Hi
i had a grade 4 dislocation of AC jt after a fall off my bike mid Feb this year. Complete disruption of capsule of AC jt, stabilising ligaments, and deltoid and trapezius muscles off their insertions was identified.
Had surgery, synthetic tendon grafts (bow tie loops) to stabilise jt, reattached ligaments and torn muscles and fascia, and then 3 months off work (Im a Chiropractor).
Now working on gym to strengthen and will be back on bike soon as confidence took a big knock.
Whatever choice you make, best of luck, surgery was absolutely necessary in my case because of the extent of damage incurred.
Currently about 80% recovered, strength and full range still recovering.
Current research shows that grade 3 can be conservatively managed but a grade4 depends on individual circumstances so a decision must be carefully considered.
