Abstract
Shoulder pain is a frequent presenting complaint to physiatrists. Commonly encountered pathogeneses include rotator cuff pathology, bursitis, biceps tendonitis, and labral tears. Because the majority of shoulder pain originates within the subacromial region and the glenohumeral joint, the acromioclavicular, sternoclavicular, and scapulothoracic articulations may be overlooked. Osteoarthritis of the acromioclavicular joint is a common source of shoulder pain that is often neglected by clinicians and researchers. The proper diagnosis of acromioclavicular joint osteoarthritis requires a thorough physical exam, plain-film radiograph, and a diagnostic local anesthetic injection. Current treatment options are rather limited. Initial therapies are similar to that of osteoarthritis in other joints and include oral analgesics or anti-inflammatories and an emphasis on activity modification. Physical therapy, unfortunately, has little to offer, as therapeutic exercise and range of motion play only a minor role. If a diagnostic local anesthetic injection provides relief, there may be a role for corticosteroid injections. It seems that the administration of local corticosteroids into the acromioclavicular joint may provide short-term pain r...Continue Reading
References
Jan 1, 1992·Skeletal Radiology·B StenlundO Marions
Aug 1, 1992·British Journal of Industrial Medicine·B StenlundO Marions
Feb 1, 1991·Arthritis and Rheumatism·B HaraouiJ Martel-Pelletier
Dec 1, 1989·Baillière's Clinical Rheumatology·C R Constant
Jul 1, 1994·Radiology·M E SchweitzerR E Epstein
Jun 1, 1993·British Journal of Sports Medicine·B Stenlund
Jan 1, 1997·Skeletal Radiology·D S UriR Herzog
Feb 14, 1998·Annals of the Rheumatic Diseases·P Creamer
May 30, 1998·Journal of Advanced Nursing·A Street, C Walsh
May 21, 1998·Journal of Shoulder and Elbow Surgery·M S KusterS J Davis
Sep 30, 1998·Journal of Shoulder and Elbow Surgery·C GerberO Hersche
Oct 24, 1998·The American Journal of Sports Medicine·S J O'BrienJ B Wilson
Jan 12, 1999·Journal of Shoulder and Elbow Surgery·F CuomoT Olsen
May 27, 1999·The Journal of the American Academy of Orthopaedic Surgeons·B S Shaffer
Jul 8, 1999·Journal of Manipulative and Physiological Therapeutics·D J Buchberger
Mar 29, 2000·The Orthopedic Clinics of North America·H D Clarke, P D McCann
Jul 13, 2001·Current Biology : CB·P Koopman
Jun 27, 2003·Clinics in Sports Medicine·Kevin J Renfree, Thomas W Wright
Jun 27, 2003·Clinics in Sports Medicine·Ralph B Garretson, Gerald R Williams
Jun 27, 2003·Clinics in Sports Medicine·Lauren A Ernberg, Hollis G Potter
Jun 27, 2003·Clinics in Sports Medicine·Andrew L ChenJoseph D Zuckerman
Jun 27, 2003·Clinics in Sports Medicine·Mark J Lemos, Eric T Tolo
Aug 23, 2003·AJR. American Journal of Roentgenology·Klaus StrobelJuerg Hodler
May 18, 2004·Physical Medicine and Rehabilitation Clinics of North America·Todd P StitikJeffrey Fossati
Citations
Nov 28, 2012·Skeletal Radiology·Atul K TanejaMartin Torriani
Nov 12, 2013·International Orthopaedics·Nick DuindamBart J Burger
Aug 14, 2012·Surgical and Radiologic Anatomy : SRA·Taku HattaEiji Itoi
May 27, 2009·Current Reviews in Musculoskeletal Medicine·Salvatore DocimoDavid E Elkowitz
Sep 22, 2007·Current Sports Medicine Reports·David J Petron, Ronald W Hanson
Oct 19, 2011·Regional Anesthesia and Pain Medicine·Philip W H Peng, Peter Cheng
Mar 6, 2013·Topics in Spinal Cord Injury Rehabilitation·Inge Eriks-HooglandStefan van Drongelen
Oct 28, 2011·The Journal of Orthopaedic and Sports Physical Therapy·Kevin D HarrisRobert R Howes
Jun 1, 2014·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Catarina de Oliveira SousaTania Fátima Salvini
Aug 1, 2012·Spinal Cord·I Eriks-HooglandS van Drongelen
Apr 16, 2016·Journal of Agromedicine·Gregory D KearneyPaul Barry
Jun 15, 2014·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Catarina de Oliveira SousaTania Fátima Salvini
May 28, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ram K AlluriSharon L Hame
Sep 28, 2010·PM & R : the Journal of Injury, Function, and Rehabilitation·Evan PeckJay Smith
Mar 13, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·K GokkusA T Aydin
Apr 23, 2014·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Kenji EmuraToshio Terashima
Oct 20, 2018·Clinical Orthopaedics and Related Research·Jie WangXin-Long Ma
Jun 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Simon M Johnson, C Michael Robinson
Oct 7, 2019·MMW Fortschritte der Medizin·Johannes GleichBen Ockert
Apr 10, 2020·Shoulder & Elbow·Gerard FarrellHemakumar Devan
Aug 14, 2020·New Solutions : a Journal of Environmental and Occupational Health Policy : NS·Gregory D KearneyDavid W Wambui
Jul 17, 2020·Journal of Ultrasound·Matteo PreceruttiFrancesco Calciati
Feb 23, 2021·The Journal of Spinal Cord Medicine·Ursina ArnetMarkus Berger
Mar 9, 2021·Arthroscopy Techniques·Joo Yeon KimJames L Chen
Jul 9, 2021·Joints·Riccardo CompagnoniPietro Randelli
Apr 6, 2006·Emergency Medicine Clinics of North America·Lori Harrington, Jeffrey I Schneider
Apr 24, 2007·Journal of Shoulder and Elbow Surgery·Brett A FreedmanWilliam C Doukas