AC Joint Stabilization:
Restoring Stability and Function to the Shoulder

AC joint stabilization is a surgical procedure aimed at addressing instability or injuries to the acromioclavicular joint, which connects the clavicle (collarbone) to the acromion (part of the scapula or shoulder blade). This procedure is essential for restoring shoulder stability, reducing pain, and improving overall shoulder function. Here’s an in-depth overview:

Understanding AC Joint Injuries:

The AC joint can be injured due to:

  • Traumatic Injury: Direct impact or force to the shoulder, such as from falls, sports injuries, or motor vehicle accidents.
  • Shoulder Separation: Commonly referred to as a separated shoulder, where the ligaments supporting the AC joint are stretched or torn.
  • Degenerative Changes: Chronic wear and tear or repetitive stress on the AC joint, leading to instability and pain.

Indications for AC Joint Stabilization:

AC joint stabilization may be recommended for:

  • Severe AC Joint Dislocations: Significant displacement of the collarbone relative to the shoulder blade, causing pain, instability, and functional limitations.
  • Failed Conservative Treatments: Inadequate response to non-surgical interventions such as rest, physical therapy, or corticosteroid injections.
  • Chronic AC Joint Instability: Recurrent episodes of AC joint dislocations or subluxations (partial dislocations).

Types of AC Joint Stabilization Techniques:

  • Open Surgical Repair: Traditional approach involving a larger incision to access and stabilize the AC joint using sutures, screws, or synthetic grafts.
  • Arthroscopic-Assisted Repair: Minimally invasive technique using small incisions and a camera (arthroscope) to guide the surgical instruments for AC joint stabilization.
  • Tendon Graft Reconstruction: In cases of severe ligamentous injury or chronic instability, using tendon grafts to reconstruct and strengthen the AC joint.

Dr. Prashant Meshram’s Approach to AC Joint Stabilization:

Dr. Prashant Meshram, a specialist in shoulder surgery, adopts a comprehensive approach to ensure optimal outcomes and patient satisfaction:

  • Pre-Surgical Evaluation: Thorough assessment including imaging studies (X-rays, MRI) and clinical examination to evaluate the extent of AC joint instability, associated injuries, and plan the appropriate surgical approach.
  • Individualized Treatment Plan: Tailored surgical plan based on the specific type of AC joint injury, patient’s activity level, and overall shoulder health.
  • Advanced Surgical Techniques: Utilization of advanced surgical instruments and techniques to restore anatomical alignment, enhance AC joint stability, and minimize the risk of recurrence.
  • Post-Operative Rehabilitation: Customized rehabilitation program focusing on strengthening the shoulder muscles, improving range of motion, and facilitating a gradual return to normal activities under the guidance of a physical therapist.

Recovery and Rehabilitation:

  • Hospital Stay: Depending on the surgical approach and complexity of the procedure, patients may require a short hospital stay or outpatient surgery with same-day discharge.
  • Physical Therapy: Structured rehabilitation program aimed at promoting healing, restoring shoulder strength and stability, and optimizing functional recovery.
  • Long-Term Follow-Up: Regular follow-up appointments to monitor AC joint stability, assess shoulder function, and address any post-operative complications or concerns.

Dr. Prashant Meshram’s Commitment:

With a commitment to surgical excellence and patient-centered care, Dr. Prashant Meshram strives to restore AC joint stability, function, and quality of life for individuals undergoing AC joint stabilization procedures.

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