What type of surgery can repair AC Joint problems?

The simplest type of surgery for AC joint injury involves resection or removal of the end of the clavicle using arthroscopic (mini-surgical) techniques (called a Mumford procedure). If the joint becomes painful because of DCO (weightlifter's shoulder) or arthritis, or the separation is only minor, this technique can be very satisfactory. When the joint is severely displaced, then a more complex procedure is needed to restore the position of the clavicle. Usually this operation, called a Weaver-Dunn procedure, is done using a two-inch incision over the joint. The end of the clavicle is removed, and ligament is transferred from the underside of the acromion into the cut end of the clavicle to replace the ligaments torn during the dislocation. Soon an arthroscopic procedure should be available to restore the position of the joint, but at this point, only open surgery techniques are available.

What is the rehabilitation program after rotator cuff surgery?

Depending on the type of surgery performed, the program will allow a period of time for healing of the soft tissues followed by time to regain range of motion and then strengthen the shoulder muscles, but particularly the rotator cuff. In minor tendinitis and impingement syndrome, the program takes approximately two to three months. If the rotator cuff tendon has been completely torn, it may take six months or more before the atrophied muscles can resume their function and the range of motion of the arm is restored. Frequently, pain relief is much quicker and return to daily activities is often possible by two to three months.

How is my shoulder treated after surgery?

In a minor operation for impingement, the shoulder is placed in a simple sling. If a full thickness tear of the rotator cuff was present and repaired, then the shoulder will be supported by an UltraSling or a SCOI postoperative brace. The brace is very helpful because it will allow exercise of the elbow, wrist, and hand at all times, and places the arm in a position that promotes better blood circulation and relieves stress on the repaired rotator cuff tissues. In addition, the shoulder can be exercised in the brace much easier than when it is at the side in an immobilizer.