acromioclavicular joint injury

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Orthopedics A disruption of the articulation formed between the acromion process and the clavicle, which may be accompanied by tearing of ligaments Sports Football, wrestling, equestrianism, hockey Clinical Pain at the top of the shoulder, ↓ ROM, splinting with arm held to the side; severe ASs may be accompanied by a 'lump' on the top of the shoulder Management Ice is nice; grade I, II, sling for pain; grade III controversial-some advocate open reduction and internal fixation; others say, 'if it ain't (really) broke, don't fix it.'

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