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Injury to the A/C joint is usually caused by trauma to the shoulder, either a direct blow such as a car accident or a tackle in football, or a fall onto an outstretched hand. There is almost always a history of trauma causing pain and swelling around the joint.

Signs and Symptoms include:

  • Tenderness and swelling over A/C joint.
  • Discernable bulge over A/C joint compared to the other side.
  • Decreased movement of the shoulder and the worse the injury, the less shoulder movement available.
  • Antalgic posture where patient will hold the elbow to protect the arm from pulling on the A/C joint.