Mr Robin Mark Seagger MBBS MSc FRCS

GMC No. 4536697

Twitter @fixmyshoulder

c/o Emma Shires

Tel: 01706 869025

Practice Addresses:

BMI The Alexandra Hospital

Mill Lane



Tel: 0161 4283656

BMI Highfield Hospital

Manchester Road


OL11 4LZ

Tel: 01706 655121

Acromio-Clavicular Joint (ACJ) Dislocation



Traumatic Injury to shoulder

Fall on to the point of the shoulder- fall from bike, tackled during rugby

Shoulder blade and arm driven down away from end of clavicle

6 types:   1 and 2- almost always settle with conservative treatment

                3- approx. 65-75% settle with conservative treatment

                4- collar bone moves backwards and usually requires surgery

                5 and 6- rare and severe injuries often complicated with other injuries



Prominent mobile lump at the end of the collar bone

Pain felt at the end of the collar bone

Pain down into upper arm on raising arm forwards or sideways

Pain on top of the shoulder on using the arm across the front of the body

Pain on lying on arm in bed, disturbed sleep



X-Ray, Ultrasound scan, MRI scan


Treatment options:             

Pain killers

Physiotherapy- for types 1 to 3

ACJ Reconstruction/Lockdown- some type 3.Most type 4s