CAUSES
- Trauma
SYMPTOMS
- Pain
- Bruising
- Deformity, clavicle is protruding
- Lack of shoulder function
PREOP
- X-ray
- Rarely need MRI
RECOVERY
- 10 days suture removal
- 4 weeks sling
- 4 months physical therapy 2 x per week.
- Expectation is full range of motion and no pain with return to full activity. Sports by 4 months.
TECHNIQUE
The clavicle is fixed back into place using a combination of a synthetic device and an allograft either open or arthroscopically
DAY OF SURGERY
- Nerve block anesthesia
- 2 hour surgery
- Outpatient
WHEN TO HAVE SURGERY?
- Type one and two separations aree treated without surgery
- Type 3 separations are controversial. Dr. Gamradt favors a trial of conservative treatment for 3 months prior to surgery
- Type 4 and 5 separations are severe and usually treated with immediate surgery.
COMPLICATIONS
- 5-10%: recurrence of deformity, infection, fracture
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Type 5 AC Separation
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Button Reconstruction
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Lockdown Reconstruction
Questions?
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