HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when Rapid Responses are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Culp, L. B Articles by Romani, W. A Search for Related Content PubMed PubMed Citation Articles by Culp, L. B Articles by Romani, W. A Related Collections Therapeutic Exercise Injuries and Conditions: Shoulder Sports Physical Therapy Case Reports Social Bookmarking                      What's this?

Physical Therapist Examination, Evaluation, and Intervention Following the Surgical Reconstruction of a Grade III Acromioclavicular Joint Separation

LB Culp, PT, MBA, is Manager, Outpatient Rehabilitation Facility, Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, Md
WA Romani, PT, PhD, SCS, is Assistant Professor, Department of Physical Therapy and Rehabilitation Science, Johns Hopkins Hospital, Baltimore, MD 21205 (USA)

(wromani{at}som.umaryland.edu). Address all correspondence to Dr Romani

Background and Purpose. This case report describes the examination, intervention, and outcome of a patient following the surgical reconstruction of a grade III acromioclavicular (AC) joint separation. Detailed postoperative interventions have not previously been described in the literature. Case Description. The patient was a 34-year-old male college professor with a left grade III AC joint separation and no prior restrictions of upper-extremity function. After 12 weeks of presurgical treatment, the patient’s complaints included crepitus and the inability to push open heavy doors. Intervention. Surgical reconstruction of the AC joint and a 4-month graded exercise program were used. Outcome. The patient returned to preinjury levels of function 5 months after surgery with scores of 3.33/100 and 0/100 on the Disabilities of the Arm, Shoulder and Hand questionnaire and optional Sport/Music or Work Module, respectively. Discussion. An intervention focusing on restoring shoulder strength, range of motion, flexibility, and neuromuscular control of the shoulder following a surgical reconstruction of the AC joint can lead to a successful functional outcome. [Culp LB, Romani WA. Physical therapist examination, evaluation, and intervention following the surgical reconstruction of a grade III acromioclavicular joint separation.

Key Words: Acromioclavicular joint • Clavicle dislocation • Football • Shoulder

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?