Shoulder Sports Injury Treatment
- Dr Vinayaraj Kelagadi
- Feb 13
- 2 min read
Shoulder Sports Injury Treatment: A Success Story of Type V AC Dislocation with Minimally Invasive Surgery By: Dr. Vinayaraj M Kelagadi, Orthopedic Surgeon, Kossin Care, Bangalore
Shoulder injuries, particularly those involving the acromioclavicular (AC) joint, are common among active individuals and athletes. At Kossin Care, we prioritize advanced, patient-centric solutions for such injuries. Today, I share a case highlighting the success of minimally invasive techniques in treating a severe AC joint dislocation.
Understanding AC Joint Injuries The AC joint connects the collarbone (clavicle) to the shoulder blade (acromion). Injuries here often result from falls or direct trauma. The Rockwood classification grades these injuries from I (mild) to VI (most severe). A Type V AC dislocation involves complete tearing of both AC and coracoclavicular (CC) ligaments, causing significant upward clavicle displacement and functional impairment.
Traditional vs. Modern Approaches Historically, Type V injuries required open surgery, which, while effective, posed risks like prolonged recovery and scarring. At Kossin Care, we employ minimally open techniques with endobutton fixation—a game-changer that combines precision with minimal tissue disruption.
What is an Endobutton? This titanium or polyether ether ketone (PEEK) device stabilizes the AC joint by anchoring the clavicle to the coracoid process. Benefits include:
• Smaller incisions, reduced scarring
• Faster recovery and quicker return to daily activities
• Lower risk of complications vs. traditional methods
Case Study: 30-Year-Old Male with Type V AC Dislocation Background: A young, active male sustained a shoulder injury after a fall. Imaging confirmed a Type V AC dislocation.
Treatment Plan:
1.Diagnosis: Physical exam and imaging (X-rays/MRI) revealed complete ligament rupture and clavicle displacement.
Surgery: Minimally open endobutton fixation was performed under anesthesia. The procedure involved precise clavicle repositioning and securing it to the coracoid.
Outcome: Immediate post-op imaging showed excellent reduction. The patient reported minimal pain and resumed light activities within weeks.
Recovery & Rehabilitation Post-surgery, a structured rehab plan is vital:
• Weeks 1–2: Immobilization with a sling; gentle motion exercises.
• Weeks 3–6: Gradual strengthening under physiotherapist guidance.
• Beyond 6 weeks: Return to sports/activities after medical clearance.
Our patient adhered closely to rehab, achieving full shoulder function within three months.
Why Choose Minimally Invasive Techniques?
• Faster Recovery: Reduced hospital stays and quicker return to work/sports.
• Cosmetic Benefits: Smaller incisions mean less visible scarring.
• Lower Complication Rates: Minimized infection and hardware irritation risks.
Type V AC dislocations demand timely, expert care. This case underscores how minimally invasive methods like endobutton fixation can yield excellent outcomes, especially for active individuals. At Kossin Care, we’re committed to blending innovation with compassion to restore your mobility.
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