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Chris.
Full separation in 2005 after a motorcycle fall (in a Baja in Qatar but that's another story).
I 've lived with it since then. Surgeon advised no surgery unless I'm in pain or restricted and neither is the case. He wouldn't do it on cosmetic grounds but since I don't use cosmetics I passed. Seriously - it's been no bother and makes a secure hook for my rucksack and scares the sh*t out of anyone who makes a friendly shoulder-stroking move on me.