Acromioclavicular Joint Injury

acromioclavicular joint injury

What’s up ? This is THE stephane ANDRE. With my training, I’m interested in biomechanics to avoid injuries. I read « Sport Medicine Media Guide » and I learned some good stuff.

Acromioclavicular joint is a joint between the clavicle and the scapula. Acromion is a continuation of the scapular spine and hooks over anteriorly. It articulate with the clavicle (collar bone ) to form the acromioclavicular joint.

Problems types

The most common problems are arthritis, fracture and separation. Arthritis is characterized by a loss of joint’s cartilage. Arthritis of acromioclavicular joint is common with weight lifter, especially with bench press and a little less with shoulder press. When there is a problem with the rotator cuff, it’s possible that there is also acromioclavicular joint’s arthritis.

Acromioclavicular separation

acromioclavicular joint injury type grade

When there is an acromioclavicular joint separation, it means that the ligament that connects the acromion and clavicle is damaged and that the 2 structures don’t align properly. Separation’s state can be weak or severe, that is why there is a system of « grade » according to which ligament is torn and the severity of the tear.

Grade I Injury – This is the weakest damage and the acromioclavicular joint is still aligned.

Grade II Injury – This is an average damage. Ligaments are only stretched but not fully torn. In case of stress (physical effort), the acromioclavicular joint becomes painful and unstable.

Grade III Inury – This is a serious damage. Ligaments are completely torn and the collar bone is no longer attached to the scapula, which creates a visible deformity.

Treatment of acromioclavicular joint arthritis

If the rest, ice, medications and change of the training program (changing the exercises) don’t work, the next step is a shot of cortisone. A shot of cortisone in the joint may have calmed the pain and may be permanently swollen. As each individual is unique, the effects may vary and it’s possible that it doesn’t swell permanently.

If non-surgical methods fail, it’s possible to perform a surgical operation. The pain is localized at the bones end that make contact with each other and the goal of the operation is to remove some of the end of the clavicle. This ambulatory surgery can be done with a small incision of 1 inch (2.5 cm) long or with the arthroscopy technique with 2-3 incisions. The results and recovery of these 2 surgical techniques are about the same. Most patients have a full movement by 6 weeks and can return to do sport by 12 weeks.

Treatment for acromioclavicular separation

Separation can create very painful injuries, so the first thing to do is to decrease the pain. Hold the arm in a sling, put ice and pack the shoulder for 20-30 minutes every 2 hours as needed. Acetaminophen and non-steroidal anti-inflammatory medications can also help calm the pain.

When the pain begins to subside, it’s important to move the fingers, wrists and elbow (and eventually the shoulders) in order to avoid having stiff or « frozen » shoulder. The length of time needed to regain complete movement and function depends on the severity or injury’s grade.

Recovery from Grade I acromioclavicular separation usually takes 10-14 days while Grade III takes 6-8 weeks.

When surgery

Grade I and II separations require very rarely surgery. With a Grade III injury, after surgery, it’s possible to have full body physical activity with some restrictions.

Statistics

  • More males than females suffer acromioclavicular joint injuries

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-Steph

Why Live With Your Passion

I love my job

I watched an Olivier Roland’s video  and I learned good stuff.

We hear every day that it’s important to do a job that fascinates us. When you do a job that fascinates you , you will never work again but if you don’t do that, you will miss your life and so on. We hear that all the time.

To be passionate

 

 

everyone passionate about something

Now, let’s look at it concretely. Look at the people around you and you don’t need to do a deep analysis. You just have to ask yourself this question : « Are the people I know passionate about the work they do ? ». The answer is : « It’s a tiny minority that does that ». There is often a big gap between theory and practice.

I encourage you to dare to realize your dreams. I encourage you to take baby steps forward everyday to live your dreams. Realizing a dream is not just about being fulfilled. From the moment you do a job that your are passionate about, you have automatically and mechanically by a pure leverage effect, bring more values to the world.

Having the skill is very important and we can have people who aren’t passionate about their work but who are very competent. But between 2 people who have the same skill, it’s always the person who is the most passionate who will succeed to transmit the flame, to make you have sparks on your eyes, to make you dream and maybe to motivate you to do a project that you hesitate to do that will change your life.

It’s this passion that will create maximum leverage on the rest of the world and bring something beautiful, new, artistic. It’s important and we need to do something we’re passionate about. I can even say that it’s a duty for the rest of humanity and I will explain why.

Don’t be passionate

 

 

hate my job

Everyday we see people who are passionate about their work and people who aren’t passionate or who hate their work. When we meet people who aren’t passionate or hate their work, it is felt in each of their gestures, in each of their eyes, in each of their words. Everytime we meet people like that we feel a bit sadness, disappointment and frustration.

These people don’t like their work but the problem is that these people don’t like their work so much that they make us hate this job. We all had teachers at school like that. This teacher who doesn’t like his/her job and perhaps also the subject he/she teaches and the consequence is that the majority of the class hate the job of teacher and the subject he/she teaches (and it’s hard to have a good grade with these teachers). Do you remember those teachers ?

Struggle

 

 

passion struggle fail job

I know that isn’t easy. It’s always difficult for me today but instead of staying with your friends complaining about injustices in your city by drinking alcohol and smoking weed after school or work (yes, I was like that), use this time to take a step towards the realization of your dreams. What’s cool with internet is that we can easily do a lot of things like learning a new skill , get a freelance job online , having a blog, a podcast, a Youtube channel or selling things on Amazon , eBay  or Shopify .

If you hesitate to create your dreams, say to yourself it’s not a question of being happy and being fulfilled. It’s about bringing value to the world, bringing a smile, a spark, an energy to the world.

Share this article if you think it can help someone you know. Thank you.

-Steph