The shoulder contains many ligament attachments, and injuries to these ligaments can cause pain. One of the most common ligament injuries is an acromio-clavicular (A/C) joint tear at the top of the shoulder.
This injury happens when the clavicle meets the scapula. The end of the scapula is called the acromion, and the joint where it connects with the clavicle is known as the acromio-clavicular joint.
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A ligament injury is almost always the result of a sudden, traumatic event that can be attributed to a specific incident or action.
The two most common descriptions of a ligament injury are either a direct blow to the shoulder (often seen in football, rugby, or hockey), or a fall on to an outstretched hand (commonly seen after falling off a bicycle or horse).
Sudden pain at the top of the shoulder after an injury or fall
Swelling or bruising around the collarbone and shoulder
Tenderness when touching the top of the shoulder
Reduced range of motion, especially when lifting the arm overhead or across the body
A visible bump on the shoulder (in moderate to severe cases)
Weakness or instability, making it hard to lift or carry objects
Pain is the most common symptom, and is usually severe at the time of injury.
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