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Picture of a bad shoulder separation |
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Shoulder separation |
If there is only a small bump and the collarbone is not too far from its normal position, the ligaments in a shoulder separation will heal just fine on their own without surgery. It is important to understand that the bump will be permanent, but there will be no loss of strength. In the case where there is a large bump and the collarbone is way out place (as with my friend here), then surgery is necessary to repair the torn ligaments. Here is a video showing repair of a shoulder separation or AC separation.
If you think you might have a shoulder separation, getting an x-ray will confirm the position of the bones. A shoulder surgeon should be able to help you understand your options and whether or not you need surgery.