The Controversy Behind The Treatment of Grade III AC Joint Separations

🚨 Surgery or Rehab for Grade-III Shoulder Separations? Here’s the 20-Year Data 🚨

In this episode of The Sports Medicine Research Rundown, host Tim Tyler, PT, ATC, grills orthopedic surgeon Steven Lee, MD, on:
• the newest outcome studies comparing surgery vs. conservative care
• why weighted X-rays are falling out of favor
• real-world complication rates of today’s “anatomic” reconstructions
• Dr Lee’s low-tech, low-cost suture-button technique (zero hardware removals)
• evidence-based return-to-play timelines for collision athletes

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⏱️ TIMESTAMPS
0:00 Intro & guest bio
2:30 Rockwood refresher + imaging pearls
7:45 Is the weighted film dead?
15:00 20-year outcome data on Grade-III injuries
24:30 Step-by-step of Dr Lee’s CC fixation
32:00 Complication deep dive
40:15 Rehab milestones & RTP criteria
48:00 Live Q&A
55:00 Key takeaways
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🎯 TOP TAKEAWAYS
• Acute vs. delayed surgery = SAME long-term function
• Anatomic reconstructions carry ~30 % complication risk
• Stress views add noise, not clarity
• Expect 24-26 weeks to full-contact clearance
• Shared decision-making is essential for in-season athletes

📚 FURTHER READING
– Moatshe et al., Clin Orthop Relat Res 2024
– Cleary et al., Am J Sports Med 2024
– Shaw et al., J SES 2018
– Kovács et al., Arthroscopy 2025
– Gawel et al., Sports Health 2021

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#SportsMedicine #ACJoint #ShoulderInjury #PhysicalTherapy #OrthopedicSurgery

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*These Videos are provided for informational and educational purposes only and should not be used as a replacement for appropriate medical treatment. Please consult your doctor or licensed physical therapist for an appropriate course of treatment*
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