Talk:Separated shoulder
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All of this text has come from Acromioclavicular joint. I think it really needs to be separated into two articles, one about the injury, and another about the joint itself. Root4(one) 17:19, 1 November 2006 (UTC)
I decided to "move" the injury contents over here.
I probably don't need to refer to each and every article that says non-treatment of complete acromioclavicular separations is just as good as treatment. However, on this topic, I believe many people may find that hard to believe (I for one had trouble believing that when I was actively researching it). I think it is reasonable to have the links, even though they are old. It may be the case that most of these studies took place in the 1980s anyway. So whenever you need to convince someone (maybe yourself even) that surgery may not be the best option, here's the links.
It is my understanding that the issue of surgical treatment of acromioclavicular separations is still controversial. After all, the stone clinic seems to specialize in the repair of type III acromioclavicular separations (follow link on page). So some mention of the controversy may be warranted, esp. the 1992 Cox survey
I'm going to continue expanding this article... It might be interesting to have some mention of a number of the procedures that exist. I want to discuss the why and when people decide to consider surgical treatment of type 2 shoulder separations. I've found some controversy with regard even to this surgery, for instance how much clavicle is excised, and in some cases I believe I've found situations where the surgeons have peformed an excision with suturing of the sacrificed coracromial ligament. This would make sense for severe type two separations.
BTW, I'm not a doctor. I just happen to have suffered this injury, and I'm a bit annoyed at the "general public" papers describing the injury. When you talk about an injury where the parts I'm amazed at how many of the medical papers appear to contradict, or at the least conflict with, each other. For instance, some papers mention using weights to determine the degree of separation, yet I know I've found one paper (and papers refering to that paper) that, at least acutely, using weights has no utility. I suppose that's pretty normal in the medical field and other sciences, but its frustrating not to know which facts to ignore and which facts to accept, and from which papers I should read and from which papers I should dismiss.
So I'm doing this in hopes that we can find a general consensus of what the current trends are in shoulder separation treatments, current trends in diagnosis, and whatever else I may find and have time to detail.
Root4(one) 06:18, 2 November 2006 (UTC)
[edit] more refs and minor revisions added.
Wow, I never realized there was a function to post comments, I've always just edited the talk page directly. Warning: some refs on the page I have never read (because non free and I can't access unless I pay or view at library) but I have read the abstracts. As with all articles on wikipedia, take the information given witha grain of salt. Root4(one) 21:18, 11 November 2006 (UTC)
[edit] Experts wanted!
Most of this page is a result of my original research. Although this has been said previously in the discuss page, because I haven't gotten any response so far, (and I think this page is a topic worth discussion) I decided to raise the Experts Wanted Banner. I suspect most of the data is accurate, but then again, I only have my opinion as a judge. Root4(one) 06:01, 6 January 2007 (UTC)
About two years ago i sustained a Tye 3 shoulder separation. This occurred during a fall from a push bike. Initially i was given the option to have surgery, but on consideration, research and consulting with other people online whom have had this injury i opted out. It seemed that for the most part a plate and pin to bring the clavicle into place and knit the area together was going to cause long term complications and pain, whereas letting the area find its own working medium whilst slightly deformative has been less traumatic. During the two years i have had various twinges of pain during some activities, most notably chucking wood, but i lead an active lifestyle which inclues Sea kayaking (greatly increased strength and flexibility) Climbing (some stiffness after long sessions) and i work as a Cycle courier (occasionally i wrench the limb down which increases the separation, something i try not to do on a regular basis as it takes a while for my collarbone to subside again)... but all in all i feel it has not been as restrictive had i opted for surgery.
