Acromioclavicular Joint Arthritis

Reviewed 06/2017
 


BASICS

DESCRIPTION

Degenerative disease of the acromioclavicular (AC) joint 
  • Acute: usually due to traumatic AC separation—can lead to chronic osteoarthritis (OA) over time

  • Chronic: due to repetitive str...

DIAGNOSIS

HISTORY

  • History of trauma (prior AC separation)

  • History of overhead sports such as baseball, weight lifting, tennis, and swimming (3)

  • Family or personal history of inflammatory disease or arthr...

TREATMENT

  • Most patients respond well to combination of activity modification, physical therapy, medications, and steroid injections (4)[B].

  • Decrease cross-body motions (golf, baseball), overhead activi...

ONGOING CARE

PROGNOSIS

  • Chronic degenerative condition that is likely to progress over time

  • Activity modification is the best way to slow progression.

  • Surgery can be definitive treatment.

REFERENCES

Burbank KM, Stevenson JH, Czarnecki GR et al. Chronic shoulder pain: part 1. Evaluation and diagnosis. Am Fam Physician.  2008;77(4):453–460. [View Abstract on OvidInsights]
House J, ...

CODES

ICD10

  • M13.819 Other specified arthritis, unspecified shoulder

  • M19.019 Primary osteoarthritis, unspecified shoulder

  • M12.519 Traumatic arthropathy, unspecified shoulder

  • M19.219 Secondary osteoarthriti...

PEARLS

  • Chronic shoulder pain is the second leading MSK cause of visits in primary care.

  • AC joint arthritis is the second most common cause of shoulder pain.

  • AC pain in younger patients is typically due ...

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