Page 22 - 2021 IDMT Digital

ACROMIOCLAVICULAR (AC) JOINT SEPARATION
Introduction:
• $OVR NQRZQ DV D VKRXOGHU VHSDUDWLRQ WKLV LQMXU\ RFFXUV PRVW IUHTXHQWO\ ZKHQ WKH SDWLHQW
KDV IDOOHQ RQ WKH SRLQW RI WKH VKRXOGHU RU RQ DQ RXWVWUHWFKHG KDQG
• 6HYHUH VSUDLQV WHDU WKH FRUDFRFODYLFXODU OLJDPHQW GLVSODFLQJ WKH FODYLFOH XSZDUG IURP
WKH DFURPLRQ

Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ DW WKH GLVWDO WKLUG RI WKH FODYLFOH
o 3DLQ ZLWK UDQJH RI PRWLRQ LQ WKH VKRXOGHU
o 6ZHOOLQJ PD\ EH QRWHG GHSHQGLQJ RQ VHYHULW\ RI LQMXU\
• )RFXVHG +LVWRU\
o )DOO RQ SRLQW RI VKRXOGHU RXWVWUHWFKHG KDQG
o +DQG GRPLQDQFH
o 2FFXSDWLRQ
Objective:
• 3K\VLFDO ([DP
o 7HQGHUQHVV WR SDOSDWLRQ DW GLVWDO WKLUG RI FODYLFOH
o 2EYLRXV GHIRUPLW\ QHDU GLVWDO WKLUG RI FODYLFOH
o 5HGXFHG UDQJH RI PRWLRQ LQ VKRXOGHU
o 6ZHOOLQJ DW GLVWDO WKLUG RI FODYLFOH
o Severe pain with cross chest adduction.

• 7RROV
o ; UD\ RI ERWK VKRXOGHUV LI DYDLODEOH PD\ KHOS
FKDUDFWHUL]H JUDGH RI VSUDLQ
Assessment:
• 'LIIHUHQWLDO
o ,PSLQJHPHQW V\QGURPH DFWLYH UDQJH RI PRWLRQ ZLOO EH UHGXFHG EXW SDVVLYH UDQJH
RI PRWLRQ ZLOO EH IXOO
o 6KRXOGHU GLVORFDWLRQ SDWLHQW ZLOO EH LQ D JUHDW GHDO RI SDLQ DQG ZLOO XQOLNHO\ EH
DEOH WR SHUIRUP UDQJH RI PRWLRQ
o 7HQGLQLWLV KLVWRU\ ZLOO OLNHO\ GLFWDWH RYHUXVH
Plan:
• 6OLQJ IRU WKH ILUVW GD\V DIWHU LQMXU\
• *HQWOH VWUHWFKLQJ WKURXJKRXW 520 RQFH SDLQ VXEVLGHV
• 5,&(
• 16$,'V
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as there is
clinical benefit and no worsening of the patient’s condition
• ,I VHYHUH RU LI QHXURORJLFDO FRPSURPLVH PD\ QHHG (9$& RU WUDQVIHU WR RUWKRSHGLFV

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