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Grading the Severity of an AC Joint Sprain Doctors classify AC joint sprains into six grades based on the extent of ligament damage and joint separation: Grade 1: Mild sprain with minor ligament stretching, no joint separation Grade 2: Partial ligament tear with slight joint misalignment Grade 3: Complete ligament tear and visible separation of the AC joint Grade 4-6: Severe joint separation with clavicle displacement (less common) Grades 1-3 typically heal with non-surgical treatments, while Grades 4-6 may require surgery to restore shoulder stability
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