Separated Shoulder
Overview
Separated shoulder, also known as acromioclavicular (AC) joint separation, 是连接锁骨(锁骨)和肩峰(肩胛骨的最高部分)的韧带扭伤吗, or shoulder blade). The sprain can be either partial, with minimal separation of the clavicle and acromion, or complete, which means the bones have come entirely apart. 治疗取决于x光上看到的位移量.
分离的肩膀通常发生在肩膀外侧(外部)部分的直接打击或从伸出的手或肘部摔倒. 这种损伤在身体接触运动中很常见，在骑自行车、滑雪或单板滑雪时摔倒也很常见.
Our approach to separated shoulder
For less severe injuries, a separated shoulder typically heals on its own, with simple treatments to reduce pain and swelling, such as using ice packs, pain medication and an arm sling. But for more severe separations, or in cases of prolonged pain, 手术可能适合修复或重建受损的韧带.
If you need surgery, our team includes orthopedic surgeons who specialize in the shoulder; physical therapists who focus on orthopedic and sports-medicine patients; primary care sports medicine doctors; and athletic trainers, who educate patients in proper recovery methods. 我们的专家共同努力，缓解疼痛，恢复活动能力, 这样病人就可以恢复正常的生活和他们喜欢的活动.
Awards & recognition
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Among the top hospitals in the nation
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One of the nation's best for orthopedic care
Signs & symptoms
Tenderness and swelling at the top of the shoulder are common right after the injury; bruising in the area is usually seen about 48 hours later. 对于更严重的损伤，锁骨末端可能会突出. Shortly after injury, most people find moving the arm and shoulder painful, as the entire area around the joint becomes inflamed.
Diagnosis
肩关节分离通常可以在体检中发现, 但你的十大赌博平台排行榜可能会用x光来判断病情的严重程度. Other specialized tests, such as MRI or CT, 也可以帮助诊断和发现任何相关的伤害.
Treatments
Nonsurgical treatment
轻度肩部分离的初始治疗包括服用止痛药和敷冰以缓解立即症状. 吊带通常使用7到10天，在关节开始愈合时提供舒适. 通常用x光来评估锁骨的移位. 如果担心肩膀的其他部位受伤，可能会要求进行核磁共振成像. 轻度损伤的患者可以在受伤后一到两周内恢复正常活动, though sometimes it takes longer to heal completely.
Surgical treatment
手术是严重肩关节分离的最佳选择, 一般来说，最好在受伤后三周内进行手术. 对于尝试非手术措施但效果不理想的患者，也可能需要手术.
手术包括修复或重建连接锁骨和肩胛骨的韧带, 要么使用牢固的缝合线，要么使用病人自己的腿或尸体捐赠者的肌腱. 这些治疗决定取决于损伤的严重程度和发生后的时间. 这个手术在门诊进行，需要全身麻醉. 患者通常接受神经阻滞(一种针对治疗部位疼痛的注射)。, which lessens postsurgical discomfort.
手术后六周，患者要佩戴吊带固定伤口部位，促进伤口愈合. 在那之后，一个恢复运动和恢复力量的物理治疗计划被启动. 大多数患者在手术后大约6个月就能完全恢复活动.
Frequently asked questions
- 肩膀分离手术后我什么时候可以洗澡?
You'll need to keep the incisions clean and dry until your first post-op visit; at that time, you'll likely be cleared to shower. 但你需要在手术后等待三到四周，将手术部位浸入浴缸或游泳池中.
- When can I drive after surgery?
你将被绑上吊带，六周内不能开车. 在那之后你可以继续驾驶，只要你有适当的控制，这样做是安全的.
- When can I return to school or work?
大多数病人在手术后5到7天就能回到学校或办公室工作. 如果你能够在家工作，你最初的恢复可能会更容易. 如果你有一份体力要求很高的工作，需要举头顶或费力的手臂工作, 你需要更多的时间来安全恢复和检查才能回来.
- When can I return to my usual recreational activities?
Generally, 手术后六个月左右，患者可以恢复大多数运动和其他体育活动.
- When should I expect a follow-up appointment?
手术后一到两周，你会去看十大赌博平台排行榜，做检查、拆线和x光检查.
加州大学旧金山分校健康医学专家已经审查了这些信息. 它仅用于教育目的，并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.
