The term 'sprained shoulder' often refers to an acromioclavicular separation. Referring to the x-ray below, normally the clavicle (Cl) is held in alignment with the acromion process of the scapula (Ac) by ligaments running from the end of the clavicle to the acromion and by ligaments connecting the coracoid process of the scapula (Co) to the clavicle. When these suspensory ligaments are torn, as in the example below, the shoulder blade (scapula) drops down away from the clavicle -- the shoulder has an acromioclavicular separation or 'sprain'.
Treatment of this injury may be non operative with early resumption of shoulder strengthening or surgical in which the scapula is resuspended from the clavicle by repairing or reconstructing the torn ligaments.
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