Shoulder injuries:
Acromioclavicular joint (AC) shoulder separation. This is also known as a
separated shoulder. This injury occurs as a result of a hit or blow to the top
part of the shoulder, depressing the scapula (shoulder blade) and tearing the
ligaments between the scapula and clavicle (collar bone). The classic case where
you see this injury is when a QB is sacked and driven to the turf shoulder first.
These don’t usually require surgery, and length of rehab depends upon severity and
player position. For example, a quarterback with an AC separation on his throwing
shoulder will obviously be more serious than a similar injury to a wide receiver.
Treatment and Return to play: For less severe grade 1 injuries, return to play
may be immediate (especially with a pain killing injection). More severe injuries
with grade 2 or grade 3 damage may take six weeks or even more.
Dislocated shoulder with anterior instability. (Note - this is NOT what Clinton
Portis appears to have. At least from what we know Sunday night) The most common
shoulder dislocation in football is out the front or anterior. Dislocations
occurring traumatically in this direction often tear the labrum in the front
part of the shoulder, leaving the shoulder at risk for recurrent dislocations.
Treatment and Return to play: For return to play, surgery is usually required
to repair the torn labrum. The subsequent rehab is about 4 months, which means
these are often season ending injuries.
Here is a link to more information including some handy illustrations:
http://www.sportsmed.buffalo.edu/info/subluxation.html
Note the big difference between a shoulder separation and a shoulder dislocation.
At this point, it's believed that Portis has a shoulder separation and not a
dislocation.
As we describe in the article, ligament and tendon sprains are graded as 1 being a
stretch. 2 being a partial tear and 3 being a complete tear. So when you hear the
reports on Portis' shoulder, what you want to hear is a grade 1 AC joint sprain. If
grade 2 or grade 3 are mentioned, that's definitely a red flag. Stay tuned. We'll
be right here to help.