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AC Joint Separation Reasons


AC joint is a part of your shoulder joint that is comprised of the assembly of your collar bone (clavicle) with the acromion process of your shoulder blade. Problems here can lead to loss of shoulder movement, pain, and difficulty performing tasks that require the usage of your arm. In case you have shoulder pain, your physical therapist may assess your condition and determine the best treatment. During the examination, your PT will execute the AC joint compression evaluation.

The AC joint is a very stable joint, and just small motions occur there. Still, you can suffer a sprain of the ligaments that hold your AC joint collectively. When this occurs, it is called an AC joint separation. This will probably cause significant shoulder pain and you might have difficulty moving your arm normally.



An AC joint separation shouldn't be confused with a shoulder dislocation. A shoulder dislocation happens where the ball and socket of the shoulder joint match. An AC joint separation occurs on the top portion of your shoulder where your collar bone and acromion process of your scapula match.


Ever since your AC joint is such a secure joint, usually significant trauma is required to cause an injury . An AC joint fracture generally occurs after a fall on the side of your shoulder or during a fall on your outstretched hand (also called a FOOSH accident ).

Impact or forces during athletic contest that come from the side or directly in front of your shoulder might also bring about an AC joint separation.

Indicators of an AC Joint Separation

If you've separated your AC joint, you will probably experience certain symptoms.
If you suspect you have split your shoulder, you need to go to your doctor straight away. Your doctor may execute the AC joint compression test as part of a clinical examination.

Evaluation for an AC Joint Separation

The shoulder particular test to get an AC joint separation is known as the AC joint compression test. It is a simple test to perform, along with your PT or physician may do this as part of your test for shoulder pain or issues.

Sit comfortably in a chair.
Have a friend or family member stand to your own side wherever your painful shoulder is.
Your buddy should place one hand on the front of your shoulder joint and one hand behind your shoulder joint.
Eventually, your friend should slowly but firmly press on each side of your shoulder to compress your AC joint. This compression ought to be held for a couple of seconds.
A positive evaluation indicating a possible AC joint separation is if extreme pain is elicited on your shoulder during the compression. If your AC joint compression test is positive, you need to go to your doctor immediately to confirm your suspicions and get you started on the right treatment straight away.

If you've got an AC joint separation, you will probably need to wear a sling on your shoulder while items are healing. After a couple of weeks of healing of your AC joint, your physician may recommend physical therapy that will help you improve your shoulder range of motion (ROM) and strength. Your PT can prescribe specific exercises to receive your shoulder (and shoulder blade) transferring correctly.


Occasionally, surgery is suggested to repair an AC joint separation. If you have surgery to repair your AC joint, you might also benefit from physical therapy after your surgery to help improve your general freedom and revive normal shoulder movement and strength. Your PT may also help you handle your shoulder pain following surgery.

If you have shoulder pain and guess you have hurt your AC joint, then the AC joint compression test will help support your suspicions. If you try the exam and believe you've separated your AC joint, visit your doctor to verify your diagnosis and start the process of healing and recovery.

A Word From Really well

Shoulder pain may limit your ability to do regular activities, but when treated right, you can quickly return to regular activity. In case your shoulder hurts, visit your physician and your physical therapist, and get started on therapy straight away. That way you can certainly get back to your day-to-day activity.

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