At what age is acromioclavicular dislocation more common?

It can occur at every age, as long as the ligament is relaxed, and most children are in general, because the hoof tissue around the joints is not well developed, and it is easy to dislocate when shaking the hand or throwing stones.

At any age, the bone can be reduced as soon as the bone is corrected in Jing'an District, Shanghai, and it can be restored soon after the reduction.

"shoulder" refers to acromion, at the lateral end of the scapula;

"Clavicle" refers to the lateral end of the clavicle, which is the acromial end.

The combination of the two constitutes the "acromioclavicular joint".

For a healthy shoulder joint, you can feel the other shoulder blade from behind, and the shoulder joint is internally and externally rotated, and the adduction and external booth are externally rotated. Most of the multi-dimensional activities have to bear most of the extra power, without obstacles, and the flexibility is very high.

Spinal problems aside, just look at dislocation).

Today it is said to be "acromioclavicular joint dislocation", commonly known as: "shoulder loss", "shoulder dislocation".

The acromioclavicular joint is composed of the acromial articular surface of the scapula and the acromial articular surface of the clavicle, which is composed of 8 small articular surfaces to form a mechanically balanced structure.

In some joints, there are fibrocartilage disks, and the articular surface is mostly vertical, and the joint capsule is weak, and the surrounding tendons (ligaments) maintain the stability of the shoulder.

Kicking a ball while playing a ball accidentally falling, an acute sudden clavicle fracture on the shoulder, or a dislocation of the acromioclavicular joint.

The shoulder is violently impacted, the shoulder hits the ground, and when the acromion is hit, the acromial scapula falls sharply downward, and the surrounding ligaments are torn and dislocated.

The force is transmitted to the acromioclavicular joint, and joint dislocation occurs, so it seems that the acromioclavicular joint dislocation caused by it is very common.

The bones are misaligned, the tendons are out of the groove, and the "shoulder is lost" is the so-called bone misalignment, and the tendons around the shoulder joint (acromioclavicular ligament, coracoclavicular ligament) are torn, the shoulder structure is destroyed, and the soft tissue is damaged, which will cause pain.

Self-discipline of shoulder joint movement: During the movement of the shoulder joint, the glenohumeral joint, acromioclavicular joint, sternoclavicular joint, and scapula-chest wall joint move in synergy, and the movement of the shoulder joint is jointly completed.

Dislocations are often accompanied by severe pain; Mild misalignment is limited in movement, stuck and unable to move, feeling the shoulder protruding, and not being in its position, unable to do complete movements.

Many patients do not care much about the instability of the shoulder joint, thinking that as long as they pay more attention to avoid some bad posture or avoid certain activities in the short term, they can slowly recover on their own, but in fact, it is easy to reverse shoulder dislocation in the later stage.

Once misaligned, the manual recovery needs to align all the articular surfaces in order to restore the original mechanical structure, as long as one face is not accurate, it may cause limited joint movement, and muscle atrophy will be caused by poor flow of qi and blood.

In the traditional concept, the more articular surfaces, the more difficult it is to align the bones, and an operation is placed in front of the patient, so that the patient cannot refuse.

With a lot of superb clinical experience, using skillful skills and theoretical knowledge, you can return your shoulders with homeopathy.

For the problem of acute misalignment, it can usually be reduced in one stroke with orthopedic manipulation, which directly hits the root cause of the problem.

Surgery as soon as possible will not only reduce the pain but also help restore the function of the shoulder. If not reduced and fixed in time, the dislocation will heal malunion, and the function of the affected limb will be lost.

.Type III The acromioclavicular ligament and coracoclavicular ligament have both ruptured, and the lateral end of the clavicle is "truly dislocated". Surgery is recommended**.

Your acromioclavicular joint dislocation is mainly caused by trauma, and it will also stretch the muscles around the neck, so there will be pain, and there may be cervical spine problems.

Analysis: Hello, I read the description, on July 11, I suffered a shoulder trauma that led to a dislocation of the acromioclavicular joint, I don't know how it was dealt with at that time?

Guidance: Was the above MRI done at the time, or is it just done now? I don't know how it was handled at the time? If surgery is not available, surgery is recommended**.

Answer]: Shoulder dislocation is generally manifested as pain in the affected area, vague swelling of the focal area, limited movement of the shoulder joint, square shoulder deformity, positive shoulder test (dugas sign), that is, when the elbow of the affected side is close to the chest wall, the palm of the hand cannot reach the shoulder of the unaffected side; or when the hand is placed on the unaffected shoulder, the elbow cannot be close to the chest wall, which is a clinical manifestation unique to shoulder dislocation. Therefore, I choose E.

Answer]: A positive Dugas sign means that when the patient puts the elbow against the chest wall, the hand does not reach the unaffected shoulder, or when the palm of the hand is on the unaffected shoulder, the elbow is not close to the chest wall. Seen in shoulder dislocations.

The shoulder joint is above the shoulder joint, and behind it is the shoulder blade, so it is difficult to clear the limb upwards and backwards. In addition to the very special violence, the scapula is shattered, and the dislocation is generally on the medial side of the anterior and lower part.

We generally divide into 3 types: subcoracoid type, subglenoid type, and subclavian type.

It is more common in anterior dislocations of the shoulder joint under the coracoid process.

Hello, acromioclavicular joint subluxation generally has coracoclavicular ligament damage or even complete rupture, if you are older, a dislocation generally does not affect the function. , Guidance: Subluxation of the acromioclavicular joint can be fixed with a shoulder and elbow strap for 2-3 weeks.

If it is young, the dislocation is obvious, and the function and aesthetics are affected, it is necessary to fix and repair the coracoclavicular ligament through surgical reduction to achieve the desired effect.

Self-reported subluxation of the acromioclavicular joint due to trauma, and the doctor's examination considered the need for surgery**, and if conservative**, it also needs to be considered according to the ligament tear. There is a local acromioclavicular ligament, and the coracoclavicular ligament holds the joint in place. In the case you described, if you say that the ligament tear is just a certainty, you need to go through CT or MRI to clarify the specific situation, and then consider whether it is conservative ** or surgery**.

Conservative** is external fixation, and external fixation is easy to loosen.

Generally speaking, acromioclavicular dislocation is divided into six types, **The principle is probably like this, if you are type I or II, you can be conservative**, if you are type III, you can be conservative or surgical**, and if you are above iv, you will advocate surgery**. According to the subluxation you said, I personally think that it should not be more than type III, so it is okay to be conservative, and of course, if there is a request, it can also be surgical. Or go to the hospital to have a check-up to see the severity of your dislocation, and then decide on the ** plan according to the specific situation.

local pain, swelling, and tenderness based on history of trauma; Shoulder forward flexion and posterior extension are restricted. X-rays confirm the diagnosis.

X-ray examination can clearly show the upward displacement of the outer end of the clavicle, subluxation of the acromioclavicular joint, its upward displacement is light and the swelling is not obvious, and the diagnosis is more difficult.