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I had a grade four AC joint separation playing rugby last year. Even though I had surgery to repair it I still don't have my full motion back. I've done all the rehab required. What can I do?

Talk to the orthopedic surgeon who did your surgery. It could be that the type of repair done can't restore normal motion and function. This is often the case with AC repairs. If screws, wires, or sutures were used the hardware may give you lots of stability but not as much mobility.

The doctor will be able to assess your joint and possibly take X-rays to find out what's wrong. It's possible nothing else can be done. Perhaps a second surgery is needed to modify the repair.

Reference: 

Paul W. Grutter, MD, and Steve A. Petersen, MD. Anatomical Acromioclavicular Ligament Reconstruction. In The American Journal of Sports Medicine. November 2005. Vol. 33. No. 11. Pp. 1723-1728.

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