it’s then anchored to the clavicle with a screw. This operation results in a scar approximately 5-7cm in length atop your shoulder.
Post-operation, it’s crucial to support your arm in a sling for a minimum of three weeks to prevent the weight of your arm from compromising the repair. If the surgery involved using your own ligament for the ACJ repair, the sling must be worn for at least four weeks.
Following the surgery, you will receive an X-ray to assess the repair and a physiotherapist will introduce you to exercises aimed at restoring the movement and strength of your shoulder.