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Medical Disability Advisor  >  Dislocation Acromioclavicular Joint  >  Cited References  see more: ACOEM - Shoulder Disorders

Dislocation, Acromioclavicular Joint

Related Terms

  • AC Separation
  • Shoulder Separation

Differential Diagnoses

Specialists

  • Occupational Therapist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist
  • Physical Therapist
  • Sports Medicine Physician

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Factors Influencing Duration

Duration is determined by the grade of AC joint separation, whether the injury occurred on the dominant or the non-dominant side, and presence of other injuries. For non-dominant injuries, individuals may return to work earlier if duties can be performed with one hand. Dominant-side injuries may require longer disability, because individuals are not able to use their arm above the waist until healing is complete.

Disability may be longer for occupations that require manual dexterity, lifting, carrying, throwing, or overhead work. Surgical repair/reconstruction may increase the duration of disability.

Duration Trends from Reference Data

DURATION TRENDS
 ICD-9-CM: 831.04, 831.14  
CasesMeanMinMaxNo Lost TimeOver 6 Months
9764701890.1%0.2%
 
  
 
Percentile:5th25thMedian75th95th
Days:7213763119
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

ICD-9-CM:
831 - Dislocation of Glenohumeral Joint (Shoulder)
831.04 - Dislocation of Glenohumeral Joint (Shoulder), Closed, Acromioclavicular Joint
831.14 - Dislocation of Glenohumeral Joint (Shoulder), Open, Acromioclavicular Joint (Clavicle)

Cited References

Buss, D. D., and J. D. Watts. "Acromioclavicular Injuries in the Throwing Athlete." Clinics in Sports Medicine 22 2 (2003): 327-341, vii. National Center for Biotechnology Information. National Library of Medicine. 12 Sep. 2008 <PMID: 12825534>.

Canale, S. Terry, and James H. Beatty, eds. "Acromioclavicular Joint." Campbell's Operative Orthopaedics. 11th ed. Philadelphia: Mosby Elsevier, 2008. 3586-3587.

Clarke, H. D., and P. D. McCann. "Acromioclavicular Joint Injuries." Orthopedic Clinics of North America 31 2 (2000): 177-187. National Center for Biotechnology Information. National Library of Medicine. 12 Sep. 2008 <PMID: 10736388>.

Malone, Terry R., Thomas Mcpoil, and Arthur J. Nitz, eds. Orthopedic and Sports Physical Therapy. St. Louis: Mosby-Year Book, Inc., 1997.

Prybyla, David, et al. "Acromioclavicular Joint Separations." eMedicine. Eds. Lynn A. Crosby, et al. 29 May. 2008. Medscape. 12 Jan. 2009 <http://emedicine.medscape.com/article/1261906-overview>.

Rockwood, C. A., Gerald Williams, and Christopher Young. "Disorders of the Acromioclavicular Joint." The Shoulder. Eds. C. A. Rockwood and Frederick A. Matsen. 2nd ed. Philadelphia: W.B. Saunders, 1998. 483-554.

Salter, Robert, ed. Textbook of Disorders and Injuries of the Musculoskeletal System. 3rd ed. Philadelphia: Lippincott, Williams & Wilkins, 1999.

Woodward, T. W., and T. M. Best. "The Painful Shoulder: Part II. Acute and Chronic Disorders." American Family Physician 61 11 (2000): 3291-3300. National Center for Biotechnology Information. National Library of Medicine. 12 Sep. 2008 <PMID: 10865925>.

Source: Medical Disability Advisor


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