Your shoulder slammed against the door frame during impact. Days later, you're still feeling sharp pain at the top of your shoulder, and lifting your arm feels nearly impossible. You might be dealing with an AC joint separation—one of the most common but misunderstood shoulder injuries from Seattle car accidents.
AC joint separation happens when the ligaments connecting your collarbone to your shoulder blade get stretched or torn during the sudden force of a collision. While this injury might sound minor compared to broken bones or head trauma, it can significantly impact your daily life and take months to heal properly.
What Exactly Is an AC Joint Separation?
The acromioclavicular joint, or AC joint, sits at the top of your shoulder where your collarbone meets your shoulder blade. Think of it as a small but crucial connection point that helps your arm move smoothly in all directions. When functioning normally, strong ligaments hold these bones together while allowing the natural movement your shoulder needs.
During a car accident, the sudden impact can force your shoulder in directions it wasn't designed to go. Dashboard impacts, seatbelt injuries, or simply bracing against the steering wheel can create enough force to stretch or completely tear the AC joint ligaments. Unlike a dislocation, where bones move out of place temporarily, an AC joint separation means the ligaments have been damaged, creating lasting instability.
The injury is classified into six different grades.
- Grade 1. Mild stretching of the AC ligaments; no significant displacement.
- Grade 2. Partial tearing of the ligaments; slight instability but usually heals with conservative treatment.
- Grade 3. Complete tear of the AC ligaments and partial tearing of the surrounding ligaments; the collarbone may start to shift upward.
- Grade 4. Complete tear with the collarbone pushed backward into the surrounding tissue.
- Grade 5. Severe injury with the collarbone sitting noticeably higher due to extensive ligament damage.
- Grade 6. Complete tear with the collarbone displaced downward under the shoulder blade or surrounding muscles (rare but serious).
How Do Seattle Car Accidents Cause AC Joint Separation?
Car accidents create the perfect storm for AC joint injuries through several common scenarios.
- Shoulder compression while bracing. Occurs when the shoulder is forced downward with the arm positioned away from the body, such as when drivers brace against the steering wheel or passengers push against the dashboard.
- Seatbelt trauma. The diagonal strap can press forcefully across the shoulder during sudden stops. If the belt sits too high or multiple impacts occur, the pressure may overwhelm the AC joint ligaments.
- Side-impact collisions. The shoulder gets compressed against the door or window, with the shoulder blade and collarbone moving in opposite directions. This shearing effect can tear the ligaments.
- Rear-end collisions. Whiplash motion can drive the shoulders into the seat or door. The impact during this snapping movement may damage the AC joint.
How Should You Document Your Injury for Insurance Claims?
Proper documentation starts with seeking immediate medical attention, even if your shoulder pain seems manageable initially. Many AC joint separations don't show their full extent until swelling develops and stiffness sets in. Having medical records from the day of your Seattle car accident creates an important timeline linking your injury to the collision.
Here are some key points to consider:
- Accuracy of X-rays. X-rays provide crucial documentation for AC joint separation because they can show the characteristic displacement between your collarbone and shoulder blade. Make sure your doctor orders stress views, which involve taking X-rays while you hold weights to accentuate any separation that might not be obvious on standard films.
- Importance of an activity journal. Document which activities cause pain, how your sleep gets disrupted, and what accommodations you need to make at work or home. This functional impact evidence helps insurance adjusters understand the true scope of your injury beyond just medical terminology.
- Photograph any visible deformity or swelling. Take pictures from multiple angles and update them as your injury progresses through different phases of healing.
- Follow all prescribed treatments and attend every medical appointment. Insurance companies look for gaps in treatment as evidence that an injury isn't as serious as claimed. Consistent medical care demonstrates that you're taking your recovery seriously and following professional medical advice.
- Save receipts for all accident-related expenses. This includes prescription medications, physical therapy sessions, medical equipment like slings or ice packs, and mileage to medical appointments. These out-of-pocket costs add up quickly and deserve compensation as part of your overall claim.
Working with an experienced car accident attorney ensures that your AC joint separation receives proper legal attention and fair compensation. At Kode Law, we understand how shoulder injuries can have lasting effects on your ability to work and enjoy life. Our dedicated legal team, led by Seattle car accident lawyer Preet Kode is committed to ensuring you have the support you need to maximize your recovery.