{"id":4847,"date":"2024-02-03T19:43:53","date_gmt":"2024-02-03T17:43:53","guid":{"rendered":"https:\/\/drgpanagopoulos.com\/?page_id=4847"},"modified":"2026-03-09T13:34:44","modified_gmt":"2026-03-09T11:34:44","slug":"acj-injury","status":"publish","type":"page","link":"https:\/\/drgpanagopoulos.com\/en\/acj-injury\/","title":{"rendered":"ACJ separation"},"content":{"rendered":"<p class=\"wp-block-site-tagline\">Georgios Panagopoulos MD | Orthopaedic Surgeon<\/p>\n\n\n<p><\/p>\n\n\n\n<p style=\"font-size:28px;line-height:1.6\"><strong>ACJ separation<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1200\" height=\"800\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/istock_963901_medium.jpg.jpg\" alt=\"\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03c3\u03b5 \u03b1\u03b8\u03bb\u03b7\u03c4\u03ae\" class=\"wp-image-5482\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/istock_963901_medium.jpg.jpg 1200w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/istock_963901_medium.jpg-768x512.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/istock_963901_medium.jpg-18x12.jpg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>\u03a4\u03bf \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2 \u03c3\u03c5\u03bc\u03b2\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b1\u03bd \u03bf\u03b9 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03bc\u03bf\u03b9 \u03c0\u03bf\u03c5 \u03c3\u03c5\u03b3\u03ba\u03c1\u03b1\u03c4\u03bf\u03cd\u03bd \u03c4\u03b7\u03bd \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7 \u03c5\u03c6\u03af\u03c3\u03c4\u03b1\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b9\u03ac\u03c4\u03b1\u03c3\u03b7 \u03ae \u03c1\u03ae\u03be\u03b7, \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03ba\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03c4\u03c1\u03b1\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1, \u03c4\u03bf \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03cc \u03ac\u03ba\u03c1\u03bf \u03c4\u03b7\u03c2 \u03ba\u03bb\u03b5\u03af\u03b4\u03b1\u03c2 \u03b1\u03bd\u03b1\u03c3\u03b7\u03ba\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9, \u03c7\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03b1\u03c6\u03ae \u03c4\u03bf\u03c5 \u03bc\u03b5 \u03c4\u03bf \u03b1\u03ba\u03c1\u03ce\u03bc\u03b9\u03bf. \u0397 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2 \u03b5\u03be\u03b1\u03c1\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <strong>\u03b2\u03b1\u03c1\u03cd\u03c4\u03b7\u03c4\u03b1<\/strong> \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd <strong>\u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03cc\u03c4\u03b7\u03c4\u03b1<\/strong> \u03c4\u03b7\u03c2 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7\u03c2. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0\" id=\"rank-math-toc\"><p><strong>Table of contents<\/strong><\/p><nav><ul><li class=\"\"><a href=\"#\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03b7-\u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae-\u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\">What is the acromioclavicular joint or ACJ?<\/a><\/li><li class=\"\"><a href=\"#\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2-\u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2\">What is ACJ separation?<\/a><\/li><li class=\"\"><a href=\"#\u03c0\u03bf\u03b9\u03bf\u03c2-\u03b5\u03af\u03bd\u03b1\u03b9-\u03bf-\u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2-\u03ba\u03ac\u03ba\u03c9\u03c3\u03b7\u03c2\">What's the typical mechanism of injury?<\/a><\/li><li class=\"\"><a href=\"#\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae-\u03b5\u03b9\u03ba\u03cc\u03bd\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1\">Which are the symptoms of ACJ separation?<\/a><\/li><li class=\"\"><a href=\"#\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/a><\/li><li class=\"\"><a href=\"#\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Treatment<\/a><\/li><li class=\"\"><a href=\"#\u03c0\u03cc\u03c3\u03bf-\u03b5\u03c0\u03b9\u03c4\u03c5\u03c7\u03b7\u03bc\u03ad\u03bd\u03bf-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b5\u03af\u03bf\">How successful is the procedure?<\/a><\/li><li class=\"\"><a href=\"#\u03c0\u03bf\u03b9\u03bf-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03ba\u03cc\u03c3\u03c4\u03bf\u03c2-\u03b3\u03b9\u03b1-\u03c4\u03b7\u03bd-\u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7\">What's the cost of the procedure?<\/a><\/li><li class=\"\"><a href=\"#faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03b7-\u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae-\u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\">What is the acromioclavicular joint or ACJ?<\/h2>\n\n\n\n<p class=\"translation-block\">The acromioclavicular joint, or ACJ, is essentially the connection between your collarbone (clavicle) and your shoulder blade (acromion). The superior and inferior acromioclavicular ligaments keep the joint in place. The stability of the ACJ is further maintained by the coracoclavicular ligaments, that connect the clavicle to the coracoid process (<strong>trapezoid<\/strong> &amp; <strong>conoid<\/strong> ligaments).<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"1000\" height=\"409\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/ACJ-injury.jpg\" alt=\"\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2 1\" class=\"wp-image-4849\" style=\"border-radius:20px;width:764px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/ACJ-injury.jpg 1000w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/ACJ-injury-768x314.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2-\u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2\">What is ACJ separation?<\/h2>\n\n\n\n<p>\u03a4\u03bf \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2 \u03c3\u03c5\u03bc\u03b2\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b1\u03bd \u03bf\u03b9 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03bc\u03bf\u03b9 \u03c0\u03bf\u03c5 \u03c3\u03c5\u03b3\u03ba\u03c1\u03b1\u03c4\u03bf\u03cd\u03bd \u03c4\u03b7\u03bd \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7 \u03c5\u03c6\u03af\u03c3\u03c4\u03b1\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b9\u03ac\u03c4\u03b1\u03c3\u03b7 \u03ae \u03c1\u03ae\u03be\u03b7, \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03ba\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03c4\u03c1\u03b1\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1, \u03c4\u03bf \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03cc \u03ac\u03ba\u03c1\u03bf \u03c4\u03b7\u03c2 \u03ba\u03bb\u03b5\u03af\u03b4\u03b1\u03c2 \u03b1\u03bd\u03b1\u03c3\u03b7\u03ba\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9 (\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03ae \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7 \u03ba\u03bb\u03b5\u03af\u03b4\u03b1\u03c2), \u03c7\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03b1\u03c6\u03ae \u03c4\u03bf\u03c5 \u03bc\u03b5 \u03c4\u03bf \u03b1\u03ba\u03c1\u03ce\u03bc\u03b9\u03bf (\u03bc\u03b5\u03c4\u03b1\u03c4\u03cc\u03c0\u03b9\u03c3\u03b7 \u03ba\u03bb\u03b5\u03af\u03b4\u03b1\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03b1 \u03c0\u03ac\u03bd\u03c9).<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full has-custom-border\"><img decoding=\"async\" width=\"535\" height=\"250\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/ACJ-xray.jpg\" alt=\"\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2 - \u03a3\u03c5\u03b3\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03b1\u03ba\u03c4\u03b9\u03bd\u03bf\u03b3\u03c1\u03b1\u03c6\u03af\u03b1\" class=\"wp-image-4852\" style=\"border-radius:20px\"\/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"\u03c0\u03bf\u03b9\u03bf\u03c2-\u03b5\u03af\u03bd\u03b1\u03b9-\u03bf-\u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03cc\u03c2-\u03ba\u03ac\u03ba\u03c9\u03c3\u03b7\u03c2\">What's the typical mechanism of injury?<\/h2>\n\n\n\n<p class=\"translation-block\">ACJ separation usually occurs as a result of a <strong>fall on the shoulder<\/strong>. It is a common injury in contact sports (football), as well as in winter sports (skiing &amp; snowboarding). It can also occur after a road traffic accident (fall from a bike or motor vehicle crush).<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"732\" height=\"464\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/ACJ-rugby-e1706983355188.jpg\" alt=\"ACJ injury mechanism\" class=\"wp-image-4858\" style=\"border-radius:20px;width:569px;height:auto\"\/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"483\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Matt-RIchie-injury.jpg\" alt=\"Matt-RIchie-acj-injury\" class=\"wp-image-4857\" style=\"border-radius:20px;width:587px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Matt-RIchie-injury.jpg 800w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Matt-RIchie-injury-768x464.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\"><strong>ACJ separation<\/strong> can be classified in <strong>6 types<\/strong>, based on the degree and direction of displacement of the clavicle in relation to the acromion (<strong>Rockwood classification<\/strong>):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Type I<\/strong>: Simple sprain or partial tear of the acromioclavicular (AC) ligaments with no injury to the coracoclavicular (CC) ligaments. Usually mild swelling and tenderness, should heal on its own within a few weeks.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Type \u0399\u0399<\/strong>: Complete tear of the AC ligaments and sprain or partial tear of the CC ligaments. Mild tenderness and more pronounced swelling. Mild superior displacement of the clavicle (CC distance &lt;25%).<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Type III<\/strong>: Complete tear of the AC and CC ligaments. There may be a large bump &amp; significant swelling, and the CC joint may be very tender. The ACJ is dislocated superiorly (CC distance 25-100%).<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Type IV<\/strong>: Complete tear of the AC &amp; CC ligaments (as in type \u0399\u0399\u0399), but with clavicle displaced posteriorly (backwards).<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Type V<\/strong>: Complete tear of the AC &amp; CC ligaments (as in type \u0399\u0399\u0399), but with clavicle displaced superiorly (CC distance &gt;100%).<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Type VI<\/strong>: Complete tear of the AC &amp; CC ligaments (as in type \u0399\u0399\u0399), but with clavicle displaced inferiorly (downwards).<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Rockwood.jpg\" alt=\"ACJ injury - Rockwood classification\" class=\"wp-image-4859\" style=\"border-radius:20px;width:482px;height:auto\"\/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"\u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae-\u03b5\u03b9\u03ba\u03cc\u03bd\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1\">Which are the symptoms of ACJ separation?<\/h2>\n\n\n\n<p>Symptoms may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Intense pain<\/strong> on top of the shoulder.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Obvious deformity<\/strong> \u2013 Displaced clavicle causes a lump and is painful upon palpation.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Weakness<\/strong> of the upper limb &amp; inability to lift arm.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Restricted range of motion<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Salah injury vs Real Madrid \u2022 Salah vs Ramos \u2022 Champions League Final 2018\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/mi7fXtGTwbc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">Footballer Mo Salah's ACJ separation injury<\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/h2>\n\n\n\n<p class=\"translation-block\">Diagnosis is usually obvious on <strong>clinical exam<\/strong> and can be easily confirmed by means of simple <strong>x-rays<\/strong>. An ACJ separation must be treated by an expert Upper Limb Surgeon. <strong><a href=\"https:\/\/drgpanagopoulos.com\/en\/orthopaidikos-xeirourgos\/\" data-type=\"page\" data-id=\"5\" target=\"_blank\" rel=\"noreferrer noopener\">Dr Panagopoulos<\/a><\/strong> will obtain a detailed history and examine you carefully. An ultrasound of the shoulder can be useful to rule out associated tendons lesions or tears.<\/p>\n\n\n\n<p class=\"translation-block\">An <strong>x-ray<\/strong> is necessary to further clarify the type and severity of the ACJ separation. At times, a comparative x-ray of the opposite unaffected shoulder, or a special view (cephalic 10-15 degree, or <strong>Zanca view<\/strong>) might be need. If there is a high index of suspicion for associated lesions, your doctor might order a CT or an MRI scan.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Treatment<\/h2>\n\n\n\n<p class=\"translation-block\">Treatment of ACJ separation depends on the degree of <strong>displacement<\/strong>  and the <strong>stability<\/strong>  of the injured ACJ. Types I &amp; II are typically treated non operatively, with a sling for comfort &amp; NSAIDS initially, followed by an individualised physiotherapy\/home exercise program.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"684\" height=\"469\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/visual-selection-2.jpg\" alt=\"\u0398\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b5\u03be\u03b1\u03c1\u03b8\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2\" class=\"wp-image-6156\" style=\"border-radius:20px;width:644px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/visual-selection-2.jpg 684w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/visual-selection-2-18x12.jpg 18w\" sizes=\"(max-width: 684px) 100vw, 684px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>\u03a4\u03bf \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 3\u03bf\u03c5 \u03b2\u03b1\u03b8\u03bc\u03bf\u03cd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03bc\u03c6\u03b9\u03bb\u03b5\u03b3\u03cc\u03bc\u03b5\u03bd\u03bf. \u03a5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03c0\u03b5\u03c1\u03b9\u03c0\u03c4\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c0\u03bf\u03c5 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ac \u03ba\u03b1\u03b9 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03c0\u03bf\u03c5 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7. \u039f\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03c4\u03cd\u03c0\u03bf\u03c5 III \u03c0\u03bf\u03c5 \u03b1\u03bd\u03c4\u03b1\u03c0\u03bf\u03ba\u03c1\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1, \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03b5 \u03b8\u03ad\u03c3\u03b7 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 \u03bd\u03b1 \u03b5\u03c0\u03b9\u03c3\u03c4\u03c1\u03ad\u03c6\u03bf\u03c5\u03bd \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03ae \u03c4\u03bf\u03c5\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1. \u0391\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03be\u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03bf\u03cd\u03bd \u03bd\u03b1 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03cc\u03bd\u03bf \u03ae \u03b1\u03c3\u03c4\u03ac\u03b8\u03b5\u03b9\u03b1 \u03c3\u03c4\u03b7\u03bd \u03ba\u03af\u03bd\u03b7\u03c3\u03b7 \u03c0\u03ac\u03bd\u03c9 \u03b1\u03c0\u03cc \u03c4\u03bf \u03b5\u03c0\u03af\u03c0\u03b5\u03b4\u03bf \u03c4\u03bf\u03c5 \u03ce\u03bc\u03bf\u03c5 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1, \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03ba\u03c4\u03b5\u03bb\u03bf\u03cd\u03bd \u03c7\u03b5\u03b9\u03c1\u03c9\u03bd\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1, \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03b1\u03b8\u03bb\u03b7\u03c4\u03ad\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c5\u03c0\u03bf\u03c8\u03ae\u03c6\u03b9\u03bf\u03b9 \u03b3\u03b9\u03b1 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7.<\/p>\n\n\n\n<p class=\"translation-block\">Treatment of types <strong>IV<\/strong>, <strong>V<\/strong> and <strong>VI<\/strong> is also typically surgical, in order to restore stability and reconstruct the torn coracoclavicular and acromioclavicular ligaments. The traditional surgical technique, or  <strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/4652050\/\" target=\"_blank\" rel=\"noreferrer noopener\">modified Weaver-Dunn technique (JBJS, 1972<\/a>)<\/strong>, that involves distal clavicle excision and transfer of the coracoacromial ligament, is now widely considered inadequate on its own.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/ACJ-recon.jpg\" alt=\"\" class=\"wp-image-4873\" style=\"border-radius:20px;width:483px;height:auto\"><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\">Since then, a multitude of surgical techniques has been described, with both open and <strong><a href=\"https:\/\/drgpanagopoulos.com\/en\/arthroskopisi-omou\/\" data-type=\"page\" data-id=\"924\" target=\"_self\">arthroscopic procedures<\/a><\/strong>. In acute cases, within 2 weeks of initial injury, ACJ injuries can be treated with the use of metallic buttons (ie, Arthrex Tightrope or DogBone). In chronic cases, the use of autograft, allograft or synthetic graft (ie Lockdown, or LARS ligament) is more appropriate.<\/p>\n\n\n\n<p>In our clinic, we favor ACJ reconstruction by means of LARS ligament, through a small anterior bra strap incision.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-075e48de alignwide uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-2decc3dd\">\n<figure class=\"wp-block-image size-full has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"663\" height=\"567\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/ACJ-LARS1.jpg\" alt=\"ACL LARS ligament preop\" class=\"wp-image-4876\" style=\"border-radius:20px\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-0c96252c\">\n<figure class=\"wp-block-image size-full has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"639\" height=\"548\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/ACJ-LARS2.jpg\" alt=\"ACJ LARS ligament postop\" class=\"wp-image-4877\" style=\"border-radius:20px\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"\u03c0\u03cc\u03c3\u03bf-\u03b5\u03c0\u03b9\u03c4\u03c5\u03c7\u03b7\u03bc\u03ad\u03bd\u03bf-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b5\u03af\u03bf\">How successful is the procedure?<\/h2>\n\n\n\n<p>ACJ reconstruction is a safe and minimally invasive procedure, with very low complication rates and great functional results. Patients can go home a few hours after the procedure. The arm stays in a sling for a few weeks, after which an individualised rehabilitation program can be commenced, in order to resume previous activities as soon as possible.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"\u03c0\u03bf\u03b9\u03bf-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03ba\u03cc\u03c3\u03c4\u03bf\u03c2-\u03b3\u03b9\u03b1-\u03c4\u03b7\u03bd-\u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7\">What's the cost of the procedure?<\/h2>\n\n\n\n<p class=\"translation-block\">The cost of the procedure is reasonable. Please <strong><a href=\"https:\/\/drgpanagopoulos.com\/en\/epikoinonia\/\" target=\"_blank\" data-type=\"page\" data-id=\"584\" rel=\"noreferrer noopener\">contact us<\/a><\/strong> for more details.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1707067017388\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What's ACJ separation?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>ACJ separation occurs when the ligaments that keep the joint in place are stretched or torn, usually as a result of an injury. As a consequence of the injury, the outer part of the clavicle is displaced superiorly, losing its normal anatomical relationship with the acromion.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1707067063708\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">How is it diagnosed?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">Diagnosis is usually obvious clinically and can be confirmed by simple X-rays.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1707067113048\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What's the treatment?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Treatment is usually non operative for types I &amp; II, whereas types IV to VI typically need surgery. Treatment for type III injuries is more controversial. <\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-f0c78fbe default uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-77c46601\">\n<div class=\"wp-block-uagb-info-box uagb-block-2fdac840 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M168.3 499.2C116.1 435 0 279.4 0 192C0 85.96 85.96 0 192 0C298 0 384 85.96 384 192C384 279.4 267 435 215.7 499.2C203.4 514.5 180.6 514.5 168.3 499.2H168.3zM192 256C227.3 256 256 227.3 256 192C256 156.7 227.3 128 192 128C156.7 128 128 156.7 128 192C128 227.3 156.7 256 192 256z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Athens<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/maps.app.goo.gl\/BEmxqgDN1X6dZg5c8\" target=\"_blank\" rel=\"noreferrer noopener\">Solonos 31, Kolonaki 106 71<\/a><\/p><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-57cd5a88\">\n<div class=\"wp-block-uagb-info-box uagb-block-49841691 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\"><path d=\"M285.6 444.1C279.8 458.3 264.8 466.3 249.8 463.4C234.8 460.4 223.1 447.3 223.1 432V256H47.1C32.71 256 19.55 245.2 16.6 230.2C13.65 215.2 21.73 200.2 35.88 194.4L387.9 50.38C399.8 45.5 413.5 48.26 422.6 57.37C431.7 66.49 434.5 80.19 429.6 92.12L285.6 444.1z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Marousi<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/goo.gl\/maps\/pEhC2FhtNRm1PczT8\" target=\"_blank\" rel=\"noreferrer noopener\">Kifisias 58 Ave, 151 25<\/a><\/p><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-5aebfae2 default uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-32057e61\">\n<div class=\"wp-block-uagb-info-box uagb-block-e662ea13 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\"><path d=\"M511.2 387l-23.25 100.8c-3.266 14.25-15.79 24.22-30.46 24.22C205.2 512 0 306.8 0 54.5c0-14.66 9.969-27.2 24.22-30.45l100.8-23.25C139.7-2.602 154.7 5.018 160.8 18.92l46.52 108.5c5.438 12.78 1.77 27.67-8.98 36.45L144.5 207.1c33.98 69.22 90.26 125.5 159.5 159.5l44.08-53.8c8.688-10.78 23.69-14.51 36.47-8.975l108.5 46.51C506.1 357.2 514.6 372.4 511.2 387z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Mobile<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"tel:2103639885\" target=\"_blank\" rel=\"noreferrer noopener\">+30 210 3639885<\/a><\/p><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-953cad24\">\n<div class=\"wp-block-uagb-info-box uagb-block-30f6ae74 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M320 0H64C37.49 0 16 21.49 16 48v416C16 490.5 37.49 512 64 512h256c26.51 0 48-21.49 48-48v-416C368 21.49 346.5 0 320 0zM192 464c-17.75 0-32-14.25-32-32s14.25-32 32-32s32 14.25 32 32S209.8 464 192 464z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Mobile<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"tel:+306936828444\" data-type=\"tel\" data-id=\"tel:+306936828444\">+30 6936 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\u03c3\u03c5\u03b3\u03ba\u03c1\u03b1\u03c4\u03bf\u03cd\u03bd \u03c4\u03b7\u03bd \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7 \u03c5\u03c6\u03af\u03c3\u03c4\u03b1\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b9\u03ac\u03c4\u03b1\u03c3\u03b7 \u03ae \u03c1\u03ae\u03be\u03b7, \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03ba\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03c4\u03c1\u03b1\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1, \u03c4\u03bf \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03cc \u03ac\u03ba\u03c1\u03bf \u03c4\u03b7\u03c2 \u03ba\u03bb\u03b5\u03af\u03b4\u03b1\u03c2 \u03b1\u03bd\u03b1\u03c3\u03b7\u03ba\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9, \u03c7\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03b1\u03c6\u03ae \u03c4\u03bf\u03c5 \u03bc\u03b5 \u03c4\u03bf \u03b1\u03ba\u03c1\u03ce\u03bc\u03b9\u03bf. \u0397 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2 \u03b5\u03be\u03b1\u03c1\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b2\u03b1\u03c1\u03cd\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7\u03c2. \u03a4\u03b9 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4848,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"disabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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\u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03ba\u03b1\u03c4\u03cc\u03c0\u03b9\u03bd \u03c4\u03c1\u03b1\u03cd\u03bc\u03b1\u03c4\u03bf\u03c2. \u03a9\u03c2 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1, \u03c4\u03bf \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03cc \u03ac\u03ba\u03c1\u03bf \u03c4\u03b7\u03c2 \u03ba\u03bb\u03b5\u03af\u03b4\u03b1\u03c2 \u03b1\u03bd\u03b1\u03c3\u03b7\u03ba\u03ce\u03bd\u03b5\u03c4\u03b1\u03b9, \u03c7\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03b1\u03c6\u03ae \u03c4\u03bf\u03c5 \u03bc\u03b5 \u03c4\u03bf \u03b1\u03ba\u03c1\u03ce\u03bc\u03b9\u03bf. \u0397 \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03bf \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03bf\u03ba\u03bb\u03b5\u03b9\u03b4\u03b9\u03ba\u03ae\u03c2 \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7\u03c2 \u03b5\u03be\u03b1\u03c1\u03c4\u03ac\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b2\u03b1\u03c1\u03cd\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03b7\u03c2 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7\u03c2. \u03a4\u03b9&hellip;","_links":{"self":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/4847","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/comments?post=4847"}],"version-history":[{"count":26,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/4847\/revisions"}],"predecessor-version":[{"id":7148,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/4847\/revisions\/7148"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/media\/4848"}],"wp:attachment":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/media?parent=4847"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}