AC Joint Reconstruction in Houston

A direct impact to your shoulder can separate the acromioclavicular joint, causing immediate pain and a visible deformity at the top of your shoulder. While minor AC joint injuries often heal without surgery, severe separations may require reconstruction to restore stability and function. Board-certified surgeon Dr. Barrett S. Brown offers specialized AC joint reconstruction in Houston, with a patient-centric approach.

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    How AC Joint Injuries Happen

    Your acromioclavicular joint connects your collarbone to the highest point of your shoulder blade. Ligaments hold these bones together and allow your shoulder to move smoothly through its full range. When trauma pushes your shoulder blade downward while your collarbone stays in place, these ligaments can stretch or tear completely. The severity of your separation determines whether you need surgery.

    Athletes in contact sports face the highest risk for these injuries, but anyone can experience an AC joint separation. The bump that appears at the top of your shoulder after injury reflects the displaced collarbone, which has lost its ligament support. Along with this deformity, you’ll experience pain that worsens when you try to lift your arm or move it across your body. 

    Determining Your Treatment 

    Dr. Brown begins by carefully evaluating the extent of your injury through physical examination and imaging studies. There may be different options that Dr. Brown can review with you:

    • Coracoclavicular ligament reconstruction replaces or repairs the ligament that stabilizes the AC joint.
    • Coracoid transfer involves moving a bony part of the scapula to the clavicle and securing it with stitches or screws
    • Allograft reconstruction uses a donor ligament to replace your damaged ligaments.
    Acromioclavicular Ligament Reconstruction

    Questions About AC Joint Reconstruction?

    The Reconstruction Procedure

    Dr. Brown uses tissue grafts to replace the damaged ligaments, either from your own body or from donor tissue. In some cases, a synthetic material may be used. These grafts are carefully positioned to recreate the natural anatomy of your acromioclavicular joint and secured with specialized surgical hardware.

    The procedure may be performed arthroscopically through small incisions or through a direct surgical approach, depending on the complexity of your injury. Dr. Brown’s extensive training in shoulder surgery allows him to select the technique best suited to your particular case. Throughout the procedure, precise graft placement and secure fixation ensure your shoulder heals with proper alignment and stability.

    Rehabilitation and Return to Activity

    Your shoulder requires protection immediately after AC joint reconstruction. You’ll wear a supportive sling for several weeks while the reconstructed ligaments begin healing, and then transition into physical therapy that gradually rebuilds your shoulder strength and motion. Most patients progress through rehabilitation over several months, with gradual increases in activity levels. Athletes typically return to full sports participation within four to six months, though individual timelines vary based on injury severity and healing progress.

    What Our Patients Are Saying

    From appointment scheduling, receptionist, nurse, xray to Dr. Barrett Brown, all friendly and professional. Thank God that Dr. Brown wants to try physical therapy instead of jumping to surgery. I am well pleased!!
    Shelia Briggs

    Shelia Briggs

    Dr Brown was very professional and explained everything. He helped me with decisions of my care. Highly recommend him.
    Cathy Arroyo

    Cathy Arroyo

    I had the best experience with Doctor Brown and staff They are so Thorough and nice. He did amazing job on my shoulder I would recommend him And his staff any day thank you so much Doctor Brown.
    Karen Larocca

    Karen Larocca

    Dr. Barrett Brown is a very fine physician. He is also a friend. While he is a surgeon he said this about my horribly painful shoulder. First we will try an injection performed by our specialist using ultra sound. (It was painless.) If that does not relieve your pain we will do a cat scan to evaluate the rotator cuff.
    Lynn Russell

    Lynn Russell

    Highly recommend Dr Brown!!! He took time to answer all questions without rushing. I called his office in severe pain and received the in- office MRI and Dr appt the next day then Dr Brown explained my condition and I was booked for surgery with their on-site hospital days later. The surgery went great and I was treated great by all staff. They have valet service as well. Thanks Dr Brown and all staff!!!
    Kimberley Gomez

    Kimberley Gomez

    I had the best experience with Doctor Brown and staff They are so Thorough and nice. He did amazing job on my shoulder I would recommend him And his staff any day thank you so much Doctor Brown.
    Karen Larocca

    Karen Larocca

    I had a rotator cuff repair with Dr. Brown. Everyone at this hospital from the registration staff, pre-op nurse, surgery staff, recovery room nurse, the anesthesiologist, and of course, the surgeon, Dr. Brown were all professional and caring.
    Mary Isern

    Mary Isern

    I have, unfortunately, been a frequent visitor to the Fondren Orthopedic clinic as I cannot seem to stay on my feet 😅. My most recent experience with Dr. Brown has been nothing short of excellent. From the initial exam to surgery and then the follow up and discussion of how I am healing have been extremely thorough and communication has been a 10. I would definitely recommend.
    Jenna Hunter

    Jenna Hunter

    Why Trust Dr. Brown for Your AC Joint Reconstruction Needs?

    Dr. Brown’s over 23 years of experience treating complex shoulder injuries ensures you receive expert surgical care and comprehensive support. He has extensive education in the field and is known among patients for being professional and meticulous.

    Dr. Brown discusses your specific situation and goals during your consultation, explaining which approach offers the best chance for your recovery. He adopts a “conservative-first” philosophy, exploring noninvasive or less invasive procedures where possible before considering surgical ones. When you work with Dr. Brown, you know you’re receiving thoughtful and compassionate care you can trust.

    Let Us Help You Restore Your Shoulder’s Function!

    We’ll do everything we can to support your healing journey. Contact his Houston office at (346) 247-2531 or request a consultation online and discuss whether AC joint reconstruction is right for your injury.