What is modified Weaver Dunn procedure?
Originally described by James Weaver and Harold Dunn in 1972,33 the Weaver-Dunn procedure (WD) involves transfer of the coracoacromial (CA) ligament from the acromion to the lateral end of the clavicle. In their original series, Weaver and Dunn reported a failure rate of 28%.
How long does AC reconstruction surgery take?
Reconstructive shoulder surgery typically takes about two hours. Torn ligaments need to be sewn together and your collarbone may need to be repositioned in the AC joint.
How do you treat a dislocated AC joint?
Treatment of these injuries typically consists of pain medication, cryotherapy and the use of a sling for comfort for one to two weeks with the encouragement of early range of motion activities and weaning of the sling as pain permits.
What is ACJ reconstruction?
ACJ reconstruction is a common procedure that is generally safe and effective in improving the stability of the shoulder, relieving pain and restoring movement following severe ACJ injury. For more minor ACJ damage, less invasive techniques will be recommended, such as immobilisation and injections.
What are AC joints?
The acromioclavicular (AC) joint is formed by the cap of the shoulder (acromion) and the collar bone (clavicle). It is held together by strong ligaments (figure 1). The outer end of the clavicle is held in alignment with the acromion by the acromioclavicular ligaments and the coracoclavicular (CC) ligaments.
What is a Mumford shoulder surgery?
A Mumford procedure (distal clavicle resection) is when the outer portion of the clavicle (or collarbone) is shaved off or removed. A Mumford procedure should reduce shoulder pain and discomfort due to a damaged AC joint.
What is the function of the Coracoacromial ligament?
The coracoacromial ligament is a strong triangular ligament between the coracoid process and the acromion. It protects the head of the humerus. Its acromial attachment may be repositioned to the clavicle during reconstructive surgery of the acromioclavicular joint (shoulder joint).
What can you not do after AC joint surgery?
Care/Rehabilitation After Surgery
Other than dressing, showering and periodic elbow stretching, the sling must remain on in the weeks following surgery. No active reaching or lifting with the arm is permitted for up to two months after the surgery.
Is AC joint surgery worth it?
What are the results of AC joint surgery? Most patients get excellent pain relief with this operation, and nearly 95 percent return to their preinjury level of activity and sports. There are few complications and most patients are very satisfied with the result.
Will my AC joint ever heal?
Most patients with AC joint injuries will start to feel better within a few days or a week of the injury—but it can take at least six weeks for the AC ligaments to fully heal.
How long does pain last after AC joint surgery?
This is a grade 1 or grade 2 AC joint injury, and a quick and full recovery can be expected in a matter of days to weeks. Ice and anti-inflammatory medication can help with the pain and a sling can be used for comfort.
How long does it take an AC joint to heal?
How much bone is removed in Mumford procedure?
A Mumford procedure can either be performed through a small incision or as part of arthroscopic shoulder surgery. During the surgery, the end of the collarbone is removed. Approximately 1 cm of the clavicle is typically removed; taking too much or too little can both cause problems.
When can I drive after Mumford procedure?
You will continue to wear the sling for 6 weeks following surgery to allow for time for the shoulder to heal. Driving: Do not drive until instructed to do so. Therapy: You will begin formal physical therapy at 7-10 days following surgery.
What motion does the coracoacromial ligament restrict?
Contracture of the coracohumeral ligament is reported to restrict external rotation of the shoulder with arm at the side and restrict posterior-inferior shift of the humeral head. The contracture is supposed to restrict range of motion of the glenohumeral joint.
Can you tear the coracoacromial ligament?
Acromial attachment of coracoacromial ligament is completely torn and detached. Fluid signal is seen around retracted torn coracoacromial ligament.
Is AC joint separation surgery painful?
When those ligaments are stretched or torn they can be very painful. The injury to the ligaments in an AC separation can be mild to severe. The injuries are graded depending upon which ligaments are torn and how badly they are torn.
How much does AC joint surgery cost?
The literature reports costs for arthroscopic subacromial decompressions to be at $7246 per patient [27] and for arthroscopic rotator cuff repairs to be at $8985 per patient [28]. Costs for arthroscopic suture button AC joint reconstructions would likely be within the same price range [27].
What is the fastest way to heal an AC joint?
Treatment for AC joint sprain
- Rest. This allows your shoulder to heal.
- Sling. This protects the shoulder and holds the joint in a good position for healing.
- Cold packs. These help reduce swelling and relieve pain.
- Prescription or over-the-counter pain medicines.
- Arm and shoulder exercises.
How long does it take to recover from Mumford procedure?
A regimen of physical therapy following surgery is prescribed and most patients experience full recovery in 8 to 10 weeks post-surgery.
How long do you have to wear a sling after arthroscopic shoulder surgery?
Your arm will also be in a sling for at least 1 week and maybe as long as 6 weeks. You may take the sling off when you dress or wash and during rehabilitation (rehab). If the sutures are not the type that dissolve, your doctor will take them out 7 to 10 days after your surgery. You will need rehab.
How long should you sleep in a recliner after shoulder surgery?
Sleeping on an incline for 4-6 weeks after surgery is best. For the first week or two, a recliner may be the most comfortable option. Purchasing a 45 degree wedge from a medical supply store can also provide a stable base to prop yourself up in the bed. Wear your sling.
What is the treatment for torn ligaments in shoulder?
An arm sling and rest to give your shoulder time to heal. You may need to modify activities and stop certain work or sports for a period of time. Nonsteroidal anti-inflammatory drugs (NSAIDs) to minimize pain and swelling. Physical therapy to learn strengthening and stretching exercises.
What movement does the coracoacromial ligament prevent?
A ligamentous connection between the CAL and the rotator interval capsule has been coined the “coracoacromial veil” and is thought to prevent inferior migration of the glenohumeral joint.
How long do shoulder ligaments take to heal?
Moderate sprains or strains may take as long as six to eight weeks before you can resume day-to-day shoulder activities. Severe strains or sprains may feel better within four to six weeks, but they need three to five months of rehabilitation before resuming full shoulder activity.