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In type III injuries surgery is generally only done if symptoms remain following treatment without surgery. [2] A separated shoulder is a common injury among those involved in sports, especially contact sports. [3] It makes up about half of shoulder injuries among those who play hockey, football, and rugby. [1]
The Weaver–Dunn procedure is a type of surgery involved in the treatment of severe separated shoulders developed by James K. Weaver and Harold K. Dunn in the early 1970s. [1] The procedure is done to replace the coracoclavicular ligaments with the coracoacromial ligament. [2]
A dislocated shoulder can be treated with: arthroscopic repairs; repair of the glenoid labrum (anterior or posterior) [1] In some cases, arthroscopic surgery is not enough to fix the injured shoulder. When the shoulder dislocates too many times and is worn down, the ball and socket are not lined up correctly.
Shoulder pain or tenderness and, occasionally, a bump in the middle of the top of the shoulder (over the AC joint) are signs that a separation may have occurred. Sometimes the severity of a separation can be detected by taking X-rays while the patient holds a light weight that pulls on the muscles, making a separation more pronounced.
It has the normal separation of <4 mm. Grade II is a partial dislocation of the AC joint with a complete disruption tear of the AC joint and a partial disruption of coracoclavicular ligament. The AC gap is >5 mm. Grades I and II never require surgery and heal by themselves, though physical therapy may be required.
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