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What investigations would be carried out for an AC joint injury and why?

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Ultrasound - To look for tendon thickening

MRI - To see any soft tissue damage

X-Ray - To rule out clavicle fracture

Bone scan - To look for acromion fractures

none

The initial treatment for AC joint injury?

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Continually move to prevent stiffness

Support (sling)

NSAID'S

Movement within pain free range

Mobility of joint

Taping of joint

Rest

Ice

Compression

Low weight strength training

Heat applications

Flexibility of surrounding muscles

none

What is the mechanism of an AC joint injury?

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Fall onto outstretched hands

'Popping' sensation

Fall onto shoulder

Contact (direct)

Non contact (indirect)

none

What does a type 4 classification for an AC joint injury consist of?

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Common injury

Complete rupture of ligament complexes

Posterior displacement of clavicle

Rare injury

Anterior displacement of clavicle

Slight step deformity

Capsule torn

none

What does a type 3 classification for an AC joint injury consist of?

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Serious step deformity

Sprain of AC ligaments

Step deformity

Complete tear of conoid

Complete tear of coracoclavicular ligaments

Capsule torn

Complete tear of trapezoid

Sprain of trapezoid

none

What does a type 1 classification for an AC joint injury consist of?

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Tear of capsule

Pain on movement (especially horizonal flexion)

Localised tenderness

Rupture of AC ligament

Sprain of capsule

Pain on movement (especially internal rotation)

none

What does a type 2 classification for an AC joint injury consist of?

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Complete tear of AC ligamnents

Sprain of coracoclavicular ligaments

No step deformity

Palpable step deformity

Slight sprain of AC ligaments

Pain on movement (especially internal rotation)

none

What bones articulate to form the acromioclavicular joint?

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Sternum

Humerus

Acromion

Scapula

Clavicle

none

To consider a return to sport from an AC joint injurt the athlete must have?

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Full pain free ROM

No localised tenderness

Only tenderness when a high pressure is applied

80% 1RM

none

What does a type 6 classification for an AC joint injury consist of?

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Most common type of AC joint injury

Complete tear of ligament complexes

Sprain of trapezoid

Torn capsule

Inferior displacement of clavicle

none

What does a type 5 classification for an AC joint injury consist of?

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Complete tear of Coracoclavicular ligaments

Complete tear of Conoid

Torn capsule

Sprain of trapezoid

Common injury

Inferior displacement of clavicle

Step deformity

Rare injury

Complete tear of Trapezoid

none

As the pain settles during treatment of an AC joint injury what should be incorporated and why?

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Complete rest

Power exercises

Load bearing exercises

Flexibility exercises

Mobility exercises

Strength training

To ensure normal function of the joint and surrounding muscles

Massage

none

How many types of classifications are there for an Ac joint injury?

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7

1

6

8

2

5

4

3

none

What is the mechanism of an AC joint injury?

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Fall onto outstretched hands

Contact (direct)

Non contact (indirect)

'Popping' sensation

Fall onto shoulder

none

What is the name of the classification for AC joint injury?

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(0/0)

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Rockwood Classification

Focal Classification

Alfred's Classification

Schmitt Classification