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Shouldering an Injury: What AC Joint Separation Recovery Looks Like

Shouldering an Injury: What AC Joint Separation Recovery Looks Like

by | Dec 6, 2023 | Sports Medicine

Young athletes can experience many shoulder injuries while playing sports, one of which being AC joint separation. Sometimes called shoulder separation, this injury affects the acromioclavicular joint, which rests where a part of the shoulder blade called the acromion connects to the clavicle, or collarbone.

If your child recently sustained an AC joint separation, you both are likely wondering how long it will take to recover and get back in the game. Athletes can usually return to sports and physical activities after 12 weeks. However, each child’s experience with AC joint separation is different. Your child’s recovery will depend on several factors, including how severe the injury is and the treatment your child receives. 

Understanding AC Joint Separation 

To understand the recovery process, it helps to understand what an AC joint separation is and how it impacts your child’s activities. 

AC joint separation typically occurs when your child experiences a strong blow to the shoulder during a game or falls on his or her arm. The impact can strain or tear the ligaments attached to the underside of the clavicle — the AC and coracoclavicular (CC) ligaments — separating the collarbone and shoulder blade (scapula). Your child may have intense pain, swelling, bruising and limited range of motion in the shoulder and arm. Your child may also develop a bump above his or her shoulder.

Sports medicine specialists categorize AC joint injuries into several types, including: 

·       Type I injuries: These injuries are generally mild. The AC ligament is sprained, and the CC ligament is still intact.

·       Type II injuries: These occur with a complete tear to the AC ligament, a sprain in the CC ligament and slight separation between the clavicle and acromion.

·       Type III injuries: Both the AC and CC ligaments are torn, and the separation between the clavicle and acromion is more pronounced.

·       Type IV, V and VI injuries: These involve tears in the AC and CC ligaments, and the clavicle is pushed further into the shoulder and neck.

Recovering From AC Joint Separation With R&R

An AC joint separation can often heal naturally using nonsurgical treatments, such as rest and temporary activity restrictions. Your child’s sports medicine specialist may recommend:

·       Cold packs to reduce pain and swelling 

·       Immobilizing your child’s arm with a sling for resting the shoulder as it heals 

·       Medication for pain relief 

Kids can often heal without surgery, even with severe AC joint injuries. Your child’s provider may start with conservative remedies before moving to surgery. 

Surgery for AC Joint Separation 

Surgery is generally used only with more severe AC joint injuries, and it may help if your athlete continues to experience pain despite nonsurgical treatment. Surgery can also help address bumps (deformities) that form after AC separation. 

Surgical procedures involve removing a small portion of the collarbone to prevent it from rubbing against the acromion. Minimally invasive or open reconstructive surgery on the AC and CC ligaments may allow your child’s surgeon to reattach them to the collarbone. These procedures may involve plates or other materials to hold the ligaments in place. 

Children who have nonsurgical treatments typically regain shoulder function within six weeks, while those who have surgery will have a longer recovery. Your child may need rehabilitation before returning to sports. Surgical recovery can take about six months.

Many children recover well from AC joint separation, and very few have complications.  

AC Joint Separation or Clavicle Fracture?

Although older children and teenagers can experience AC joint separation, a more common shoulder injury in children is clavicle fracture.

Like AC joint separation, a clavicle fracture can occur after a hard fall or an impact from an accident. The two injuries cause similar symptoms, as well, including:

·       A bump near the break

·       A drooping shoulder

·       Pain, swelling or bruising around the collarbone

·       Pain that occurs when your child tries to move the shoulder or arm and that causes them to not use the arm as much as they normally might

Your child’s provider may recommend imaging to determine whether your child broke a bone or experienced an AC joint separation. Fortunately, clavicle fractures, like AC joint separation, can often be treated without surgery.

Whether your child has AC joint separation or a clavicle fracture, it’s essential to follow the provider’s recovery instructions and ensure your child fully recovers before getting back to the field or playground. 

At Scottish Rite for Children Orthopedic and Sports Medicine Center, pediatric orthopedic surgeons, physical therapists, athletic trainers, psychologists and other sports medicine specialists work collaboratively to develop personalized treatment plans for each young athlete. Call 469-515-7100 to learn about our sports medicine program. 

Broken Toe? Treatments Can Help These Small Bones Heal

Broken Toe? Treatments Can Help These Small Bones Heal

by | Oct 30, 2023 | Fractures

Broken toes are a common injury among children, who frequently stub their toes, drop heavy objects on them or close them in doors or cabinets. If your child breaks a toe, you, like many people, may assume nothing can be done. That’s a common misconception. Your child’s provider has many options for treating broken toes, and treatment is less complex than you may think.

Broken toe treatment can reduce your child’s pain and help them get back to being a kid.

Signs Your Child’s Toe May Be Broken

Each toe consists of two or three bones, as well as toe joints. Broken toes can range in severity from small hairline toe fractures to multiple breaks in a bone. 

Symptoms of a broken toe include: 

·       A crooked toe or toe that appears to be out of place 

·       Bruising and swelling, which may appear the day after the injury

·       Difficulty walking

·       Pain at the specific area of injury, also known as pinpoint pain 

·       Stiffness 

If you suspect your child has a broken toe, visit your child’s pediatrician or an urgent care clinic. Visit an emergency room if your child has an open fracture, in which bone has broken through the skin. Open fractures can become infected and need immediate care.

Often, health care providers can diagnose a broken toe with a physical exam. Your child’s provider may order an X-ray to find the exact location of the break and determine whether the toe is dislocated.

How to Treat a Broken Toe

Broken big toes and severe fractures may require casting and, rarely, surgery. However, most broken toes will heal with at-home care or basic medical treatments. Your child’s provider will likely recommend one of the following:

·       Rest. Your child will need to avoid putting unnecessary weight on the injured toe. Elevating the foot on a pillow can help with swelling.

·       Ice. Ice packs can also reduce swelling when placed on a broken toe for 10 to 20 minutes every one to two hours. Apply ice for three days or until the toe is no longer swollen.

·       Over-the-counter pain relievers. Acetaminophen (Tylenol®) and ibuprofen (Advil® or Motrin®) can reduce pain but follow dosing instructions closely. Do not give children aspirin unless their provider says it’s OK. Aspirin can increase the risk of Reye syndrome. 

·       Proper footwear. If your child needs to wear shoes, have them choose a wide, stiff-bottomed shoe that doesn’t put pressure on the injured toe but also keeps it in proper alignment. Depending on the extent of the fracture, your child’s provider may recommend a special boot while the toe heals.

·       Splinting. Your child’s provider may recommend a toe splint to hold the broken toe in place as it heals.

·       Taping. A common treatment known as buddy taping involves taping the injured toe to the healthy toe next to it. It’s not always helpful, so ask your provider first. The provider can also show you how to tape the toe properly.

Children shouldn’t walk on the toe until they can put pressure on it without feeling a lot of pain. Also, attend follow-up visits if you have them. Your child’s provider will examine the toe to ensure it is healing properly. 

Broken toes may need six to eight weeks to heal, according to the American Academy of Orthopaedic Surgeons, so be patient. 

Call your child’s provider if your child has any of these symptoms as the toe heals: 

·       Fever or chills, which could be signs of an infection

·       Tingling or numbness in the toe

·       Pain or swelling that gets worse, not better

·       Red streaks appearing on the foot or toe

Can a Broken Toe Heal on Its Own?

Broken toes can heal on their own, but treatment helps ensure better outcomes. Left untreated, broken toes may heal crooked, your child could develop chronic foot pain or he or she may have problems walking. 

Broken Toe vs. Stress Fracture

Active children and children who play sports may think they have a broken toe when they actually have an overuse injury. Activities that involve repetitive motions, such as running, or place significant force on the feet, such as basketball, can cause stress fractures, a type of overuse injury in which small cracks or painful bruising develop in the bones.

The ball of the foot has two small bones called sesamoids located below the big toe joint. Overuse can lead to a sesamoid stress fracture, which can cause pain and swelling near the base of the big toe. A sports medicine specialist can diagnose and treat these stress fractures and help your child prevent another overuse injury.

If you’ve visited an urgent care or emergency room and your child has a confirmed fracture, bring your child’s X-rays to our walk-in Fracture Clinic for help. The clinic is located at 5700 Dallas Parkway in Frisco and open from 7:30 – 9:30 a.m., Monday through Friday. For suspected fractures, schedule an appointment by calling 469-515-7200.Â