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Degenerative Acromioclavicular Joint Disease

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Shoulder Arthroscopy

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Abstract

The prevalence of the acromioclavicular (AC) joint osteoarthritis (OA) among general population is very high. We can distinguish a primary and secondary form. The first is related to some risk factors, such as age, even though it has been widely demonstrated that the AC joint undergoes early degenerative changes after the third decade of life. Therefore, an initial OA of the AC joint can appear also in patients in their 40s and is part of an early degenerative ageing process and not necessarily painful. Other risk factors can be intense manual labor or intense sports activities.

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References

  1. Buttaci CJ, Stitik TP, Yonclas PP, Foye PM. Osteoarthritis of the acromioclavicular joint: a review of anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil. 2004;83:791–7.

    Article  PubMed  Google Scholar 

  2. Mehrberg RD, Lobel SM, Gibson WK. Disorders of the acromioclavicular joint. Phys Med Rehabil Clin N Am. 2004;15:537–55.

    Article  Google Scholar 

  3. Sher JS, Iannotti JP, Williams GR, Herzog RJ, Kneeland JB, Lisser S, et al. The effect of shoulder magnetic resonance imaging on clinical decision making. J Shoulder Elbow Surg. 1998;7:205–9.

    Article  CAS  PubMed  Google Scholar 

  4. Needell SD, Zlatkin MB, Sher JS, Murphy BJ, Uribe JW. MR imaging of the rotator cuff: peritendinous and bone abnormalities in an asymptomatic population. AJR Am J Roentgenol. 1996;166:863–7.

    Article  CAS  PubMed  Google Scholar 

  5. Shubin Stein BE, Wiater JM, Pfaff HC, Bigliani LU, Levine WN. Detection of acromioclavicular joint pathology in asymptomatic shoulders with magnetic resonance imaging. J Shoulder Elbow Surg. 2001;10:204–8.

    Article  Google Scholar 

  6. DePalma AF. Surgical anatomy of acromioclavicular and sternoclavicular joints. Surg Clin North Am. 1963;43:1541–50.

    CAS  PubMed  Google Scholar 

  7. Murphy OB, Bellamy R, Wheeler W, Brower TD. Post-traumatic osteolysis of the distal clavicle. Clin Orthop Relat Res. 1975;109:108–14.

    Article  PubMed  Google Scholar 

  8. Griffiths CJ, Glucksman E. Post-traumatic osteolysis of the clavicle: a case report. Arch Emerg Med. 1986;3:129–32.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Madsen B. Osteolysis of the acromial end of the clavicle following trauma. Br J Radiol. 1963;36:822–8.

    Article  CAS  PubMed  Google Scholar 

  10. Cahill BR. Osteolysis of the distal part of the clavicle in male athletes. J Bone Joint Surg Am. 1982;64A:1053–8.

    Google Scholar 

  11. Brunet ME, Reynolds MC, Cook SD, Brown TW. Atraumatic osteolysis of the distal clavicle: histologic evidence of synovial pathogenesis: a case report. Orthopedics. 1986;9:557–9.

    CAS  PubMed  Google Scholar 

  12. Quinn SF, Glass TA. Post-traumatic osteolysis of the clavicle. South Med J. 1983;76:307–8.

    Article  CAS  PubMed  Google Scholar 

  13. Jacobs P. Post-traumatic osteolysis of the outer end of the clavicle. J Bone Joint Surg Am. 1964;46B:705–7.

    Google Scholar 

  14. Glick JM, Milburn LJ, Haggerty JF, Nishimoto D. Dislocated acromioclavicular joint: follow-up study of 35 unreduced acromioclavicular dislocations. Am J Sports Med. 1977;5:264–70.

    Article  CAS  PubMed  Google Scholar 

  15. Scavenius M, Iversen BF. Nontraumatic clavicular osteolysis in weight lifters. Am J Sports Med. 1992;20:463–7.

    Article  CAS  PubMed  Google Scholar 

  16. Seymour EQ. Osteolysis of the clavicular tip associated with repeated minor trauma to the shoulder. Radiology. 1977;123:56.

    CAS  PubMed  Google Scholar 

  17. Matthews LS, Simonson BG, Wolock BS. Osteolysis of the distal clavicle in a female body builder. A case report. Am J Sports Med. 1993;21:50–2.

    Google Scholar 

  18. Scavenius M, Iversen BF, Sturup J. Resection of the lateral end of the clavicle following osteolysis, with emphasis on non-traumatic osteolysis of the acromial end of the clavicle in athletes. Injury. 1987;18:261–3.

    Article  CAS  PubMed  Google Scholar 

  19. Dearden PMC, Ferran NA, Morris EW. Distal clavicle osteolysis following fixation with a synthetic ligament. Int J Shoulder Surg. 2011;5:101–4.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Hawkins BJ, Covey DC, Thiel BG. Distal clavicle osteolysis unrelated to trauma, overuse, or metabolic disease. Clin Orthop Relat Res. 2000;370:208–11.

    Article  PubMed  Google Scholar 

  21. Petersson CJ. The acromioclavicular joint in rheumatoid arthritis. Clin Orthop Relat Res. 1987;223:86–93.

    PubMed  Google Scholar 

  22. Hakozaki M, Kikuchi S, Otani K, Tajino T, Konno S. Pseudogout of the acromioclavicular joint: report of two cases and review of the literature. Mod Rheumatol. 2011;21:440–3.

    Article  PubMed  Google Scholar 

  23. De Santis D, Palazzi C, D’Amico E, Di Mascio DE, Pace-Palitti V, Petricca A. Acromioclavicular cyst and “porcupine shoulder” in gout. Rheumatology. 2001;40:1320–1.

    Article  PubMed  Google Scholar 

  24. Huang GS, Bachmann D, Taylor JAM, Marcelis S, Haghighi P, Resnick D. Calcium pyrophosphate dihydrate crystal deposition disease and pseudogout of the acromioclavicular joint: radiographic and pathologic features. J Rheumatol. 1993;20:2077–82.

    CAS  PubMed  Google Scholar 

  25. Miller-Blair D, White R, Greenspan A. Acute gout involving the acromioclavicular joint following treatment with gemfibrozil. J Rheumatol. 1992;19:166–8.

    CAS  PubMed  Google Scholar 

  26. Rollo J, Raghunath J, Porter K. Injuries of the acromioclavicular joint and current treatment options. Trauma. 2005;7:217–23.

    Article  Google Scholar 

  27. Riand N, Sadowski C, Hoffmeyer P. Acute acromioclavicular dislocations. Acta Orthop Belg. 1999;65:393–403.

    CAS  PubMed  Google Scholar 

  28. Kocher MS, Feagin Jr JA. Shoulder injuries during alpine skiing. Am J Sports Med. 1996;24:665–9.

    Article  CAS  PubMed  Google Scholar 

  29. Weaver JK. Skiing-related injuries to the shoulder. Clin Orthop Relat Res. 1987;216:24–8.

    PubMed  Google Scholar 

  30. Headey J, Brooks JH, Kemp SP. The epidemiology of shoulder injuries in english professional rugby union. Am J Sports Med. 2007;35:1537–43.

    Article  PubMed  Google Scholar 

  31. Wurtz LO, Lyons FA, Rockwood Jr CA. Fracture of the middle third of the clavicle and dislocation of the acromioclavicular joint. J Bone Joint Surg Am. 1992;74A:183–6.

    Google Scholar 

  32. Meislin RJ, Zuckerman JD, Nainzadeh N. Type III acromioclavicular joint separation associated with late brachial plexus neuropraxia. J Orthop Trauma. 1992;6:370–2.

    Article  CAS  PubMed  Google Scholar 

  33. Sturm JT, Perry Jr JF. Brachial plexus injuries from blunt trauma-a harbinger of vascular and thoracic injury. Ann Emerg Med. 1987;16:404–6.

    Article  CAS  PubMed  Google Scholar 

  34. McPhee IB. Inferior dislocation of the outer end of the clavicle. J Trauma. 1980;20:709–10.

    Article  CAS  PubMed  Google Scholar 

  35. Patterson WR. Inferior dislocation of the distal end of the clavicle. J Bone Joint Surg Am. 1967;49A:1184–6.

    Google Scholar 

  36. Liberson F. The role of the coracoclavicular ligaments in affections of the shoulder girdle. Am J Surg. 1939;44:145–57.

    Article  Google Scholar 

  37. Rockwood CA, Williams GR, Youg DC. Disorders of the acromioclavicular joint. In: Rockwood CA, Masten 2nd FA, editors. The shoulder. Philadelphia: Saunders; 1998. p. 483–553.

    Google Scholar 

  38. Bannister GC, Wallace WA, Stableforth PG, Hutson MA. The management of acute acromioclavicular dislocation: a randomized prospective controlled trial. J Bone Joint Surg Am. 1989;71B:848–50.

    Google Scholar 

  39. Lemos MJ. The evaluation and treatment of the injured acromioclavicular joint in athletes. Am J Sports Med. 1998;26:137–44.

    CAS  PubMed  Google Scholar 

  40. Mouhsine E, Garofalo R, Crevoisier X, Farron A. Grade I and II acromioclavicular dislocations: results of conservative treatment. J Shoulder Elbow Surg. 2003;12:599–602.

    Article  PubMed  Google Scholar 

  41. Nuber GW, Bowen MK. Acromioclavicular joint injuries and distal clavicle fractures. J Am Acad Orthop Surg. 1997;5:11–8.

    PubMed  Google Scholar 

  42. Phillips AM, Smart C, Groom AF. Acromioclavicular dislocation. Conservative or surgical therapy. Clin Orthop Relat Res. 1998;353:10–7.

    Article  PubMed  Google Scholar 

  43. Rawes ML, Dias JJ. Long-term results of conservative treatment for acromioclavicular dislocation. J Bone Joint Surg Am. 1996;78B:410–2.

    Google Scholar 

  44. Weinstein DM, McCann PD, McIlveen SJ, Flatow EL, Biglianu LU. Surgical treatment of complete acromioclavicular dislocations. Am J Sports Med. 1995;23:324–31.

    Article  CAS  PubMed  Google Scholar 

  45. Yu JS, Dardani M, Fischer RA. MR observations of post-traumatic osteolysis of the distal clavicle after traumatic separation of the acromioclavicular joint. J Comput Assist Tomogr. 2000;24:159–64.

    Article  CAS  PubMed  Google Scholar 

  46. Alldredge RH. Surgical treatment of acromioclavicular dislocation. Clin Orthop Relat Res. 1969;63:262–3.

    Google Scholar 

  47. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology part III: the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy. 2003;19:641–61.

    Article  PubMed  Google Scholar 

  48. Montet X, Zamorani-Bianchi MP, Mehdizade A, Martinoli C, Bianchi S. Intramuscular ganglion arising from the acromioclavicular joint. Clin Imaging. 2004;28:109–12.

    Article  PubMed  Google Scholar 

  49. Guy DK, Wirth MA, Griffin JL, Rockwood CAJ. Reconstruction of chronic and complete dislocations of the acromioclavicular joint. Clin Orthop Relat Res. 1998;347:138–49.

    PubMed  Google Scholar 

  50. Burns SJ, Zvirbulis RA. A ganglion arising over the acromioclavicular joint: a case report. Orthopedics. 1984;7:1002–4.

    Google Scholar 

  51. Craig EV. The acromioclavicular joint cyst: an unusual presentation of a rotator cuff tear. Clin Orthop Relat Res. 1986;202:189–92.

    PubMed  Google Scholar 

  52. Mullett H, Benson R, Levy O. Arthroscopic treatment of a massive acromioclavicular joint cyst. Arthroscopy. 2007;23:446.e1–4.

    Google Scholar 

  53. Ozaki J, Tomita Y, Nakagawa Y, Kisanuki O, Tamai S. Synovial chondromatosis of the acromioclavicular joint. Arch Orthop Trauma Surg. 1993;112:152–4.

    Article  CAS  PubMed  Google Scholar 

  54. Postacchini F, Perugia D, Gumina S. Acromioclavicular joint cyst associated with rotator cuff tear. A report of three cases. Clin Orthop Relat Res. 1993;294:111–3.

    PubMed  Google Scholar 

  55. Hiller AD, Miller JD, Zeller JL. Acromioclavicular joint cyst formation. Clin Anat. 2010;23:145–52.

    PubMed  Google Scholar 

  56. Noh KC, Chung KJ, Yu HS, Koh SH, Yoo JH. Arthroscopic treatment of septic arthritis of acromioclavicular joint. Clin Orthop Surg. 2010;2:186–90.

    Article  PubMed Central  PubMed  Google Scholar 

  57. Bossert M, Prati C, Bertolini E, Toussirot E, Wendling D. Septic arthritis of the acromioclavicular joint. Joint Bone Spine. 2010;77:466–9.

    Article  PubMed  Google Scholar 

  58. Hammel JM, Kwon N. Septic arthritis of the acromioclavicular joint. J Emerg Med. 2005;29:425–7.

    Article  PubMed  Google Scholar 

  59. Laktasic-Zerjavic N, Babic-Naglic D, Curkovic B, Potocki K, Soldo-Juresa D. Septic acromioclavicular arthritis in a patient with diabetes mellitus. Coll Antropol. 2005;29:743–6.

    PubMed  Google Scholar 

  60. Adams R, McDonald M. Cryptococcal arthritis of the acromioclavicular joint. N C Med J. 1984;45:23–4.

    CAS  PubMed  Google Scholar 

  61. Richter R, Hahn H, Naaubling W, Kohler G. Shoulder girdle and shoulder joint tuberculosis. Z Rheumatol. 1985;44:87–92.

    CAS  PubMed  Google Scholar 

  62. Lim KB, Kwak YG, Kim YS, Park KR. Shoulder joint infectious arthritis and acromioclavicular joint osteomyelitis due to Candida. Ann Rehabil Med. 2012;36:573–7.

    Article  PubMed Central  PubMed  Google Scholar 

  63. Gerber C, Galantay RV, Hersche O. The pattern of pain produced by irritation of the acromioclavicular joint and the subacromial space. J Shoulder Elbow Surg. 1998;7:352–5.

    Article  CAS  PubMed  Google Scholar 

  64. McLaughlin HL. On the frozen shoulder. Bull Hosp Jt Dis Orthop Inst. 1951;12:383–93.

    CAS  Google Scholar 

  65. O’Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med. 1998;26:610–3.

    PubMed  Google Scholar 

  66. Moen MH, de Vos RJ, Ellenbecker TS, Weir A. Clinical tests in shoulder examination: how to perform them. Br J Sports Med. 2010;44:370–5.

    Article  PubMed  Google Scholar 

  67. Walton J, Mahajan S, Paxinos A, Marshall J, Bryant C, Shnier R, et al. Diagnostic values of tests for acromioclavicular joint pain. J Bone Joint Surg Am. 2004;86A:807–12.

    Google Scholar 

  68. Zanca P. Shoulder pain. Involvement of the acromioclavicular joint. (Analysis of 1,000 cases). Am J Roentgenol Radium Ther Nucl Med. 1971;112:493–506.

    Article  CAS  PubMed  Google Scholar 

  69. Alexander OM. Dislocation of the acromio-clavicular joint. Radiography. 1949;15:260–3.

    CAS  PubMed  Google Scholar 

  70. Waldrop JI, Norwood LA, Alvarez RG. Lateral roentgenographic projections of the acromioclavicular joint. Am J Sports Med. 1981;9:337–41.

    Article  CAS  PubMed  Google Scholar 

  71. Stewart CA, Siegel ME, King D, Moser L. Radionuclide and radiographic demonstration of condensing osteitis of the clavicle. Clin Nucl Med. 1988;13:177–8.

    Article  CAS  PubMed  Google Scholar 

  72. Koh KH, Laddha MS, Lim TK, Lee JH, Yoo JC. A magnetic resonance imaging study of 100 cases of arthroscopic acromioplasty. Am J Sports Med. 2012;40:352–8.

    Article  PubMed  Google Scholar 

  73. Fiorella D, Helms CA, Speer KP. Increased T2 signal intensity in the distal clavicle: incidence and clinical implications. Skeletal Radiol. 2000;29:697–702.

    Article  CAS  PubMed  Google Scholar 

  74. Stein BE, Wiater JM, Pfaff HC, Bigliani LU, Levine WN. Detection of acromioclavicular joint pathology in asymptomatic shoulders with magnetic resonance imaging. J Shoulder Elbow Surg. 2001;10:204–8.

    Article  CAS  PubMed  Google Scholar 

  75. Jordan LK, Kenter K, Griffiths HL. Relationship between MRI and clinical findings in the acromioclavicular joint. Skeletal Radiol. 2002;31:516–21.

    Article  CAS  PubMed  Google Scholar 

  76. Cook FF, Tibone JE. The mumford procedure in athletes. Am J Sports Med. 1988;16:97–100.

    Article  CAS  PubMed  Google Scholar 

  77. Curd FB. The treatment of complete dislocation of the outer end of the clavicle: an hitherto undescribed operation. Ann Surg. 1941;113:1094–8.

    Article  Google Scholar 

  78. Mumford EB. Acromioclavicular dislocation. A new operative treatment. J Bone Joint Surg Am. 1941;23A:799–802.

    Google Scholar 

  79. Flatow EL, Cordasco FA, Bigliani LU. Arthroscopic resection of the outer end of the clavicle from a superior approach: a critical, quantitative, radiographic assessment of bone removal. Arthroscopy. 1992;8:55–64.

    Article  CAS  PubMed  Google Scholar 

  80. Peterson CJ. Resection of the lateral end of the clavicle. Acta Orthop Scand. 1983;54:904–7.

    Article  Google Scholar 

  81. Sage FP, Salvatore JE. Injuries of the acromioclavicular joint: a study of results in 96 patients. South Med J. 1963;56:486–95.

    Article  CAS  PubMed  Google Scholar 

  82. Eskola A, Santavirta S, Viljakka HT, Wirta J, Partio TE, Hoikka V. The results of operative resection of the lateral end of the clavicle. J Bone Joint Surg Am. 1996;4:584–7.

    Google Scholar 

  83. Bigliani LU, Nicholson GP, Flatow EL. Arthroscopic resection of the distal clavicle. Orthop Clin North Am. 1993;24:133–41.

    CAS  PubMed  Google Scholar 

  84. Gartsman GM. Arthroscopic resection of the acromioclavicular joint. Am J Sports Med. 1993;21:71–7.

    Article  CAS  PubMed  Google Scholar 

  85. Tolin BS, Snyder SJ. Our technique for arthroscopic Mumford procedure. Orthop Clin North Am. 1993;24:143–51.

    CAS  PubMed  Google Scholar 

  86. Flatow EL, Duralde XA, Nicholson GP, Pollock RG, Bigliani LU. Arthroscopic resection of the distal clavicle with a superior approach. J Shoulder Elbow Surg. 1995;4:41–50.

    Article  CAS  PubMed  Google Scholar 

  87. Gartsman GM, Combs AH, Davis PF, Tullos HS. Arthroscopic acromioclavicular joint resection. An anatomical study. Am J Sports Med. 1991;19:2–5.

    Article  CAS  PubMed  Google Scholar 

  88. Fischer BW, Gross RM, McCarthy JA, Arroyo JS. Incidence of acromioclavicular joint complications after arthroscopic subacromial decompression. Arthroscopy. 1999;3:241–8.

    Article  Google Scholar 

  89. Levine WN, Barron OA, Yamaguchi K, Pollock RG, Flatow EL, Bigliani LU. Arthroscopic distal clavicle resection from a bursal approach. Arthroscopy. 1998;14:52–6.

    Article  CAS  PubMed  Google Scholar 

  90. Robertson WJ, Griffith MH, Carroll K, O’Donnell T, Gill TJ. Arthroscopic versus open distal clavicle excision: a comparative assessment at intermediate-term follow-up. Am J Sports Med. 2011;39:2415–20.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. 3rd Orthopaedic Section, Istituto Clinico San Rocco di Franciacorta, Via dei Sabbioni 24, Ome (BS), 25050, Italy

    Giovanni B. Vinanti MD

  2. Department of Orthopaedics and Traumatology, Ospedale Civile Maggiore, Piazzale Stefani, Verona, 37100, Italy

    Daniele Scrimieri MD

  3. Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Piazza Carnaro 18, Rome, 00141, Italy

    Andrea Grasso MD

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  1. Giovanni B. Vinanti MD
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  2. Daniele Scrimieri MD
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Correspondence to Andrea Grasso MD .

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Editors and Affiliations

  1. Department of Orthopaedics, Catholic University of Rome, Rome, Roma, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

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Vinanti, G.B., Scrimieri, D., Grasso, A. (2014). Degenerative Acromioclavicular Joint Disease. In: Milano, G., Grasso, A. (eds) Shoulder Arthroscopy. Springer, London. https://doi.org/10.1007/978-1-4471-5427-3_30

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