Acromioclavicular Joint Reconstruction

What is it?

Following a routine shoulder arthroscopy, a shaver is introduced into the sub acromial space. If there is osteoarthritis in your acromioclavicular joint (ACJ), it is necessary to shave the end of the collarbone (clavicle). This is called acromioclavicular joint reconstruction.

During the surgery, the thickened cushioning tissue (bursa) is removed, and any badly damaged ligaments will also be removed. The last 1cm of the collarbone will be cut off, and any bone spurs or diseased bone will be trimmed and smoothed out. The surgery is done with an anaesthetic block to numb the arm. You can be awake during the operation or have some sedation to make you sleepy. As the operation uses water to see inside the joint, the wounds will leak some fluid which will be absorbed by cotton wool dressings. These dressings are removed a few hours after surgery. Following this you will see a physiotherapist who will give you some exercises to do, and you can then go home the same day.

What should I expect during recovery?

Once the anaesthetic has worn off after approximately 4-8 hours, the shoulder will become painful so you will need to take pain relief when you get home. Even though you may be pain free at rest, you should take the pain relief regularly for when you move the shoulder as part of your rehabilitation program. A combination of paracetamol or codeine should be taken with non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, unless contraindicated. If the pain relief you have been given is not sufficient, please contact your consultant’s secretary or your GP. The incisions are covered with a small sticky dressing which should be kept dry and replaced with spare dressings when necessary. You will be given these before leaving hospital. You will also be given a sling to protect your shoulder and help with pain relief.

You will need a dedicated physiotherapy program after your surgery. If you have been seeing a physiotherapist prior to your surgery, you should arrange to see them afterwards so you can start your rehabilitation straight away. If you do not have a physiotherapist we can arrange a referral for you.

When can I return to driving?

If you feel comfortable and able you can return to driving after 1 week.

When can I return to work?

You can return to a sedentary job such as office work as soon as you feel able. Most patients return to light manual work after 3 weeks and heavy labour after 6 weeks.