Medical history (history of the patient) is an important component in the diagnosis of osteoarthritis of the acromioclavicular joint (arthritis of the acromioclavicular joint). Family history Are there any diseases of the bones and joints in your family that are common? What is the general health of your relatives? Social history What is your profession? … Acromioclavicular Joint Arthrosis (Osteoarthritis): Medical History
Musculoskeletal System and Connective Tissue (M00-M99). Bursitis (inflammation of the bursa). Impingement syndrome (English “collision”) – the symptomatology of this syndrome is based on the presence of a constriction of the tendon structure in the shoulder joint and thus impaired function of joint mobility. It is mostly caused by degeneration or entrapment of capsular or … Acromioclavicular Joint Arthrosis (Osteoarthritis): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by osteoarthritis of the acromioclavicular joint (arthritis of the acromioclavicular joint): Musculoskeletal system and connective tissue (M00-M99). Impingement syndrome (English “collision”) – the symptomatology of this syndrome is based on the presence of a constriction of the tendon structure in the shoulder … Acromioclavicular Joint Arthrosis (Osteoarthritis): Complications
Chondroprotectants inhibit cartilage-degrading substances, thus reducing further loss of protective cartilage. At the same time, they promote the regeneration of cartilage tissue.Furthermore, they are believed to have an anti-inflammatory effect. As a result, there is a reduction in pain, swelling and improved joint mobility. The greatest success is achieved by injecting chondroprotectants directly into the … Acromioclavicular Joint Arthrosis (Osteoarthritis): Cartilage-Protective Agents (Chondroprotectants)
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, contractures, shortenings). Muscle atrophies (side … Acromioclavicular Joint Arthrosis (Osteoarthritis): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Uric acid Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Examination of the joint punctate Rheumatoid factor (RF) ANA … Acromioclavicular Joint Arthrosis (Osteoarthritis): Test and Diagnosis
Therapeutic Objective Pain relief and thus improvement of mobility. Therapy recommendations Depending on the severity of the disease and individual problems, the following medications can be used: Analgesics (painkillers) Non-acid analgesics Nonsteroidal anti-inflammatory drugs (NSAIDs; non steroidal anti- inflammatory drugs, NSAIDs). Selective COX-2 inhibitors (coxibe). Opioid analgesics Glucocorticoids Chondroprotectants (cartilage protectants) Other medicines See also … Acromioclavicular Joint Arthrosis (Osteoarthritis): Drug Therapy
The following symptoms and complaints may indicate osteoarthritis of the acromioclavicular joint (arthritis of the acromioclavicular joint): Increased sensitivity of the joints to cold Joint swelling, usually on the same side (easily visible to the affected person, since the joint is located directly under the skin) Crepitation in the joint (joint noises) when moving the … Acromioclavicular Joint Arthrosis (Osteoarthritis): Symptoms, Complaints, Signs
Pathogenesis (disease development) Age-related wear and tear is not the cause of osteoarthritis, but at the beginning of the joint destruction is usually acute damage to the articular cartilage due to trauma or infection. The following pathomechanisms can be observed in osteoarthritis: Osteoarthritis due to excessive load on the joint. Osteoarthritis due to inferior bone … Acromioclavicular Joint Arthrosis (Osteoarthritis): Causes
General Measures Avoidance of: Overloading of the joints, e.g., due to competitive and high-performance sports in the power sports sector (e.g., bodybuilders) or long periods of heavy physical stress, e.g., at work (construction workers, especially floor layers) The arm should not initially be raised above 90°. Avoid movements of the arm in front of the … Acromioclavicular Joint Arthrosis (Osteoarthritis): Therapy
Obligatory medical device diagnostics. Radiographs of the affected joint Joint space narrowing Formation of osteophytes (bony attachments). Optional medical device diagnostics – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. Magnetic resonance imaging (MRI; computer-assisted cross-sectional imaging method (using magnetic fields, that is, without X-rays)) … Acromioclavicular Joint Arthrosis (Osteoarthritis): Diagnostic Tests
If conservative measures do not lead to the desired success, the following surgical measures can be considered for osteoarthritis of the acromioclavicular joint (arthritis of the acromioclavicular joint): Resection (removal) of the joint involving the lateral end of the clavicle (outer portion of the clavicle). arthroscopic approach The distance between the clavicle (collarbone) and acromion … Acromioclavicular Joint Arthrosis (Osteoarthritis): Surgical Therapy
