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.
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
Shelia Briggs
Cathy Arroyo
Karen Larocca
Lynn Russell
Kimberley Gomez
Karen Larocca
Mary Isern
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.


