Which grades of AC joint injury require surgery?
Usually the joint remains sore for two to six weeks and then full return to activity is the norm. Only unstable grade III injuries and high-energy AC separations, which are often the result of motor vehicle accidents, require surgery for full recovery.
Do you need an MRI for AC joint?
Magnetic resonance (MR) imaging has a well-established role in evaluation of ACJ pain. MR imaging performed in the coronal oblique plane parallel to the distal clavicle allows assessment of the acromioclavicular and coracoclavicular ligaments owing to its in-plane orientation in relation to these structures.
How do you fix a Grade 3 AC separation?
Most Grade I – III AC separations are treated successfully with non-surgical treatment that may include:
- Ice to reduce pain and swelling.
- Rest and a protective sling until the pain subsides in roughly 1-2 weeks.
- Pain and anti-inflammatory medications.
What do you do for AC joint separation?
Treatment is typically an arm sling, bed rest, ice and heat therapy, and anti-inflammatory drugs. Most people recover full motion of the shoulder and arm within 6 to 8 weeks, often with the assistance of physiotherapy. Type III – Both acromioclavicular and coracoclavicular ligaments are torn.
What is AC MRI?
What is a cervical MRI scan? Magnetic resonance imaging (MRI) is a safe, painless test that uses radio waves and energy from strong magnets to create detailed images of your body. A cervical MRI scans the soft tissues of your neck and cervical spine.
What percentage is a Grade 3 AC separation?
The injured side must be compared to the non-injured side in order to determine the grade. If the distance between the two bones is between increased between 25 and 100% it is a grade 3 and if it is more than that it is a grade 5.
What is a grade 3 AC separation?
Grade III- The most severe shoulder separation. This completely tears both the AC and CC ligaments and puts the AC joint noticeably out of position, with a larger bump.