u/Lephorus

AC joint clicking after SLAP repair — possible scapular dyskinesis?

Hi everyone,
I had a right shoulder SLAP repair on August 5, 2025. About 1 month after surgery, I developed a mechanical clicking/popping sensation around my AC joint/clavicle area, and it has continued for almost 9 months despite consistent rehab.

The click happens mostly when I raise my arm forward, especially in the first 0–30 degrees of flexion, sometimes up to around 60 degrees. It feels like something is slightly stuck or misaligned, then suddenly “pops” or settles back into place.

I also get a similar click when I move my arm behind my body, like shoulder extension/internal rotation.
From the side, my scapula looks slightly prominent/winged, and I also have rounded shoulders. It feels like my scapula, clavicle, and shoulder are not moving smoothly together.

My post-op MRI showed postoperative SLAP repair changes without a clear recurrent labral tear. The biceps tendon was reported as normal. There was supraspinatus tendinosis/old partial articular-sided tear appearance, but no major rotator cuff rupture or muscle atrophy.

My acromiohumeral distance was measured on MRI and it was around 6.5 mm.
I have tried many things for months: rotator cuff strengthening, serratus anterior work, lower trap/scapular exercises, rows, face pulls, wall slides, posture work, thoracic mobility, and general shoulder rehab. But the clicking has not really improved.
At this point I am wondering if this is scapular dyskinesis, AC joint irritation/instability, clavicle rotation problem, scar tissue, impingement, or something else.

Has anyone had persistent AC joint/clavicle clicking after SLAP/labrum surgery that did not improve with regular rehab? What finally helped you?
I would really appreciate advice from anyone who has experienced this, or from PTs/orthopedic professionals.

reddit.com
u/Lephorus — 3 days ago

AC joint clicking after SLAP repair — possible scapular dyskinesis?

Hi everyone,
I had a right shoulder SLAP repair on August 5, 2025. About 1 month after surgery, I developed a mechanical clicking/popping sensation around my AC joint/clavicle area, and it has continued for almost 9 months despite consistent rehab.

The click happens mostly when I raise my arm forward, especially in the first 0–30 degrees of flexion, sometimes up to around 60 degrees. It feels like something is slightly stuck or misaligned, then suddenly “pops” or settles back into place.

I also get a similar click when I move my arm behind my body, like shoulder extension/internal rotation.
From the side, my scapula looks slightly prominent/winged, and I also have rounded shoulders. It feels like my scapula, clavicle, and shoulder are not moving smoothly together.

My post-op MRI showed postoperative SLAP repair changes without a clear recurrent labral tear. The biceps tendon was reported as normal. There was supraspinatus tendinosis/old partial articular-sided tear appearance, but no major rotator cuff rupture or muscle atrophy.

My acromiohumeral distance was measured on MRI and it was around 6.5 mm.
I have tried many things for months: rotator cuff strengthening, serratus anterior work, lower trap/scapular exercises, rows, face pulls, wall slides, posture work, thoracic mobility, and general shoulder rehab. But the clicking has not really improved.
At this point I am wondering if this is scapular dyskinesis, AC joint irritation/instability, clavicle rotation problem, scar tissue, impingement, or something else.

Has anyone had persistent AC joint/clavicle clicking after SLAP/labrum surgery that did not improve with regular rehab? What finally helped you?
I would really appreciate advice from anyone who has experienced this, or from PTs/orthopedic professionals.

reddit.com
u/Lephorus — 3 days ago

AC joint clicking after SLAP repair — possible scapular dyskinesis?

Hi everyone,
I had a right shoulder SLAP repair on August 5, 2025. About 1 month after surgery, I developed a mechanical clicking/popping sensation around my AC joint/clavicle area, and it has continued for almost 9 months despite consistent rehab.

The click happens mostly when I raise my arm forward, especially in the first 0–30 degrees of flexion, sometimes up to around 60 degrees. It feels like something is slightly stuck or misaligned, then suddenly “pops” or settles back into place.

I also get a similar click when I move my arm behind my body, like shoulder extension/internal rotation.
From the side, my scapula looks slightly prominent/winged, and I also have rounded shoulders. It feels like my scapula, clavicle, and shoulder are not moving smoothly together.

My post-op MRI showed postoperative SLAP repair changes without a clear recurrent labral tear. The biceps tendon was reported as normal. There was supraspinatus tendinosis/old partial articular-sided tear appearance, but no major rotator cuff rupture or muscle atrophy.

My Acromiohumeral distance was measured around 6.5 mm. It has measured with MRI.
I have tried many things for months: rotator cuff strengthening, serratus anterior work, lower trap/scapular exercises, rows, face pulls, wall slides, posture work, thoracic mobility, and general shoulder rehab. But the clicking has not really improved.
At this point I am wondering if this is scapular dyskinesis, AC joint irritation/instability, clavicle rotation problem, scar tissue, impingement, or something else.

Has anyone had persistent AC joint/clavicle clicking after SLAP/labrum surgery that did not improve with regular rehab? What finally helped you?
I would really appreciate advice from anyone who has experienced this, or from PTs/orthopedic professionals.

reddit.com
u/Lephorus — 3 days ago