A crunching tackle, flying headfirst off the bike onto your shoulder, or falling onto an elbow will often be enough to injure an acromio-clavicular joint (ACJ). When your patient walks in supporting their arm, or wearing a collar-and-cuff to offload their ACJ, how will you accurately assess and grade their injury? What will you include in your ACJ patient rehab to help them get back to full shoulder function and return to sport?
In Physio Edge podcast episode 87 with Dr Ian Horsley, Physio with English Rugby, English Institute of Sport and Olympic Team GB, we explore ACJ and clavicular injuries, including:
ACJ anatomy, and which ligaments are commonly injured
How to grade an ACJ injury
When to request imaging
Clavicular osteolysis
How to identify SLAP lesions that occur with ACJ injuries
How to assess patients with ACJ injury
Objective assessment tests to help your diagnosis
The role of the scapula in ACJ rehab
Common exercises you can use in rehab
Progressing ACJ rehab to prepare for return to sport
How to include return to contact in your rehab eg for rugby players
How much pain is ok during rehabilitation
Return to play timeframes with common
What do do when rehab is not progressing to plan
Clavicular fractures - conservative or surgical management
Ways to stimulate osteoblastic activity post fracture
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