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Shoulder Separation

Shoulder Separation Overview

A shoulder separation occurs after a fall or a sharp blow to the top of the shoulder. This injury is usually sports related or due to car accidents or falls. This is not the same as a shoulder dislocation, which occurs at the large joint where the arm attaches to the shoulder, although the two may appear to be the same.

The shoulder separation, or acromioclavicular (AC) dislocation, is an injury to the junction between the collarbone and the shoulder. It is usually a soft-tissue or ligament injury but may include a fracture (broken bone). In severe shoulder separations, the coracoclavicular (CC) ligament is also injured.

Depending on the damage done to the joint, there are different classifications (grades) to define the amount of injury:

  • Type I: The AC ligament is partially torn, but the CC ligament is not injured.
  • Type II: The AC ligament is completely torn, and the CC ligament is either not injured or partially torn. The collarbone is partially separated from the acromion.
  • Type III: Both the AC and CC ligaments are completely torn. The collarbone and the acromion are completely separated.
  • Types IV through VI: These are uncommon and involve tearing of the muscles across the shoulder and neck.

Shoulder Separation Causes

A shoulder separation occurs when a sharp blow or a fall causes the collarbone (clavicle) to be forced away from the bone of the shoulder (the acromion of the scapula). Usually a sports injury, a shoulder separation is more common in contact sports such as football, rugby, hockey, or wrestling. A car accident or a fall may also cause this injury.

Medically Reviewed by a Doctor on 3/11/2015

What are the symptoms of a shoulder separation?

Signs and symptoms of a shoulder separation include:

  • Pain at the moment the injury occurs.
  • Limited movement in the shoulder area (because of pain, not weakness).
  • Swelling and bruising.
  • Tenderness over the AC joint.
  • Possible deformity. The outer end of the collarbone may look out of place, or there may be a bump on top of the shoulder.



Read What Your Physician is Reading on Medscape

Acromioclavicular Joint Separations »

The acromioclavicular (AC) joint is a diarthrodial articulation with an interposed fibrocartilaginous meniscal disk that links the hyaline cartilage articular surfaces of the acromial process and the clavicle.

Read More on Medscape Reference »

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