Connect with us

NFL Injuries

Jameis Winston’s Right Shoulder AC Joint Sprain

F Scott Feil, DPT

Published

on

Photographer: Roy K. Miller/Icon Sportswire

Tampa Bay Buccaneers Quarterback Jameis Winston suffered an AC Joint sprain to his right throwing shoulder on Sunday after lading hard on it in the game against the Cardinals. The Acromioclavicular Joint (AC Joint as it is known for short) is the joint where the clavicle meets part of the scapula (or shoulder blade) called the acromion.  The clavicle and the acromion are then connected by three ligaments (the coracoclavicular ligament (CC), which is made up of the conoid ligament and the trapezoid ligament, and the acromioclavicular ligament (AC)) all seen here.

AC Joint

AC Joint

The Injury

AC Joint sprains or strains are generally graded on a Grade 1-6 scale which classifies the injury based on how much ligament damage is sustained and how much space there is between the acromion and clavicle.

Grade 1 is a simple sprain or strain to the AC Joint with little to no damage to the ligament and no noticeable separation of the bones. A Grade 2 involves a rupture or tear of the AC Ligament. Grade 3 involves a rupture of the AC Ligament and the CC Ligaments which generally results in an upward displacement of the clavicle. A Grade 4 involves the clavicle being displaced in a backwards direction. Grade 5 involves superior or upward displacement of the clavicle, usually 3 to 5 times more than normal and can usually be seen through the skin by the clavicle sticking straight up. Grade 6 involves a full rupture or tear of both AC and CC ligaments and the clavicle being displaced downward or nearly disappearing from view on the body.

The Rehabilitation and Return to Play

Depending on the level of pain experienced and the severity of the grade of the AC joint sprain suffered by Winston, he could return to play as soon as one week, or be out as long as four weeks (more if surgery were required). The main issue here is that the injury is on his throwing shoulder. Using the right arm repetitively (throwing in practice and then in game settings) can tend to flare up an injury like this one. Rehabilitation treatments will consist of anti-inflammatory medications, rest, gentle range of motion and strengthening exercises and possibly the use of some modalities. Strengthening will be performed to structures surrounding the shoulder joint as there are no muscles that attach directly to the AC Joint, until full arm strength is regained, but it may just come down to Winston playing through a bit of pain and discomfort.

F Scott Feil, PT, DPT, CKTP, known by many of his patients as "Dr Feilgood" is a physical therapist who has practiced in outpatient and orthopedic rehabilitation for the last 10 years. He is a member of the American Physical Therapy Association (APTA) as well as the Sports, Orthopedic, Education, and Private Practice sections. A graduate of Wake Forest University where he earned a BA in English, he went on to get his Masters in Physical Therapy at East Carolina University, his Doctorate in Physical Therapy at University of St Augustine where he is also pursuing his Doctorate in Education. "Dr Feilgood" enjoys golfing, fishing, craft beers, and enjoys all things Fantasy Football Injury related (including his own Fantasy Football Draft Weekend injury...true story) He is a lifelong tortured Mets, Knicks, Islanders, and Giants fan (all hail NY sports mediocrity). F Scott is married and he and his wife are raising two wonderfully exhausting children. Dr Feil is the owner and founder of PT.Educator.com, a blog aimed at improving healthcare literacy.

Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

NFL Injuries

Dalvin Cook exits early (again) with a shoulder injury

Jesse Morse M.D.

Published

on

Continue Reading

NFL Injuries

Dak Prescott finger fracture-Dr. Patel

Avatar

Published

on

Continue Reading

NFL Injuries

Dalvin Cook suffers Week 13 injury

Jesse Morse M.D.

Published

on

Continue Reading

Subscribe!

Subscribe To Our Newsletter! Get Every Injury Update Straight To Your Inbox!

* indicates required

Trending