20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

ACROMIO-CLAVICULAR INJURY

The acromio-clavicular joint (A-C joint) refers to the junction of the collarbone (clavicle) and the roof of the shoulder (acromion bone). Articular cartilage lines the two ends of the bones that make up the A-C joint. The primary role of the A-C joint is to help enable one to raise his/her shoulder above his/her head. The A-C joint is usually injured following a direct blow. For example, cyclists who fall and hit the pavement may injure the A-C joint on impact.

Symptoms

  • Pain and swelling on “top” of the shoulder
  • A sense of instability with overhead activity
  • Noticeable deformity

Diagnosis And Treatmen

Dr. Keller considers each patient’s symptoms, as well as a detailed physical examination and x-rays to make the diagnosis. A-C joint injuries are graded from I to VI. Patients who sustain Grade I, II, and III injuries are usually treated with a sling for comfort and a rehabilitation program with a physical therapist. Those patients who sustain Grade IV-VI injuries (in which the A-C joint is completely dislocated), usually require surgery. Surgery typically involves reconstruction of the A-C joint with a graft.