Treatment methods

We get your shoulder fit for everyday life and sport again

The treatment of acromioclavicular joint separation is provided individually for each patient. Our specialists will discuss with you which therapy is the best choice for you. Together we will find the right treatment for your AC separation. 

Conservative treatment methods

Conservative AC separation treatment

Your shoulder will be immobilised until your pain subsides. Sporting and occupational strain should be avoided at all costs. At the same time, physiotherapy helps to optimise the movement pattern of your shoulder blade. In this way, our specialists can prevent painful impingement of the humeral head against the acromion or displacement of the shoulder blade. If you are not pain-free following conservative therapy in the event of acromioclavicular joint separation, an operation can be performed later with the help of tendon transplants (similar to a cruciate ligament operation). 

Surgical treatment methods

Acromioclavicular joint separation surgery

There are a variety of surgical treatment options. Our specialists distinguish between procedures that are performed immediately after the injury (up to a maximum of 3 weeks) and those that are performed later.

In Germany, what is known as a hook plate is still used very often. In an “open” operation, i.e. an incision is made over the collarbone, a plate is fixed to the collarbone. This plate is supported by a kind of hook under the acromion and thus fixes the acromioclavicular joint into its original position. This acromioclavicular joint separation surgery is technically quite simple, but it also has some disadvantages. 

Our shoulder specialists therefore use a more modern and elegant surgical method: We stabilise your ligaments using an arthroscopic, minimally invasive procedure. This procedure is also called the TightRope or dog-bone technique. We can fix your acromioclavicular joint precisely in place and closely examine your shoulder joint. Because beware: accompanying injuries are often overlooked here.

It is possible to subsequently remove the tiny implant system, but this is not necessary in many cases due to lack of symptoms.

In later procedures, your own ligaments are no longer able to heal. As a result, we also use a tendon (usually your own) for stabilisation. However, the procedure is otherwise very similar to the arthroscopic procedure for acute injuries.