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  1. #476
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    Had my spill July 14th , separated right AC and 3 fractures to my scapula .. 1- on the spline and 2 across the glenoid . My ortho and PT asked me how in the world did i fracture my glenoid lol . Well my fractures have healed up and i started my PT last week but now my right collar bone looks like its going to come out of my skin lol but my ortho said its fine and wont come up anymore .

    Most the pain is gone , but i still get tensed up in a few spots . Im working on getting full range/motion now so no weights for me . My PT should be around 6 weeks give or take . I was in a sling for 4 weeks , so it feels great to move my arm around now but man my body took a toll , lost a lot of muscle and been eating like crap but im changing up my diet and hitting cardio now and leg workouts .

  2. #477
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    I am 5 weeks out of a grade 5 AC and CC separation surgery. They installed a TightRope in my collarbone and shaved the end of the bone down because it was displaced and could not fit back down to where it was supposed to be.

    This is my third time in a sling and the thing was driving me f@#@ing crazing. Took the sling off after 3 weeks but made sure to rest my shoulder on things as much as I could to prevent it from hanging. I did get back on my road bike after I took the sling off but made sure not to hold the bars too hard at all. As of today, I am feeling great and the doctor say I should be able to start using it lightly next week.

    ***** of an injury and should be able to mountain bike in 6 more weeks, maybe a little less...

  3. #478
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    I have (according to the first ortho) a 3rd degree separation. Its been 7 years since the damage and at the advice of the ortho, I didn't do the surgery. It was 3 months before I could do any real PT, and it bothered me daily for over a year. It always aches after use, and I suspect I have some amount of arthritis. I would say I'm 80% where I once was, but get weird pain in my upper back often and struggle with posture. In my case it is my dominant side which is annoying for most other sports and I cannot to this day sleep on my right side. I still feel an overall lack of stability and no longer buy the story that "it'll heal fine and you'll just have a bump". In the gym I can work through the pain, but choose not to since I can feel and hear the pops/crackling sounds of heavy lifting. Even after a 10k jog, I have pain in my shoulder. I'm wondering now if I did other damage as well, but it was missed.

    I'm getting a second opinion today at 4:30, although I'm not holding out much hope. If I could do it all over again, I would have requested surgery at the time of the accident. To anyone with a bad fresh injury, whether you opt for surgery or not, get on a stationary bike asap. I didn't, and after a year of very little activity had a long road back to fitness...
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-shoulders.jpg  


  4. #479
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    now day 52. each week is spent recovering from the weekend's activities. every 7 days I feel the end of the bone working its way a little closer to the skin. Bump gets steadily bigger. last sunday went for a 10 minute run on the beach and I'm still feeling the effects, 5 days later.

    problem is, I still have another 40 days before all the soft tissue damage is supposed to be repaired (according to the doc) so I still don't know what to expect from the permanent situation.

    dear amartin: your experience has been an awakening: however, whether one has surgery or not, the only way to know the difference is to try a full non-surgery recovery and then compare it to an operation later......

    thanks for posting your story.

  5. #480
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    I'm a year out from my grade 3 separation. Doc told me I'd be trading a lump on my shoulder for a scar with the same end results, so I went the no surgery route. Although my nude modeling days are over I have not regretted not going under the knife. Besides a lump it causes me no issues what so ever.
    Go get that KOM "You Deserve" - http://www.digitalepo.com/index.php

  6. #481
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    Quote Originally Posted by TahoeBC View Post
    I'm a year out from my grade 3 separation. Doc told me I'd be trading a lump on my shoulder for a scar with the same end results, so I went the no surgery route. Although my nude modeling days are over I have not regretted not going under the knife. Besides a lump it causes me no issues what so ever.
    good to know!!

  7. #482
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    ac seperation grade 3

    Ok, I've joined the club and went over the bars on the 6th September which resulted in a Grade 3 separation. The NHS referred me to a shoulder specialist which would have taken 4-5 weeks before I would have seen him.

    As I knew time was of the essence in regards to surgery being effective, I sought the opinions of two specialists privately. I went with the second opinion of 'tightrope' surgery which was carried out yesterday - 24 September (to the tune of 4600.00).

    Apparantly this is only successful if carried out within 4 weeks of the accident, otherwise the scaring of ligaments prevents healing.

    To be honest the pain had subsided and I had full range of movement before the operation. But I could not live with the bump and noticable 'droopy' shoulder. I also lift weights three times a week and was worried that I might not be able to train with full intensity if left without surgery.

    I will post 4 weeks from now when I am out of the sling to let you know how I am getting on.

    Vic
    Attached Thumbnails Attached Thumbnails Ac Separation (shoulder Separation)-e99bc2ea067ebc5697bce7411f8c1311.jpg  

    Last edited by vic.j; 09-25-2012 at 01:04 PM. Reason: Adding picture

  8. #483
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    hey vic,
    yours is an interesting comparison. we are 5 weeks apart in injury, you with your surgery and me without.

    I'm very keen to see how we compare.

    I'm not very happy with my shoulder, but have another 4 or 5 weeks until all the soft tissue damage is supposed to have repaired itself and i will get to feel how it will be permanently.
    One thing for sure is that over the last 2 weeks the bone has moved upwards - even to the point that the skin was itchy over the bump - same feeling you get when your skin is swollen due to an infection underneath.

    I'm still avoiding using full strength, but doing most things to a lesser extent.

    hope you get a quick recovery from the op.

  9. #484
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    Hi,

    I went OTB in a MTB race in NY August 5th - leading to a third degree separation of my left (non-dominant) shoulder.

    I went to the orthopedist the next week, he took X-Rays and recommended no surgery - he said I could go either way but I should regain almost full mobility and strength without it.

    For Reference, I'm 45 yrs old - active mountain biker.

    The first couple weeks sucked. Sleeping didn't work well. I began PT the second week - that has really helped. I stayed off the bike for the first 4 weeks - I decided to be cautious.

    Followup with the Ortho at week 5 (Now in Week 7) - he said everything looked good.

    I have a really gnarly bump and droopy shoulder, but I have almost full range of motion (with some 'gutteral' pain at times if I go the wrong way). I'm still letting it heal.

    I've been road biking a few times since and have ramped up this week - it is sore afterwards but not unbearable. I've also been running. I notice my neck stiffens up after running - the PT says this is b/c I am overcompensating with muscles for the ligament that is ripped.

    I am going for a second opinion tomorrow with a sports Ortho that does a lot of athletes - I still believe I do not need surgery, but the wife and PT said it can't hurt to have another opinion. Will see what he says.

    Ortho said about 12 weeks before most of the pain would go away. I've done a couple of slow MTB rides with my kids, nothing that fast yet, maybe this weekend.

    All things considered - I am fairly amazed that it has recovered this well so far. I may be lucky in my range of motion. I've broken bones - they hurt for longer. The pain still hurts. but hoping that it gets better.

    And I have a scary looking shoulder to scare the kids with .

    This thread has been very informative for me. Nothing else like it on the internet. Thanks to all for their stories / experiences.

  10. #485
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    don't know if anyone else has tried it.

    But I wouldn't recommend golf at 10 weeks...

  11. #486
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    AC separation Rockwood III - notes on recovery (tightrope surgery)

    Hi All

    Here's my story:

    AC separation Rockwood III - Injury sustained 23.06.2012 Operated on 04.07.2012 (acute, double arthrex tightrope, no clavicle resection)

    Sustained a Rockwood III AC Separation while single-trailing in Switzerland.

    I decided surgery was for me, because I consider myself to be a part of the "overhead athlete" category. I searched out specialists in shoulders, who also had plenty of experience doing the OP (obviously).

    Goal is to be surfing in Australia in December. I am an Australian living in Switzerland, lifelong surfer.

    Here's a brief listing of things I noticed, hope it helps.

    * Physio first 2 months - ROM
    * Minimal pain after 1 week post OP, very rarely woken at night, especially after sleeping on good side and then the bad side rolls forward - this caused a deep throbbing pain in the shoulder (presumably the CC ligaments)
    * Work up to getting hands behind head
    * Everything is super tight from wearing a sling for 4 weeks (in Bed and during the day, only taken off during exercises or when arm is supported)
    * After 3 months, can use weights to build up muscle
    * At this stage I had pretty much full ROM (got a bit cramped with the arms straight up in the air), but still really weak
    * Rotator cuff exercises - with weight
    * Continuation of Theraband exercises (rows etc.)
    * Heavier weight behind the head, on the bench
    * Door jamb stretch does wonders for stretching out the last of the stiffness from the sling
    -- Arm stretched at right angle up against door, push slightly forward

    Current exercise plan
    * Core exercises - 3 * 20 alternating leg drops on mat
    * Triceps using rope system (safe for shoulders)
    * Deltoids using rope system (adduction)
    * Rotator cuff
    * Hand bike to warm up (10 minutes) on an increasing setting (resistance)

    Plan for 06.10.2012 - 20.12.2012 (75 days - roughly 10 weeks)
    * Core exercises - 3 * 20 leg drops on mat
    * Build up shoulders - rotator cuff, delts, lats, pecs (in order of priority)
    * I intend on thrashing the Hand-bike - machine to simulate paddling
    * First breaststroke, then freestyle (also one of the final pieces to the puzzle)
    * Push-ups (the final piece in the puzzle) to help with standing up while surfing


    Overall the recovery is long (longer than I thought) and filled with disappoinments but more importantly successes. At certain stages I was worried about the droopiness of the shoulder (the gleno-humeral seemed to droop forwards - is now centralised again), the pull of the arm when I came out of the sling, the time it took to get my hands behind my head, the list goes on. The point is you have to stay positive, and keep doing your exercises. It accelerates everything. There is also no point in being obsessed with your shoulder and looking at it the entire day.

    Right now I feel very strong and I am rapidly getting back to normal with all the gym and physio exercises. I've been more on the conservative side with everything - the sling, exercises (quitting when I feel a "bad" pain (deep or sharp) as opposed to good pain (stretching, small amount of burning on the rotator cuff)). I think it pays to be conservative - although there could be an argument to giving up the sling earlier.

    Cheers

    Greg

    PS Would love to hear from any surfers who have had an AC separation surgery.

  12. #487
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    New member of the club...

    Stage 3 separation. At least the prognoses is good. Sucks right now, but at least I'm sleeping, and its not my dominant shoulder.



    Also, it was caught on camera...

    Rob's Crash - YouTube
    If your not wreckin', your not ridin'.

  13. #488
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    Quote Originally Posted by wreckingrob View Post
    Stage 3 separation. At least the prognoses is good. Sucks right now, but at least I'm sleeping, and its not my dominant shoulder.



    Also, it was caught on camera...

    Rob's Crash - YouTube
    Nice video. I normally run the GoPro but didn't the day I got my Grade 3 Separation.

    Update: 6 and 1/2 months out. I SUP in the ocean a few times every week. No shoulder issues. Yesterday I went on a 25 mile offroad/road ride. No shoulder issues. I'm lifting light weights to increase strength and I'm glad I didn't do the surgery at this point. Plus the lump is really sexy.

    As far as riding goes I will now be much more hesitant to launch off of jumps or go flying full blast down a hill. Injuries suck.

  14. #489
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    Rob, what happened to cause you to crash? Why were you so far off to the right side of the trail? Just curious, I know things happen fast...

  15. #490
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    For those of you considering surgery for a Grade 3 separation for cosmetic reasons here's what it looks like without the surgery.

    Here I am less than an hour after the "incident".



    This is 6 and a half months later. Notice the difference? Not much.



    Cracks me up when friends come up and say, "hey it's looking better!" I'm like "really? You do realize that's the end of my collar bone sticking up there right? It doesn't get better....lol."

  16. #491
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    Good Question...

    Hey TranceX,

    Good question. As you can tell from the video, it was just a water bar on a moderate slope of downhill. I was doing a little left to right weave as I came down the trail. I remember thinking, "I'm to far right for this water bar, but no problem. I'll just hit it and deal with the branches.", without taking the crown of the water bar into consideration. The middle of the bar was much better suited to jumping than the right or left. It was to abrupt out on the edges. My rebound threw the back end up and I endo'd. Oops.

    It was a dumb mistake, and right at the top of one of the best down hill trails in NC. The worst part of this was having to walk down the rest of the trail - seeing all the great lines and technical features by foot was more painful than the fall itself, and that hurt like a *****.
    If your not wreckin', your not ridin'.

  17. #492
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    Grade V separation here.

    Surgery:
    Double Arthrex Tightwire
    Hamstring Graft
    Clavicle resection

    Played golf 8 weeks after surgery, My shoulder is now 100% and have had no ill effects. It was the worst recovery I have ever had to deal with though. I have broken nearly 30 bones, had 6-8 surgeries to mend bones/soft tissues, even cut a finger off...and NOTHING sucked as bad as the recovery from the shoulder injury!!! It was absolutely worth it. Keep up with the PT as that makes all the difference in the world.

  18. #493
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    Quote Originally Posted by wreckingrob View Post
    Hey TranceX,

    Good question. As you can tell from the video, it was just a water bar on a moderate slope of downhill. I was doing a little left to right weave as I came down the trail. I remember thinking, "I'm to far right for this water bar, but no problem. I'll just hit it and deal with the branches.", without taking the crown of the water bar into consideration. The middle of the bar was much better suited to jumping than the right or left. It was to abrupt out on the edges. My rebound threw the back end up and I endo'd. Oops.

    It was a dumb mistake, and right at the top of one of the best down hill trails in NC. The worst part of this was having to walk down the rest of the trail - seeing all the great lines and technical features by foot was more painful than the fall itself, and that hurt like a *****.
    Ah, that explains it. Damn.

    After I fell I actually grabbed some advil I had in my camelbak and popped two before I even got off the ground. My buddies helped me walk out and I drove myself to the ER .... less than 1/2 hour away and they shot me up with pain killer ASAP. Mine never really hurt that much....I'd say maybe a 4 out 10.

  19. #494
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    Quote Originally Posted by mattedhead View Post
    Grade V separation here.

    Surgery:
    Double Arthrex Tightwire
    Hamstring Graft
    Clavicle resection

    Played golf 8 weeks after surgery, My shoulder is now 100% and have had no ill effects. It was the worst recovery I have ever had to deal with though. I have broken nearly 30 bones, had 6-8 surgeries to mend bones/soft tissues, even cut a finger off...and NOTHING sucked as bad as the recovery from the shoulder injury!!! It was absolutely worth it. Keep up with the PT as that makes all the difference in the world.
    That's great you're back but "worst recovery ever" doesn't really go with "played golf 8 weeks after surgery". What exactly is it you're saying about your recovery?
    A blind man searches in a dark room for a black hat that isn't there. Dashiell Hammett

  20. #495
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    Quote Originally Posted by wreckingrob View Post
    The worst part of this was having to walk down the rest of the trail - seeing all the great lines and technical features by foot was more painful than the fall itself, and that hurt like a *****.
    Spoken like a true mountain-biker!

  21. #496
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    good to see people on here with "many years of experience" behind them. Can still show those young 'uns a thing or two!
    I have an update - during a drunken running challenge (against a girl) I managed to trip and fall at full pelt on my shoulder.
    Funny things:
    1 it didn't hurt
    2. it "feels" better (better movement, less strange)
    3. the bump is about twice the size it was.

    Not sure if there was still a bit of ligament attached and now its free??

    I'm getting towards the end of my 3 months "soft tissue repair" period, and the bone still feels weird and I'm thinking I won't be happy if this is as good as it gets..

  22. #497
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    Update

    Thought I would post a little update, Its now 15 days from my key hole tight rope surgery on my grade 3 and I am now out of the sling. Doc says I must not lift my arm above shoulder height for another 4 weeks but i am now moving freely below this, all be it with extreme care.
    At this point in time i'm so pleased i went for the surgery, I have normal looking shoulder again and the muscles in the area no longer ache from trying to compensate

    For those of you that went the non surgery route my hat goes off to you, I guess im just too much of a tart to live with the bump and i did not want to take a risk on complications later on in life.

    I cannot beleave the NHS did not give me a choice on what i wanted done. The attitude of wait and see then if you have trouble we can then do a bigger operation instead of the keyhole does not make sense to me. (Probably makes perfect sense to the NHS Budjet ) If you are like me and the NHS will not sort it and you want the OP, I strongly recommend going private while the injury is fresh and the tightrope is a viable solution.

    I will update again in a few weeks

    Vic
    Last edited by vic.j; 10-09-2012 at 01:10 PM. Reason: Wife forced me to change it due to bad grammar!

  23. #498
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    Hi, first post, new member of this not-so exclusive club. Joined 10 days ago. Typical story, fast downhill endo on a trail I had used at least 100 times. Major initial pain, badly bruised ribs, ER says Grade 3, first Ortho on Cape Cod says Grade 3-4 and possible surgery.

    So 2 days ago I went to a prominent sports/ortho guy near Boston who has done some major repair on my son (snowcross career). Xrays look like many others here. But he added the element of ultrasound to make sure the tendon (across the shoulder) was not damaged as that would influence his surgery decision. Tendon showed no damage so we discussed the options.

    He says surgery is probably only going to be needed for the bump. At 57, my swimsuit modeling days are behind me. He also says I should do the surgery within 30 days of the injury. 45 max. He uses the button method, but would need "something more involved" if I decide later to go ahead.

    The most telling comment for me was that he said "I love doing surgery and have done many of these, but if it were my shoulder, I wouldn't do it". He is late 30s and very active.

    Best news is that there has been a remarkable change in the last 3-4 days. I am out of the sling, eating, writing and typing with my left (dominant) hand. Going to try the pool today for some ROM stuff.

    I guess I am opting for golf, snowmobiling, winter MTB and swimming over the 6 month sentence that the surgery would entail. The bump (while initially shocking) seems like a fair trade. Surgery is never a picnic, even when all works out.

    Thanks for this amazing thread!

    GW

  24. #499
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    So I'm 2 weeks out to the day from my stage 3 separation. No surgery planned. I rode fire roads the following Wednesday, and man did that feel good. No pain at all. I started riding trails again 9 days after the initial injury. Again, it felt really good. Obviously jumps and big log overs are a no-no, but no issues on moderate downhill and bumpy terrain.

    I think half of my recovery is dealing with the impact the rest of my body took. I basically stacked all my body weight on the should in question, so there is a great deal of bruising and soreness there. However, it seems to be dissipating quickly. I find I'm able to do more and more each day, especially after riding. I'm doing an "active recovery", and the more I do the better it feels.

    Even the guys in the group I ride with, half of whom have stage 3 separation from riding and or years of rugby, are surprised by my recovery. So, my message to those who have recently busted their ass and are wondering WTF they are going to do now, is to stay active. I believe if you keep the legs and lungs strong, the shoulder will follow.
    If your not wreckin', your not ridin'.

  25. #500
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    i have developed a major bump on my belly over the last 11 weeks.

    i think it might be connected

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