The shoulder joint is a complex one and is made up of 4 joints namely: Glenohumeral joint GH joint), Acromioclavicular joint (AC joint), Sternoclavicular joint (SC joint) and Scapulothoracic jointST joint). The AC joint is formed by the union of distal end of acromion process of scapula and distal end of clavicle bone. This joint commonly gets injured by fall on the side of the sholder, hurting the joint protuberance. Dislocations of AC joint can be successfully set by the Mumford procedure.
Mumford procedure is the surgical procedure done to treat AC joint disorders. During Mumford procedure the distal end of the clavicle bone is resected to relieve the symptoms. This procedure may be done arthroscopically or as an open surgery.
AC joint injury is a very common sports injury often witnessed in heavy weight lifters and also in millitary personnals. Disorders of AC joint can be successfully treated by mumford procedure. Various indications for performing Mumford procedure are:
Rehabilitation after mumford procedure is aimed at minimising pain and swelling and gradual regain of joint range of motion, proprioception, and muscle stregth. The physical therapy starts from day 3 after mumford procedure. The patient is advised to wear arm sling for support for upto 3-4 weeks after which the patient can regain normal routine activities and sports activities can be resumed 2-3 months after mumford procedure. Various stretching, strengthening, proprioceptive exercises, mobilisation and postural training are part of the rehabilitation protocol post mumford procedure.
The Mumford procedure has excellent prognosis. The patient can resume the pre- operative sports activities after six weeks. There might be minimal occassional pain in the shoulder, that may happen on doing vigorous activities, which can be managed by some rest, ice and elevation of the limb.