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Surgery

AC Joint and Distal Clavicle Surgery

What to expect, plus the instructions and therapy protocol for each version of this operation.

Surgery is considered when it is the right choice for you. Before your operation you will receive a Preparing for Surgery booklet and a detailed guide related to your specific procedure.

Recovery and Return to Activity

Recovery Timeline

AC separation, treated with reconstruction:

  • After reconstruction of a high-grade separation, you will wear a sling for several weeks to protect the repair while the ligaments heal.
  • Return to contact sport or heavy overhead lifting after a reconstruction is typically four to six months out.

AC arthritis, treated with surgery:

  • After removal of the end of the collarbone, recovery is relatively quick, with return to most activities over several weeks and return to sport in about six to twelve weeks.
  • Rehabilitation is the single most important factor you control!

Risks to Understand

  • After reconstruction, the collarbone can gradually settle back up over time. Some loss of the correction is not uncommon.
  • Removing too much bone from the end of the collarbone in AC joint arthritis can leave the joint unstable and painful, which is why only a small amount is taken.
  • Hardware used to hold the collarbone in position can occasionally be prominent or require removal.
  • Other risks include infection, nerve irritation, stiffness, fracture, and problems related to anesthesia. This will be discussed in more detail prior to surgery.
  • Smoking and nicotine use and consistent marijuana use are associated with poorer healing.

For how this condition is diagnosed and every treatment option, including nonoperative care, read the full AC Joint Injuries guide.

Instructions and therapy protocols

Each version of this operation has its own post-op instructions and physical therapy protocol. Bring the protocol to your first therapy visit.

Dr. Tummala's research on this topic

See all research

Academic affiliations

Request an appointment

New patients, sports injuries and second opinions are welcome. Appointments are made by phone through Stanford Health Care.

510-974-2800 6121 Hollis Street, Suite 900, Emeryville, CA 94608