Island Orthopaedic Consultants
Sports Medicine & Surgery

Minimally Invasive Surgery

-Knee

Meniscus Surgery

-Ankle

-Shoulder

-Elbow

-Hip

-Wrist

Anterior Cruciate Ligament Reconstruction

Posterior Cruciate Ligament Reconstruction

Arthroscopic Stabilisation Of The Unstable Shoulder

Arthroscopic Acromioplasty

Acromio-Clavicular Joint Arthritis

Arthroscopic Rotator Cuff Repair

Joint Cartilage Resurfacing

Autologous Cartilage Transplantation

GOLF INJURIES

RUNNING INJURIES

SOCCER INJURIES

Publications

Acromioclavicular Joint Arthritis and Arthroscopic Decompression of AC Joint

The acromioclavicular joint or ACJ is situated at the outer end of the collarbone. As the ACJ is relatively stiff, it is subjected to high forces. This result in overuse injury and may progress to ACJ arthritis. A typical presentation is a sharp pain over the bump of the golfer’s left shoulder at the top of his back swing, with almost immediate relief upon lowering the arm. Treatment includes anti-inflammatory medication, physiotherapy and steroid injection into the joint. Swing modifications include shorter backswing and recruiting the pectoralis and latissimus dorsi in the downswing.

In advanced arthritis, surgical decompression of the joint will bring relief to the patient. The surgery done through keyholes, involves shaving 1 to 1.5 centimeters of the outer end of the collarbone.

AC Joint arthritis                                                Arthroscopic resection of distal clavicle