TMBRA - Rider Board

[Anonymous]

had a nasty wreck yesterday morning and landed on my rt. shoulder resulting in a 4th degree "separated shoulder" or AC ligament tear. Went to the ER and the doc said I could just let it heal and my shoulder blade would just always stick up into the air or I could have surgery. I plan to see an Ortho ASAP but I was just wondering what to expect. Will I be able to recover full motion of my arm? Can they repair the torn ligaments or will they have to wire it together?

Thanks for any help you can offer.

[Anonymous]

Molva,

I separated my left AC joint two years ago in a Memorial park crit. I never had anything done to it. The ortho said he could do surgery and put it back together, but it was not necessary.

Since the injury, I've been able to do all forms of racing: mtn, road, triathlons. The swim stroke is not what it used to be, but I've got pretty much full range of motion. I actually raced the TX state champs (road) less than a month after the injury.

It only hurts when I get it in just the wrong position. And, YES, my clavical (colar bone) does stick up. Looks kinda cool!

Terry

[Guest]

I separated my left shoulder (3rd degree) about 5 years ago in a crash and left it alone. The doc said he could work on it but that he didn't need to, it'd heal fine on its own. So I let it.

The only problem I have with it now is if I sleep on my left side with my left arm extended out under my pillow. Sometimes I'll wake up and it'll hurt a little. Figure it's better than going through rehab and still maybe not being perfect.

[The Bike Doc]

Molva:

Most AC separations are allowed to heal without surgical intervention. As Exerdoc and Guest point out, almost full function returns for most AC separations. If there is significant instablity or pain then surgical intervention may be in order. Visit with your orthopedic doctor to discuss the options and to get a physical therapy consult to assist in your rehabilitation.

Thanks,
_________________
Paul K. Nolan, MD
AKA: The Bike Doc