OVERVIEW

What is AC Joint Dislocation?

Restoring anatomical alignment of the collarbone and shoulder blade after falls or sports impact.

Early anatomical reduction and TightRope fixation restore joint stability without the need for metal plates or second surgeries.

COMMON SYMPTOMS

Noticeable upward bump or deformity at the top tip of the shoulder
Severe localized tenderness directly over the AC joint
Pain aggravated by reaching across the body to touch the opposite shoulder
Swelling, bruising, and weakness in arm elevation immediately after a fall

COMMON CAUSES

Anatomical joint reduction
Knotless TightRope technology
Quick return to sports

AC Joint Dislocation Clinical Illustration

Anatomical Joint Fixation

Restore shoulder symmetry, strength, and overhead stability.

TREATMENT OPTIONS

Treatment Options

Low-grade sprains heal conservatively with sling immobilization, while high-grade separations benefit from minimally invasive stabilization.

Grades I – II

Conservative care with sling immobilization, ice, and progressive physiotherapy

Grades III – V

Arthroscopic-assisted TightRope fixation or anatomical ligament reconstruction

Dr. Ishan Shevate Specialist Shoulder Examination

RECOVERY & RESULTS

What to Expect

Structured recovery restores ligament integrity and returns full overhead pressing strength.

Sling Protection

1–3 weeks

(Rest & ligament healing)

Active Range & Retraining

4–8 weeks

(Shoulder elevation & stability drills)

Sports & Overhead Clearance

3–4 months

(Gym pressing & impact sports clearance)

FREQUENTLY ASKED QUESTIONS

FAQs

Here are some common questions about ac joint dislocation and their treatment.

Have More Questions? →

What is the difference between a shoulder dislocation and an AC joint separation? ×

A shoulder dislocation involves the arm bone ball popping out of the main socket. An AC joint separation involves the collarbone joint on the very top of the shoulder disconnecting from the shoulder blade.

Will the bump on top of my shoulder go away without surgery? +

In mild sprains (Grades 1 & 2), the bump is minimal and heals with therapy. In severe separations (Grades 3 to 5), the bone prominence remains visible unless surgically realigned via anatomical fixation.

What is the Arthroscopic TightRope technique? +

It is an advanced keyhole procedure using specialized high-strength continuous suture loops and titanium buttons to hold the collarbone down in its natural position while ligaments heal, without needing rigid metal plates.

How soon can cyclists and athletes return to activity? +

Stationary indoor cycling and light cardio can begin within 2 to 3 weeks, with full road cycling and contact sports resumed by 3 to 4 months post-fixation.