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  1. #426
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    well, 2 weeks to the day after i earned a grade3, i went and did 15+ miles on two separate, yet easy, trails. i rode like a complete sissy out of fear, but after a good day of riding (only one jump-off dismount), I can say I came through unscathed, and not sore at all.

    The swelling has really gone down, bruising is all but gone, and a solid regimen of ibuprofen has really made a big difference in comfort at the very least, and can very well be helping in keeping me in the saddle. Im quite terrified, i promise, of going otb again, because the shoulder is still quite weak in some respects, and still rather tender. but riding did not bother me at all, and neither did wearing a loaded camelbak mule for the last 8 miles or so.

    very hopeful that recovery continues like this. only after i got onto a real trail again did i come to realize that i need to really be careful and not get myself into sketchy situations, because one wrong move could really put me out of business for the year. im glad i have some mellow trails to ride so i can retain some fitness without worrying too much if i am going to hurt myself badly.
    If you arent bleeding, you arent riding hard enough.
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  2. #427
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    I took a digger snowboarding last year and got myself a Grade 3 AC separation. Went a month for rehab, hated the bump so I got cut. They did the Weaver/Dunn with the metal button and synthetic sutures. It ended up failing and the bump was back and I had an annoying metal button that hurt like hell with a backpack.

    Went to another Dr, he jumped in there to see why it failed and to throw in a cadaver ligament. The first Dr didn't take off the end of the clavicle and that allowed enough leverage stretch everything out. All my second doc did was cut off the end of the clavicle and close me up. It looks way better.

    If I did it all over again, I would just have the last 10-12mm of the clavicle sliced off and called it a day. It restores 70% of the appearance, and doesn't really interfere with rehab. If, or really when, I tear the rest of my "good" shoulder, that's what I'll do!

    The reason I'm back in this thread is I took a digger this past weekend and stretched out the AC on my other shoulder. Probably only a Grade 1/2 but it came with some gnarly wounds on my leg. Not gonna pay for an X-ray that i don't need, but with no normal shoulder to compare, I can't be sure of the displacement. No more rigid single-speeds for at least a month. Oh well, ride on.

    Thanks to everyone who shared their story before me. It got me through the initial snowboarding injury and got me onto the single-track!

  3. #428
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    Yup, love this thread! Grade 3 right shoulder 7 weeks out. I've gone on a couple of mountain bike rides but have taken it easy. The AC joint doesn't bother me...the frozen shoulder does. PT on my own twice/day and twice/week with a therapist.


    Quote Originally Posted by BruceBrown View Post
    Or even minor damage. I tweaked my shoulder again 2 days ago. I didn't fall, but was fighting with the bike on some tight singletrack and just muscled the front end over a couple of roots. When I did that, I felt a pain in my right shoulder and wouldn't you know it, I have now set myself back a week or two in terms of recovery thanks to the jolt. Gone was the pain of getting in and out of a t-shirt, but now it's back. Ah.....my own bad for trying to rush it all.

    .
    I think this my fear....falling on it again.... ugh.

    Quote Originally Posted by wsmac View Post
    I have some of my old postings back in the teens... 11teen, 12teen, 13teen, and before that to Feb. of last year.

    Just wanted to share my progress with my surgeries and shoulder stuff...

    To quickly recap (something I rarely say or mean... quickly, that is ), I went OTB and blew 2 lig's in my right shoulder, opted for surgery... wound up having surgery twice.

    Started rehab in my car driving to Texas, even rode a bit on dirt roads, and worked on the stretching continuing to today.

    I have full range of motion.
    I still find it uncomfortable to sleep on my right side for very long.
    I have taken a few spills on that side mtb'ing, but luckily no hard hits and no problems because of them.

    My surgeon cautioned me that if I impacted the clavicle again... it'd probably snap at one or both of the places where he drilled into it and wove the cadaver lig in, securing with plastic screws (the first time failed and 2 weeks later he worked it over again).

    Basically, I'm VERY happy to have had the surgery! Of course... I have some pretty good insurance considering how little I have paid for it all and what the final price was

    I can wear backpacks with no issues (hauled around a 30-pound pack for 11 days in Mexico (the Yucatan) and Belize), and have no trouble with it other than sleeping too long on my right side as mentioned above.

    For those who opt not to have surgery and do well... cool!

    My shoulder looks pretty normal... no super noticeable bump... just a very small one.

    Now that this should has healed up, my ribs and left shoulder have healed up (from another bike accident last year), and the weather is treating us well here... I'm back to riding as much as possible!

    I hit trails at Demo in Santa Cruz, and at Annadel in Santa Rosa, this week and even on the rocky techy trails... the bouncing and hammering my bike and I took had no effect on any of my previous injuries... Life IS Sweet!

    My best wishes for the newest members of the Pointy Shoulder Club! May you all heal as well!
    Good to hear that the surgery worked out for you. I did not have surgery but my therapist says that he's heard there may be a move back toward surgery on these again.....interesting.

  4. #429
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    Tomorrow marks my 4 week anniversary of a grade 3 separation and finger dislocation. Finally got to see a hand specialist this morning and was told everything is good with my finger. Shoulder is feeling really good too so decided it was time to get back out on the bike this afternoon. Had a great ride made even better because it was the maiden voyage of a new to me Intense Tracer 2. Took it easy and did a climb up Uptown and rode Downtown for those of you familiar with Mammoth. Felt so good after that I jumped on the shuttle back up and did Big Ring. All super easy trails but just really nice to be back riding and gettting some exercise!

  5. #430
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    What a great thread - came on here to search for Shoulder Seperation and it was the first thread.

    I'm 2 weeks out from my Grade 3 I earned on Memorial Day. Looks like the 4 week mark is a milestone. Was actually thinking of riding a bike trail that is basically an old railway bed today. Pretty flat and boring but after reading alot of the other stories in these 17 pages might wait 2 more weeks.

    Really sucks for the summer. The week before Memorial Day I rode my first 50 mile endurance race. Hardest thing I've ever experienced but was getting ready for more endurance races this summer. Hopefully in a few weeks I can at least get out on some gravel rides.

    I do have company though - my wife took a spill and ended up tearing a ligament in her thumb. She had surgery for that. So our recovery times pretty much coincide.

  6. #431
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    Quote Originally Posted by ThumperGary View Post
    What a great thread - came on here to search for Shoulder Seperation and it was the first thread.

    I'm 2 weeks out from my Grade 3 I earned on Memorial Day.
    Welcome to the club Gary.....your Memorial Day injury will be memorable....lol. How did you do it?

  7. #432
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    I'm at 3 weeks and back to riding regularly, albeit easily. Getting to the point where I need to consciously be aware of my speed and level of aggression because the shoulder doesn't hurt at all. Only time I deal with pain is trying to get comfortable in bed, and a few ibuprofen tends to keep that in check.

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    If you arent bleeding, you arent riding hard enough.
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  8. #433
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    Quote Originally Posted by wsmac View Post
    After a traumatic injury, those pops and clicks can sometimes be just a loose joint.
    Same after surgery.
    Once you rebuild the muscle supporting the joint, the looseness may disappear along with the popping and clicking.
    Not 100% since it depends on what damage was done.

    If it continues, and you feel discomfort or pain along with it... then it may be something that will need medical intervention.

    When a joint starts popping oddly, sometimes you can move slowly through the ROM varying the angle of movement, the range, the speed, and find out if it only pops at certain times.
    Could be useful to know.
    Thanks wsmac, excellent advice and suggestions. You're right, it only graunches during certain movements. Took your comment re medical intervention on board and discussed progress with physio, he's set up an appointment with a specialist on June 21, starting with an MRI and going from there. Movement is getting better daily, but clunking on my chest/shoulder seems to be getting worse,

  9. #434
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    Quote Originally Posted by TranceX View Post
    Welcome to the club Gary.....your Memorial Day injury will be memorable....lol. How did you do it?
    As I mentioned I finished my first 50 mile endurance race the weekend before Memorial Day. I'm no spring chicken (50 this year ) and was pretty wiped out through the week from the race. We rode that next Saturday before Memorial Day and then planned a ride for Memorial day.

    It was a place that we ride a lot but I was not feeling my best. Got about a half mile and a rooty drop off got me. Been over that spot a bunch but for some reason picked a strange and bad line. Up and OTB right onto a root. Man I knew it was bad when I hit. I still did the loop but pulling up on the bars was about impossible from the pain.

    I'm just glad I didn't break anything. I had rotator cuff surgery on my right shoulder in Dec '10. It takes a long time to recover and get the strength back after surgery. Everyday I'm feeling better and I will be riding easy gravel by next weekend.

  10. #435
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    Here's mine from last year.
    The clavicle hook plate was wearing a hole through my scapula so I needed a second surgery to remove the hardware . Very painful for about a year and very expensive.
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-021.jpg  

    Ac Separation (shoulder Separation)-023.jpg  

    Ac Separation (shoulder Separation)-030.jpg  

    Ac Separation (shoulder Separation)-018.jpg  

    Ac Separation (shoulder Separation)-033.jpg  


  11. #436
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    Looks like I joined the club

    7-3-12 I was having my best ride of the year. Coming down a slightly sketchy downhill, but under control. My carbon fiber handlebar snaps off just above the grip. OTB to a bad crash on the trail. Doing a mental check as i begin to untangle myself from the bike/trees/bushes. feet move, head moves...I seem to me mostly intact. Trying to pull my bike out of the bushes my shoulder feels odd. Thinking maybe a slight dislocation as it kind of pops and starts to move better. Hike out 1.5 miles and drive to the clinic. Long story short...Grade 3 AC separation. Crap. So I have been reading and getting encouragement from all the other posts. Go see the ortho guy next week. At least now I have a good idea of what to expect. x ray looked just like most of yours. So far not much pain and fairly good ROM. So I am hopeful for a quicker type recovery that some have had. Fingers crossed! My question is what to do for the next week. Clinic Dr gave me a sling with no real instructions. I ran a 3 day course of ice and ibuprofen. Any thoughts as to if I keep it in a sling for a week...or start to work on ROM more? Hate to waste a week of healing by doing it wrong. I usually don't go to chat boards for medical advice, but there is a lot of good first hand info on here. Thanks CF

  12. #437
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    Quote Originally Posted by cabinfever View Post
    7-3-12 I was having my best ride of the year. Coming down a slightly sketchy downhill, but under control. My carbon fiber handlebar snaps off just above the grip. OTB to a bad crash on the trail. Doing a mental check as i begin to untangle myself from the bike/trees/bushes. feet move, head moves...I seem to me mostly intact. Trying to pull my bike out of the bushes my shoulder feels odd. Thinking maybe a slight dislocation as it kind of pops and starts to move better. Hike out 1.5 miles and drive to the clinic. Long story short...Grade 3 AC separation. Crap. So I have been reading and getting encouragement from all the other posts. Go see the ortho guy next week. At least now I have a good idea of what to expect. x ray looked just like most of yours. So far not much pain and fairly good ROM. So I am hopeful for a quicker type recovery that some have had. Fingers crossed! My question is what to do for the next week. Clinic Dr gave me a sling with no real instructions. I ran a 3 day course of ice and ibuprofen. Any thoughts as to if I keep it in a sling for a week...or start to work on ROM more? Hate to waste a week of healing by doing it wrong. I usually don't go to chat boards for medical advice, but there is a lot of good first hand info on here. Thanks CF
    Welcome to the club CF!

    OK, my doc said wear the sling only as needed for comfort. I completely stopped wearing the sling 7 days out. I would not leave it in the sling all the time. Take it out, move it around. Here's the deal....with a grade 3 you've done all the damage to it already.....lol. You ripped out all the ligaments and the end of your collar bone is pushing up freestyle! So you're not really going to hurt anything by moving your arm around. But if you don't move it around it could start locking up. So move it a bit more each day and wear the sling for comfort....ditch it completely in 7 days if you can.

    I am 3 months out at this time and I mountain bike and standup paddle just fine. I'm still doing PT, but it's for a frozen shoulder, not the AC separation.

  13. #438
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    I would highly recommend keeping it in the sling as the doctors said. I was on a solo night ride 1 month ago and went over the bars and dislocated my shoulder. Had to walk out about 4 miles and a friend met me at the closest road. Went to a specialist and it was determined that the socket was shattered. (my second time) After a few days I everything felt great and I took off the sling so I could get a good night sleep. About 3 am I woke up to my arm being up over the top of my head and the shoulder was dislocated again. I had to wait until the morning to get into the orthopedic center, Needless to say there was no more sleep that night. I spent the entire next day at the orthopedic center trying to get the shoulder to pop back in. As a result, I incurred more damage to the shoulder. I had surgery almost 4 weeks ago and go back on tuesday to see if the socket is healing at all. If not I will require more surgery and bone graftng, I am off the bike for at least 6 months and even after that I was told that I " can not crash on that shoulder again or I may need an entire joint replacement!" Needless to say I learned a very painful and expensive lesson about not listening to the doctors orders. Just my 2 cents....

  14. #439
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    Quote Originally Posted by dozer5 View Post
    I would highly recommend keeping it in the sling as the doctors said. I was on a solo night ride 1 month ago and went over the bars and dislocated my shoulder. Had to walk out about 4 miles and a friend met me at the closest road. Went to a specialist and it was determined that the socket was shattered. (my second time) After a few days I everything felt great and I took off the sling so I could get a good night sleep. About 3 am I woke up to my arm being up over the top of my head and the shoulder was dislocated again. I had to wait until the morning to get into the orthopedic center, Needless to say there was no more sleep that night. I spent the entire next day at the orthopedic center trying to get the shoulder to pop back in. As a result, I incurred more damage to the shoulder. I had surgery almost 4 weeks ago and go back on tuesday to see if the socket is healing at all. If not I will require more surgery and bone graftng, I am off the bike for at least 6 months and even after that I was told that I " can not crash on that shoulder again or I may need an entire joint replacement!" Needless to say I learned a very painful and expensive lesson about not listening to the doctors orders. Just my 2 cents....
    That is completely different than a grade 3 AC Joint Separation. An AC Joint Separation is not a dislocated shoulder.

  15. #440
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    Making good progress

    Well, here I am at day 8. Went for a short one mile road ride last night. Felt really good. There seems to be a few lucky ones that bounce back from this quicker. I have almost full ROM and only slight pain on occasion. Just a big lump. Tomorrow is my first Ortho appointment, so hoping he sees it as favorably as I do. Lack of pain in my shoulder sure makes me notice the pain in my ribs. Getting comfortable to sleep is the biggest challenge at this point. Going to put a new bar on the bike tonight and throw it in the truck. Depending on what the Dr says...may go for an easy spin on the trail tomorrow. Good luck to everyone in their recovery, and for you that will be reading this in the future.

  16. #441
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    I have a couple rather obvious points to contribute to this discussion.

    As of this coming Sunday, the 16th, I will officially be at the 6 week mark since incurring my Grade 1 A/C separation. It was on the previously reconstructed shoulder,(2008) so I was somewhat concerned, and I booked an appt. w/ the Ortho Doc who had done my repair then. He tested me for ROM, strength, etc. and told me it was a mere Grade 1, that it would heal in 6 weeks, and that I should be "very careful" about doing any strength training aside from the rotator cuff exercises that I do to maintain the repairs and grafts that he installed in '08. All of my "retained hardware" (wonderful term, no?) was intact, in place, where it was supposed to be.
    So, of course, on week 4, to the day, I could not resist trying a few easy, elevated pushups....minimal pain, no significant clicking/grinding noise, good to go. So, I did a few body-weight rows, at about 45 degree angle. I did these while riding a few laps in the UCSD woods, where as you may know there is an entire circuit training setup, and also a very fun, mildly tech, perimeter trail, perfect for the rehabbing mtb people. Again, no problem. Then, a few days later, I tried a few sets of high-rep overhead presses with cables. First visit to the gym since my OTB event. Some shrugs. All at pitifully feeble weights, by my standards. But, no pain, and no impediment.

    So, I think that following doctors' orders is a good idea, but they always tend to err on the side of caution. No big surprise for most of us, I know.

    The other point I wish to make is a bit of an epiphany to me, which more than likely gives the reader an idea of just how bright I am (not).
    And this point is very simple, and for me it is very true, and I intend to follow it.
    On days when I do upper-body resistance workouts, I will NOT ride the trail afterwards. After working the major and minor upper body musculature to near the point of failure, what I find is that I lose a good deal of fine motor control in the upper body for the remainder of that day. Couple this with a relatively fast decent on a technical trail, even one that I know "like the back of my hand", and the results can be problematic. This was EXACTLY what I did on that Sunday just about 6 weeks ago. The result was a 17mph OTB into the rocks, a hamburgered face, and the A/C separation.

    I feel that a road ride is a much safer bet on upper-body days. After all, just look at the pitiful, stick-arms those roadies, even the best in the world, have! Pitiful! But the point is, for road, you don't NEED the guns. In fact, they are an impediment to the really fast guys.

    So there you have it, my observations, to take or to leave.

    Best luck to all of you, and may your recoveries be hitch-free. and as painless as possible!
    Re-Cycled Person who rides a mountain bicycle.

  17. #442
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    Glad to find this forum! Nice to konw I'm not alone.

    I just joined the "shoulder bump" club last week. I was cycling very cautiously across a flat, wooden boardwalk over a wooded trail. Just creeping along because I knew the wood was still partially damp from a recent rain, and my son had crashed there recently. What I didn't realize is that turning, but didn't realize was that since the rain, some kind of mold or slime had grown over the wood making it Vasoline slippery. So, after successfully crossing it, when I tried to accelerate at the very end, the rear wheel spun then "Bam!" Sudden, very painful landing, as the shoulder ligaments tore.

    So now I'm at day 6 of what is almost certainly either a Type 2 or 3 separation, with the usual "bump" on rt. shoulder and a lot of blood the seeped under the skin, covering half my chest, (aka ecchymosis -- looks like a giant ugly purple/yellow bruise, but no tenderness).

    Oddly, I have only very mild pain and surprisingly good range of motion, except if I reach across my chest to my left shoulder (yow!). Sleeping's a problem, and I wake up more sore than when I laid down. The worst chronic pain is actually not at injury site, but in upper back where the right shoulder blade impinges near the spine.

    Since I was experiencing little pain, I didn't go to a doc -- seemed like it might just heal. But then after the swelling went down, the bump appeared so I googled "shoulder injuries" and -- yup, its a classic shoulder separation.

    On day 2, I left on a 450 mile driving trip, no problems really except sleeping. Yesterday, I biked on paved/gravel 5 miles yesterday, and 15 today with no problem -- i.e. no more sore at end than beginning, so long as I stand up on the pedals over bumps, to absorb the shock -- however I've become a bit paranoid about falling, which is no doubt prudent til it heals.

    I'm puzzled whether this is type 2 or 3. I ahve "the bump" and lots of blood under the skin (has seeped down to cover 1/2 my chest!). How can one tell? Any clues on this?

    Tomorrow I'm off to see a brilliant physiatrist (Sports Med MD) who has "saved" me and friends many times in the past. She's a great diagnostician and prescriber of very precise, conservative therapy, so I'll report back here on what I learn.
    Last edited by dardas99; 07-18-2012 at 03:55 PM.

  18. #443
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    I'm in the quick healing club. I was back on the bike 18 days out (Today actually). I probably could have cut it shorter, but I wanted to make sure that I could do most things with the bad arm in the case something catastrophic happened. I almost felt fortunate that I got a grade 3 instead of the 1 or 2 because I didn't have to worry about babying my ligaments. If you're a grade 3 it's a pain thing, the damage is done. I still have pain doing pushups, but I'm 260, if I were 180 I'm sure it would hurt a little less. I'm not sure about the other fast healers, but as a grade 3 with nothing to lose I was out of the sling the second day. Quit the pain meds after the first. I used ibuprofen for the first week for the swelling and didn't ice like I should have. I firmly believe that getting out of the sling and increasing my range of motion ASAP within the limits of pain had me with almost full range of motion after a week, mostly pain free after 10 days. I would say I'm at about 70% at this point overall, but closer to 85% within the less challenging ranges of motion. I felt a little more nervous descending than I thought I would be, so the mental aspect may be the bigger challenge.

  19. #444
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    Grade 5

    Hey All,
    Nice to see everyone dealing with the same crap. I do mtn biking and road riding, this happened on my road ride.

    I was doing a 100 mile fundraiser ride in place of a 4-5 hour training ride I had on the schedule. The ride was fairly flat, maybe 3k of climbing over 100 miles. Even though this was just a "ride", I of course did not play it as smart as I should and I slowly creeped my way up with the front of the group.
    I have not done many fast group rides with the front of the pack, and I dont think I have done any with the front of the pack where I dont know anyone. Hindsight tells me that I should not ride with the fast group when I dont know anyone's handling skills. It was turning out to be one of those rides where everyone starts acting like they are riding like a pro and have something to prove...along with me...crap.

    Anyhow, there was a rest stop at mile 50 and when I left the rest stop, it was just me and one other older guy. We figured the rest of the pack would catch up anyways. I had some good conversation with this guy and we had both agreed that neither of us have much experience riding in a group and the most of our riding time is solo. After a few miles the pack caught up and I pulled for 5 or 6 miles. I then dropped back and settled in about mid way...I think there was a total of about 25 people. Settling mid pack, I decided to get behind the older guy that I left the rest stop with. He seemed experienced and I felt like I could trust his skills.

    Right around mile 60, we were cruising along at 25mph, according to my Garmin, right along a nice flat fairly newly paved road...and the KAAAAABAAAAAMMMM!!!!!
    My front wheel eats a storm drain that is 4 inches below the pavement. I go over the handle bars, land on my head and shoulder, crack my helmet, hell even the back wheel flew off the bike. I could tell that my shoulder was a mess as I immediately could not move it.
    Ironically, I had crashed 2 months ago at my first road race and landed on the same shoulder, but the previous time, I didnt tear or break anything.
    Of course, I forgot to mention that NO ONE in this pack was pointing out road hazards and I really thought this older gentleman in front of me would have some riding wisdom...but nope, no warning at all.

    The group stopped for me, called 911 and I got carted off to the hospital. Shot up with pain killers and then X-rays, they confirmed I had a separated shoulder. Now I have no idea what this means other than my shoulder looks and feels like a mess.
    I was sent home and followed up with my ortho.

    During the upcoming week, i managed to see 5 ortho's and get thorough opinions on what my options are. And I also talked to my Coach as he has suffered the same injuries. Looking at the X-rays and what my shoulder looks like, I felt like I had no choice but to go through surgery. All 5 doctors called this a grade 5 separation, but 1 out of the 5 said surgery could go either way.

    Apparently, from what I have read and learned...shoulder separation treatment is really split down the middle on what people end up doing. It seems that full use, functionality and strength can be restored without surgery but your just left with a bit of a deformity in the shoulder. People that get the surgery and have successful surgery are also restored to full functionality and cosmetically are put back pretty close to normal.

    The way I am about stuff, I need to have symmetrical looking shoulders and I would be bothered continually by the uneven-ness of my shoulders and I just want to know everything is back in place... So I elected to have surgery.
    I ended up using Mazzacca from Uconn in Farmington CT. He is a shoulder and elbow specialist...even he was a little bit on the fence with doing surgery, but his deciding factor was the amount of space between my collar bone and the bones below the collar bone. There was a huge distance of space.

    So I had surgery almost 2 weeks ago. They use a cadaver tendon to tie the bones together and then suture the ligaments together. I am in a ridiculous brace to hold my left arm immobile for 7 weeks. 24x7, I live in this brace. The purpose being to ensure the ligaments heal back together, hence no movement of my arm.
    Once I am out of the brace, PT will start and I will imagine I can speed up PT as long as Im willing to put in the work...which obviously I am.
    I think in total, I will be 4-5 months before I can be back in full force...and to think I felt like I was just coming into the peak of my season and feeling so strong.

    So call my stupid or whatever but yesterday I decided to go for a long walk, I ended up mixing some running in with my walking all the while wearing the brace. I actually felt pretty good.
    Today I went and got a gym membership and rode the recumbent stationary for a while. I will be visiting there quite often to do this.
    I'm really hoping after 6 weeks, I get this brace off, start PT and start excelling the process of recovery and getting back out there full force!
    Here are some pics of the process including the storm drain I hit.
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-photo%5B14%5D.jpg  

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    Ac Separation (shoulder Separation)-img-20120720-00052.jpg  

    Ac Separation (shoulder Separation)-img-20120724-00079.jpg  


  20. #445
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    ouch

    Very interesting forum of like-shouldered riders!!

    Grade 3 separation - Day plus 12.

    Massive OTB and a long drop on a steep slope (didn't make the switchback - done it many times before - this time too fast, too confident and weight too high, plus a new front fork with extra 40mm and a brand new brake. Looking back, this was a recipe for disaster)

    Luckily missed the 50 foot cliff with the rocks and landed a long way down in the bushes. Heard the shoulder go, managed to drag my bike back up and walk out.

    Day 1 just felt sorry for myself, didn't believe the doctor's advice (conservative approach - no surgery), so came back to see the same surgeon who did my ACL replacement 8 years ago, because I trust him

    Started doing movement on day 2, pain dropped off noticably after 7 days and now have an almost normal range of movement, but little strength in certain directions.

    Started in the pool on day 9, just with resistance movements and swam 20 metres last night (it was sore, but could do it)

    Recommendation from my surgeon (yesterday) is no surgery. He thinks given my progress so far I will have an almost normal use of the joint in the future and considers that there is a bigger risk of ongoing pain from the operation. I have to go back to re-discuss with him in 4 weeks.

    The main thing now is to build up the strength gradually. I yanked it on a handrail yesterday after shedding the sling and boy did it throb for the rest of the day and night.

    Could easily ride a bike on the flat, but won't until it has healed a bit (in case I come off)

    Aiming to go SUP on 1st September. Need to be good for the ski season end of December, and looking forward to some serious mountain biking next summer (going to get some armour)

    the most painful thing was the quote from the surgeon yesterday.

    " if we were looking at a younger, athletic patient, we would probably go for surgery"

    I'm 47.

  21. #446
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    i would punch the doc in the face for that one. hope your recovery continues to go well. I have 28 days left in this brace, then I can start PT if I dont screw things up before then.

    This injury is SO on the fence when it comes to deciding surgery or not.

    Personally, I think at any age, if your fit and want to continue doing this stuff, if the injury is bad enough, surgery should be considered and I'm 41.



    Quote Originally Posted by giantfox View Post
    Very interesting forum of like-shouldered riders!!


    " if we were looking at a younger, athletic patient, we would probably go for surgery"

    I'm 47.

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    Quote Originally Posted by rodwilsonsr View Post
    i would punch the doc in the face for that one. hope your recovery continues to go well. I have 28 days left in this brace, then I can start PT if I dont screw things up before then.

    This injury is SO on the fence when it comes to deciding surgery or not.

    Personally, I think at any age, if your fit and want to continue doing this stuff, if the injury is bad enough, surgery should be considered and I'm 41.
    The reason I went back to the surgeon who did my knee is because I need to hear from a guy that I trust.

    with Type 3 separation there is no consensus within the medical community on surgery or conservative approach.

    My main concern is that I will not be in this health insurance policy for much longer, and I'm sure this injury will be excluded from the next one, so if I ever do need surgery, now would be the time.

    But the explanation the surgeon gave me is that with the conservative approach he would expect me to have a pain-free joint - how useful it is is just down to me to train it. If I take a big fall again there is no reason that a surgically repaired joint wouldn't break anyway.

    If I go for surgery, the main issues are:
    a) pulling the bone back down into position through the soft tissue
    b) the remains of the ligaments causing problems through movement (maybe they can be trimmed off like the knee meniscus??)
    c) bone against bone issues in the future (without the natural ligaments)

    In short, he thinks the risk is that I would end up with a joint which has its use limited by pain, and he won't guarantee that it will be better (compared with the knee surgery, for instance)


    No doubt these pros and cons will be debated further. At first I wished I had broken the collar bone instead, to be honest, I'm glad I didn't end up as a red blob on the rocks, so we live and learn.

  23. #448
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    I totally get it...just to offer some other support on making a decision on this stuff.

    I have been working with a coach for the past few years...he has had 2 grade 5's and elected no surgery. He is a HUGE advocate for no surgery when it comes to anything that has the slightest chance of getting better by putting the work into PT and other related strength focused stuff.
    He has 100 percent mobility, strength and functionality of his shoulder...it's just that his shoulder looks deformed. I went back and forth over getting the surgery based on his experience and discussions. I just couldn't stand to look at uneven shoulders everyday, and I just like the thought of things being put back together.

    Anyhow, no guarantees for sure...one wrong fall and it can all be blown apart!

    Rod




    Quote Originally Posted by giantfox View Post
    The reason I went back to the surgeon who did my knee is because I need to hear from a guy that I trust.

    with Type 3 separation there is no consensus within the medical community on surgery or conservative approach.

    My main concern is that I will not be in this health insurance policy for much longer, and I'm sure this injury will be excluded from the next one, so if I ever do need surgery, now would be the time.

    But the explanation the surgeon gave me is that with the conservative approach he would expect me to have a pain-free joint - how useful it is is just down to me to train it. If I take a big fall again there is no reason that a surgically repaired joint wouldn't break anyway.

    If I go for surgery, the main issues are:
    a) pulling the bone back down into position through the soft tissue
    b) the remains of the ligaments causing problems through movement (maybe they can be trimmed off like the knee meniscus??)
    c) bone against bone issues in the future (without the natural ligaments)

    In short, he thinks the risk is that I would end up with a joint which has its use limited by pain, and he won't guarantee that it will be better (compared with the knee surgery, for instance)


    No doubt these pros and cons will be debated further. At first I wished I had broken the collar bone instead, to be honest, I'm glad I didn't end up as a red blob on the rocks, so we live and learn.

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    In the FWIW catagory...I have been 5 weeks post wreck grade 3, riding regularly as ever. Yesterday I did a 4 hour ride as long and difficult as anything I rode all of last year. It was a little sore at times specially at the end of a long 1.5 mile decent. But overall it was not an issue. My legs were toast but shoulder felt good. I started lifting weights (lightly) a little bit to early and was getting sore and backed off. Now I feel like I just need to get some strength built up. Pleased with the recovery so far, I'm further along than expected (I'm 47). Full ROM and pain free, as long as I don't sleep on it. Not liking the deformed shoulder look, but was not interested in surgery after reading everything I could find about it. Biggest thing was the extended recovery time. I also got the " If you were a younger athlete" speech. Uggh! Best recovery to you guys!

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    End of day 12:
    15 minutes exercise in the pool followed by a 40 metre breastroke. Could have done more, but didn't want to push it.
    can now touch fingers of opposite hands behind back (one over the shoulder, the other behind the back - don't know what you call that stretch)

    tempted to get on the bike tomorrow, know I shouldn't..............

    anyone tried any of these neoprene shoulder supports? any comments/ advice?

    it's great to comminucate with other who are sharing the same "pain"

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