Shoulder Separation: Causes, Symptoms And Treatment

by Administrator 24. March 2017 02:56

Shoulder Separation refers to partial or complete parting of acromioclavicular joint that attaches collarbone to the scapula (shoulder blade). The condition occurs due to tearing of the ligaments (coracoclavicular (CC) and acromioclavicular (AC)) that stabilize the shoulder joint. Based on the severity of ligament damage, Shoulder Separation can be divided into three stages –

  • Type I injury - Partial tearing of AC ligament, but CC ligament is unaffected
  • Type II injury - Complete tearing of AC ligament
  • Type III injury – Ripping up off both AC and CC ligaments


  • A direct blow to the shoulder while playing contact sports or an accident
  • Trying to balance the body with hands, during a fall
  • Activities like football, hockey, rock climbing, rugby, skiing, volleyball etc.


  • Severe pain and tenderness
  • Restricted movement of the shoulder
  • Bruising and swelling
  • Bump on the top of the shoulder due to displaced collarbone


The doctor may look for a bony bump on the affected shoulder and check range of motion of the joint. He may also analyze patient’s pulse rate to assess the rate of blood flow. If it appears to be a major damage, imaging tests may be recommended.


For type I and type II injuries, the doctor may recommend conservative treatment.

  • Supporting the shoulder with a sling may help to immobilize the shoulder and ease discomfort.
  • Performing muscle strengthening exercises may increases shoulder’s range of motion.
  • Icing the affected area as recommended by the physician may help to reduce inflammation
  • Anti-inflammatory medications may also be prescribed

Surgical treatment may be recommended to the patients suffering from type III shoulder injury. In this procedure, the orthopedic surgeon may trim the ends of a collarbone, so that it does not rub against the acromion (a bony projection over the scapula).

The surgeon may also perform a reconstruction surgery by excising the distal ends of the clavicle. In order to stabilize the joint, he may use a screw or suture.

Prevention Tips

  • Wear protective gear while playing contact sports
  • Warm up before a strenuous exercise
  • Exercise daily

If you are looking for an effective treatment of Shoulder Separation, visit Dr. Fagelman in Carrollton, TX. He has an extensive experience in treating a wide range of sports related injuries. To schedule an appointment with the orthopedic surgeon, you can call at (972) 492 – 1334.

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Common Causes Of Shoulder Pain

by Administrator 20. March 2015 09:01

Shoulder pain is a common condition, especially with the athletes and sportspersons. However for proper treatment it is essential for the doctor to determine the exact cause of the pain. Here are some of the common causes of shoulder pain.


Any activity that involves the repeated use of tendons often leads to Tendinitis. Rotator cuff tendons, which offer stability and motion to the shoulder, are the most commonly affected tendons in the shoulder. Acute tendinitis results due to excessive overhead activities or sports that involve ball throwing. Chronic tendinitis occurs because of arthritis or repeated wear and tear of tendons with age.


Bursae are fluid filled sacs in the joints, which act as cushions between the bone and the overlying soft tissues. They help in reducing friction between the bone and the gliding muscles. Due to excessive use of the shoulder, the patient experiences inflammation and swelling of the bursa between the shoulder blade and the rotator cuff. The condition is called as subacromial bursitis. The condition causes pain in the shoulder and it becomes difficult to carry out simple routine tasks.

Tendon Tears

Sometimes an injury or degenerative changes in the tendons lead to tearing and splitting of tendons. The tear may range from partial tear to complete damage. The tendon is often pulled away from the attachment to the bone.

Shoulder Instability

Often due to sudden injury or overuse, the head of the upper arm bone is forced out of the shoulder socket and this leads to shoulder instability or dislocation. The condition causes pain and unsteadiness while the dislocation can be partial or complete. If the ball of the upper arm comes partially out of the socket, the condition is called subluxation. If one experiences shoulder instability, he or she becomes susceptible to frequent dislocations, which increases the risk of arthritis in the joint.

Shoulder Impingement

The impingement occurs when the acromion, the top of the shoulder blade, pressurizes the underlying soft tissues, bursa and rotator cuff tendons. Shoulder impingement leads to tendinitis and bursitis, which cause pain and limit movement.


Arthritis is one of the major causes of shoulder pain. With age, people often develop osteoarthritis, which occurs due to chronic wear and tear of the joint, sports and work related injuries, inflammation and infection. The soft tissue parts of the joint become tight and stiff resulting in restricted shoulder movement.


Due to trauma or high impact injury, the shoulder bones, clavicle, scapula and humerus may break and this results in fracture, which is quite painful.

Besides these causes, various other infections or nerve disorders can also lead to shoulder pain.

For complete treatment of shoulder pain, visit Dr. Fagelman in Carrollton, TX. To schedule an appointment with the shoulder surgeon, call at (972) 492 - 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Orthopedic Treatment For Tennis Elbow

by Administrator 14. May 2014 10:50

Tennis Elbow is a painful and debilitating condition of the elbow region most often affecting people who make heavy use of their arms. It is a problem associated with the condition of several small tendons which are attached to the rear part of the elbow joints. They serve to provide the elbow and wrist with a heightened range of motion. This painful condition usually surfaces as a result of prolonged damage to these tendons due to excessive and frequent use without the time interval needed for natural healing. As the name suggests, this condition is frequently seen in tennis players and people who practice similar forms of sport. It can also occur among people who have reason to profusely use their arms on a regular basis due to the nature of their work.

Tennis Elbow is believed to be caused when there are microscopic tears in the tendons attached to the elbow, occurring due to prolonged periods of heavy use. This is the reason why this condition is seen mostly in athletes and people who do physical labor. As a result, minuscule tears form along these tendons which have no time to heal. The excessive use happens on a daily basis and there is no time to repair for the tendons.

The condition of Tennis Elbow manifests itself with acute pain in the elbow region. This pain can be a constant sensation or can sometimes come to surface when you try to use your arm to lift objects. Any action which involves any cocking of the wrist or the attempt to grab something with your hand can make the elbow pain increase substantially. There can also be a marked loss of mobility and strength of the arm in question.

It is usually a complicated procedure to properly diagnose a case of Tennis Elbow, as tests such as x-rays and MRIs very often come out normal. In these cases, there is need for other tests like a nerve conduction test. For any kind of an elbow pain you should consult an orthopedic surgeon. He might look into your medical history and check if you have a precedence of elbow joint problems or arthritis.

Usual treatments include partial or complete immobilization of the affected arm and medication to alleviate the pain. Sometimes orthopedic doctor can also prescribe the use of an elbow brace. Targeted exercise of the area can also bring significant relief from the pain. In extreme cases, doctors might opt for surgical measures which usually involves repair of the damaged tendon by grafting.

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