Can my AC joint separate again after cadaver tendon surgery?

Question

Hello doctor,

How likely is it to re-tear (or re-separate) the acromioclavicular joint after surgery was performed on it with a cadaver tendon?

It has been a year and a half post-surgery. He was lifting 50 lbs overhead, and wind pushed the equipment back, causing loud popping in his left shoulder (previously had surgery).

The shoulder is now presenting with swelling, no mobility, and pain.I want to know the likelihood of the acromioclavicular joint getting separated again.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

The probable diagnosis is acromioclavicular joint dislocation. There is a high likelihood since you are symptomatic (pain and swelling). Subjecting to vigorous exercise and a history of previous surgery adds to the suspicion. It is better that you get evaluated and treated earlier.

Though cadaver tendons are stronger, it is 1.5 years. It can never equate your original strength. First, get your pain and swelling down with analgesics and get an X-ray. If no bony injury and the pain persists, get an MRI done. The treatment include analgesics and anti-inflammatories, followed by evaluation.

I hope this helps.

Thank you.