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Old 08-02-2010, 02:08 PM
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mtomaino mtomaino is offline
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Join Date: Mar 2010
Posts: 144

If this is truly a Grade 3 AC separation, cortisone probably won't help, but it's certainly possible that you have an associated unrelated problem---such as bursitis---that might respond. As with many diagnoses that have historically been challenging to address surgically (like AC separations), with time surgical advances develop.

For your third degree separation, there are newer techniques that may help, so a decision regarding treatment really relies on an analysis of your current function and level of pain, and what the likely result of surgery will be. Then you can make an informed decision.

Nowadays the most effective solution continues to be a so-called "anatomic" reconstruction of the injured conoid and trapezoid ligaments between the clavicle and the coracoid process. Tendon graft is used.

Happy to see you for an evaluation.
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