AC and SC seperations

Question 1

MOI for AC seperations

Answer 1

Fall onto tip of shoulder

Falling onto the elbow

Question 2

Grade 1, 2, and 3 AC seperations (definition and tx)

Answer 2

1: No deformity, just a sprain; tx: nonoperative, sling, modify activity, return to activity in 1 week
2: 50% seperation; tx: same as 1
3: 100% seperation; same as 1 and 2 unless young athlete or heavy labor overhead worker

Question 3

Grade 4-6 AC seperations ( definition and tx)

Answer 3

4: 100% seperation and posterior movement of the clavicle; tx: surgical reconstruction
5: large seperation; surgical reconstruction
6: clavicle seperates inferiorly and pt. is most likely dead

Question 4

MOI for SC joint seperation

Answer 4

FOOSH

trauma

Question 5

Physical exam for SC joint seperation

Answer 5

SC joint tenderness

deformity, asymmetry

Question 6

Tx of SC joint seperation

Answer 6

immobilize with progressive return to activity

possible referral